When coughing causes bladder pain, the first consideration is that the cough induces violent contraction of the abdominal muscles, causing muscle soreness in the bladder area. In addition, if the patient suffers from urinary system diseases, such as cystitis and bladder stones, the symptom of coughing bladder pain may also occur and should be distinguished. 1. Cystitis: inflammation occurs when bacteria such as Escherichia coli and Staphylococcus aureus invade the bladder area, and the patient is prone to urinary frequency, urinary urgency and urinary pain, which can easily induce bladder pain when coughing. If patients suspect they have cystitis, they should perform routine urine, urine culture, cystoscopy and other related tests. If diagnosed, they should be treated with antibiotics such as levofloxacin and cefaclor under the guidance of a doctor; 2. Bladder stones: there is often pain in the bladder area of the lower abdomen, which can cause pulling pain when coughing. It is recommended to do plain film or CT scan of the urinary tract to confirm the diagnosis. If women suffer from gynecological diseases, such as pelvic inflammatory disease, they may have pain in the lower abdomen of the bladder area, which may be aggravated by external factors such as coughing and strenuous activities. If a man has this symptom, it may also be a problem of prostatitis.