The occurrence of back pain with a cough has more causes and specific tests should be done to clarify them. The first and most important thing is to do an electrocardiogram to rule out cough induced coronary heart attack, such as the occurrence of angina pectoris, or myocardial infarction, which can also cause back pain. Coughing can lead to the occurrence of hypoxia, which can easily aggravate, or induce a heart attack, which can then easily lead to myocardial infarction, or angina caused by coronary artery disease, so it is necessary to have an electrocardiogram. In addition, back pain when coughing does not exclude serious lung infections, which can lead to pleurisy, and a strong pulling reflex on the pleura when coughing can lead to back pain. Depending on the type of infection, appropriate antibiotics or antiviral drugs need to be selected for intravenous drip treatment, and hospitalization is required. Secondly, coughing and expectorant medications should be used to reduce the coughing, which can be treated with pulmonary cough combination.