Cough-induced rib pain may be associated with chest wall soft tissue injury, intercostal neuritis, pleurisy, coronary heart disease and other diseases. 1. Chest wall soft tissue injury: if the cough is more violent, it is likely to cause intercostal soft tissue injury and rib pain. 2. Intercostal neuritis: mainly associated with herpes zoster virus infection and nerve compression caused by spinal diseases, etc. Typical manifestations of intercostal nerve innervation of the area of the pinprick-like, burning pain, especially in coughing, deep breathing or sneezing aggravation. 3. Pleurisy: mainly associated with autoimmune diseases, pathogenic infections, tumors or exogenous chest injury, etc. Typical symptoms are chest pain, chest tightness, dyspnea, and chest pain, which may be aggravated by coughing. 4. Coronary heart disease: its causes include coronary atherosclerosis, bad habits and emotions, as well as the existence of their own underlying diseases, such as diabetes mellitus, centripetal obesity, etc. Typical symptoms manifested as chest tightness, chest pain, fatigue, dyspnea. As you can see, there are many reasons for rib pain when coughing, and it is important to pay close attention to whether there is chest tightness, dyspnea and other accompanying symptoms, and if there should be immediate medical attention to identify the cause of the disease and then treatment.