<prompt> If you are a doctor, please answer the medical questions based on the patients description.had a car accident 8 days ago now my ribs hurt when I cough .I have a real bad cough in the mornings did I cough hard enough to hurt myself or could it be a after affect of the accident? my mom thinks it is my spleen since I had pain under my left rib cage before hand  <response>: FLOODING THE CAR ACCIDENT YOU HAD 8 DAYS BACK AND PAIN AND PRODUCTIVE COUGH THAT YOU ARE HAVING, YOU EITHER HAVE SUFFERED A BLUNT INJURY TO LT CHEST OR FRACTURED SOME OF LT RIBS.IN BOTH CASES YOU WILL HAVE PAIN ON DEEP BREATHING COUGHING AND WHITISH MUCOID, AT TIMES BLOOD STAINED SPUTUM.SPLENIC INJURY IS MOST UNLIKELY SINCE IT WOULD HAVE BEEN A CATASTROPHIC EVENT Characterized BY BLEEDING, ABDOMINAL DISTENSION AND SHOCK IN 48 ONLY. YOU SHOULD CONTINUE STEAM INHALATION AND DEEP BREATHING EXERCISES. X-ray CHEST IS ADVISED AND PAIN KILLERS SHOULD BE TAKEN, IF REQUIRED, UNDER MEDICAL SUPERVISION. 