Recurring Pneumothorax: Symptoms, Risks, and Recovery

Q: Recurring Pneumothorax: Symptoms, Risks, and Recovery

Hello： Having undergone pleurodesis can reduce the risk of recurrent pneumothorax, but it does not guarantee that it will not occur again. <br>If you experience severe chest pain or have difficulty breathing, it is advisable to have a follow-up chest X-ray to rule out the possibi

Pneumothorax occurred twice?

Hello Doctor, I have a history of pneumothorax twice in 2015, once on the left side and once on the right side, both requiring thoracoscopic surgery and pleural adhesion treatment.
Last September, I experienced a slight recurrence of air in my right chest, but it was minor and resolved on its own while I was resting at home.
Recently, due to significant weather changes, I have been feeling mild soreness and pain around the joints near my left and right chest, as well as in both armpit areas.
The sensation is somewhat similar to the pain I experienced before my pneumothorax, although my breathing is normal.
I would like to know if this could be due to changes in atmospheric pressure causing temporary pain from old injuries.
Additionally, I am 176 cm tall and weigh only 45 kg; could my low weight also influence the likelihood of a pneumothorax recurrence?

Mr. Ren, 20~29 year old female. Ask Date: 2017/04/01

Dr. Yang Wenda reply Pulmonology

Hello: Having undergone pleurodesis can reduce the risk of recurrent pneumothorax, but it does not guarantee that it will not occur again.
If you experience severe chest pain or have difficulty breathing, it is advisable to have a follow-up chest X-ray to rule out the possibility of recurrent pneumothorax.
Additionally, after surgery, it is also possible to occasionally experience chest pain.
If the pain is not severe or only occurs briefly, and there is no difficulty in breathing, you may observe it for a few days before deciding whether to seek medical attention.
This is for your reference!

Reply Date: 2017/04/01

More Info

Understanding recurring pneumothorax is crucial for anyone who has experienced this condition, especially given your history of multiple episodes. Pneumothorax occurs when air leaks into the pleural space, the area between the lungs and the chest wall, leading to lung collapse. Symptoms can include sudden chest pain and shortness of breath, but in your case, it seems you are experiencing a different set of symptoms.

Given your description of mild pain in the chest and underarm areas, it is essential to consider several factors. First, the pain you are feeling could be related to previous surgeries or the healing process of your lungs and chest wall. Scar tissue from previous surgeries, such as thoracoscopic surgery, can lead to discomfort or pain, especially during changes in weather or atmospheric pressure. Changes in weather can indeed affect the body, particularly in individuals with a history of lung issues, as they may be more sensitive to pressure changes.

Your weight is also a factor to consider. At 176 cm and 45 kg, your body mass index (BMI) is significantly lower than the normal range, which could potentially affect your overall lung health and resilience. Low body weight can sometimes be associated with decreased muscle mass, including the muscles that support breathing, which may lead to increased sensitivity to respiratory issues. However, it is essential to note that while low body weight can be a risk factor for various health issues, it is not a direct cause of pneumothorax.

In terms of your symptoms, while they may not indicate an immediate recurrence of pneumothorax, it is crucial to monitor them closely. If the pain worsens or if you experience any new symptoms such as increased shortness of breath, a feeling of tightness in the chest, or any other concerning signs, you should seek medical attention promptly.
It is also advisable to follow up with your healthcare provider, especially considering your history of pneumothorax. They may recommend imaging studies, such as a chest X-ray or CT scan, to assess the current state of your lungs and ensure there are no new issues.
In summary, while your current symptoms may be related to previous injuries or surgeries, it is essential to remain vigilant. Changes in weather can affect your body, and your history of pneumothorax warrants careful monitoring. Maintaining a healthy weight and discussing any concerns with your healthcare provider will be vital in managing your lung health and preventing future complications.

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