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Almost certainly bruising to the intercostal musculature and the muscles of the back (depending on where the trauma occured). There's the possibility of a cracked rib from what you're saying, but injuries to these muscle groups are more common and have the exact same symptoms. If you feel there's a chance you've done some real damage, head for a doctor. However, if this injury is purely soft tissue (and even if it is a cracked rib), there's not a lot to be done for it except pain control.

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Q: I fell down the steps coughing causes me severe pain on my right side and back?
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