Aggravating and relieving factors for cough , breathlessness, chest pain:

 1. COUGH

Aggravating factors:

Pollution, Pollen, Posture

Drugs, Diurnal, Dry air

Cold weather, Common cold

Food, Exercise

Relieving Factors:

Using cough suppressants or expectorants

Drinking warm fluids, Humidified air or steam inhalation

Avoiding triggers, Rest

2. BREATHLESSNESS:

Aggravating factors:

Exercise, 

Pollens,dust,smoke,cold air

Drugs- Aspirin,NSAIDs can aggravate breathlessness in asthmatics

Orthopnea- LV failure, large pleural effusion,massive ascites, morbid obesity and any severe lung disease.

Platypnea- ASD, patent foramen ovale, large intrapulmonary shunt,hepatopulmonary syndrome

Trepopnea- Due to large unilateral lung disease(patient prefers healthy lung down), dilated cardiomyopathy (pt prefers right side down)

Tumors compressing major airways/blood vessels 

Relieving Factors:

Rest or reducing physical activity

Oxygen therapy 

Bronchodilators 

Calm breathing techniques 

Elevating the head or upper body in severe cases

3. CHEST PAIN

Aggravating Factors:

Deep breathing, coughing, sneezing (if pleuritic)

Physical exertion (if cardiac in nature)

Stress or anxiety

Movement or pressure on the chest area

acid reflux

Relieving Factors:

Rest 

Pain medication

Positioning (e.g., lying on one side for pleuritic pain)

Relaxation or stress-reduction techniques

Oxygen therapy