<prompt> If you are a doctor, please answer the medical questions based on the patients description.I was puched in the chest real hard and now having trouble breathing what may be wrong 26 year old female 180pounds i have lupus and sarcoidosis as well as asthma but i was hit hard in the chest and i cannot breath in deep or exhale without pain what could be wrong  <response>: Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-? Fracture Ribs after chest punch.? Costo-chon Chat Doctor. Hope this would help you to solve your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! 