Hidden pain in the upper right chest without coughing may be related to muscle strain, pneumothorax, costochondritis, etc., which requires general treatment, medication and surgery. 1. For those caused by muscle strain, oral analgesics such as ibuprofen and muscle relaxants such as epirubicin hydrochloride can be taken as prescribed by the doctor; if the effect of conservative treatment is not obvious, surgical treatment can be considered. 2. For pneumothorax, bed rest should be paid attention to and the primary disease should be treated actively; if conservative treatment is ineffective or pneumothorax recurs, surgery can be considered. 3. For those caused by costochondritis, oral ibuprofen and other non-steroidal anti-inflammatory drugs, local injection of prednisone and other glucocorticosteroids can be taken as prescribed by the doctor; if the conservative treatment is ineffective, surgical resection of costochondral cartilage is feasible to remove the lesion completely. It is recommended that people who have hidden pain in the upper right chest but do not cough should consult a doctor in time to clarify the cause of the disease and carry out standardized treatment under the guidance of the doctor.