Cold and cough chest pain may be caused by the violent cough itself, or the presence of pneumonia, pleural effusion and other complications. 1. Coughing itself: coughing causes contraction of the diaphragm and intercostal muscles. If you cough frequently and vigorously, it will lead to muscle pulling and even cause damage to the muscle tissues, resulting in symptoms of chest pain. 2. Pneumonia: if the patient has a cold complicated by pneumonia, when the inflammatory foci of pneumonia are close to the periphery of the lungs, it will stimulate the pleura and pull the peripheral nerves, which will lead to the symptoms of chest pain. 3. pleural effusion: if the patient has a cold and pleural effusion, especially a small amount of pleural effusion, due to frequent coughing, the wall pleura and the dirty pleura rub against each other, stimulating the nerves on the pleura, the patient will have symptoms of chest pain when coughing. Chest pain may also be caused by other diseases, not necessarily completely related to the cold and cough, it is recommended to consult a doctor in a timely manner, with the help of a doctor to clarify the cause of the disease, and targeted treatment.