The causes of coughing intercostal pain are: first, inflammatory lesions of the entire respiratory system organs, such as pneumonia, bronchial lesions, asthma, intercostal neuritis, peritonitis, all of which can cause irritation of the ribs and all of which can cause coughing, and when coughing because of inflammatory irritation you will feel pain in the ribs. Second, because of some trauma, such as a crack or fracture in the rib cage due to the impact of some object, you may feel severe pain if you cough. Thirdly, if there is a muscle strain or a contusion in the soft tissue of the chest, the patient may also feel pain between the ribs when coughing. Fourth, in addition to the reasons mentioned above, some other aspects can also cause pain in the ribs when coughing, such as coughing too frequently and violently after doing strenuous exercise, the patient will also feel pain between the ribs, and if the pain is prolonged it is recommended to go to the local hospital for consultation.