Post-Pneumothorax Surgery: Breathing Issues and Pain - Pulmonology

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Post-pneumothorax surgery


Hello doctor, I am a high school sophomore.
I had a right-sided pneumothorax in August.
After being discharged from the hospital, about a week later, one day at school, after climbing stairs, I suddenly felt very short of breath, and I experienced a sharp pain in my back while breathing, but it wasn't to the point of being unable to breathe.
After a follow-up visit, the doctor said the pneumothorax had healed, but the aforementioned symptoms have persisted for 3 to 4 days.
Could this be due to a back strain, a postoperative complication, or is there another issue?

Cai Tongxue, 10~19 year old female. Ask Date: 2017/09/09

Dr. Yang Wenda reply Pulmonology


Hello: Sometimes when climbing stairs, you may experience a pulling sensation in the pleura due to forceful breathing (the pleura may adhere together after surgery), which can cause pain or a stabbing sensation.
It is advisable to avoid exercising or to climb stairs slowly, and take breaks if necessary!

Reply Date: 2017/09/09

More Info


Post-pneumothorax surgery, experiencing breathing issues and pain can be concerning, especially for a high school student like yourself. It’s important to understand the potential causes of these symptoms and how they relate to your recent surgery.

Firstly, after a pneumothorax surgery, which typically involves procedures like chest tube placement or surgical intervention to repair the lung, it is not uncommon to experience residual pain or discomfort. This can be attributed to several factors:
1. Surgical Trauma: The surgery itself can cause trauma to the chest wall and surrounding tissues, leading to inflammation and pain. The incision site may also be sensitive, and the healing process can take time.
2. Nerve Irritation: During surgery, nerves in the chest area may be irritated or damaged. This can lead to sensations of pain or discomfort, which may feel like sharp or stabbing pains, especially when taking deep breaths or engaging in physical activity.

3. Muscle Strain: Climbing stairs or engaging in physical exertion can lead to muscle strain, particularly if you are compensating for discomfort or if your body is not yet fully accustomed to normal activity levels post-surgery. The muscles in the back and chest may become tense or strained, resulting in pain that can radiate or feel sharp.

4. Adhesions: After surgery, scar tissue can form, leading to adhesions between the lung and the chest wall or other structures. This can sometimes cause discomfort, especially during movement or deep breathing.

5. Psychological Factors: Anxiety or stress related to your surgery and recovery can also manifest as physical symptoms, including tightness in the chest or difficulty breathing.

Given that your doctor has confirmed that the pneumothorax has healed, the symptoms you are experiencing may likely be a combination of muscle strain and post-surgical pain. However, it’s essential to monitor your symptoms closely. If the pain persists or worsens, or if you experience any new symptoms such as increased shortness of breath, fever, or changes in your ability to breathe, you should seek medical attention promptly.

In the meantime, here are some recommendations to help manage your symptoms:
- Rest: Avoid strenuous activities, especially those that require heavy lifting or significant exertion, until you feel more comfortable.

- Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, consult your doctor before taking any medication.

- Breathing Exercises: Gentle breathing exercises can help improve lung function and reduce discomfort. Focus on slow, deep breaths to help expand your lungs without straining.

- Physical Therapy: If your symptoms persist, consider discussing physical therapy with your doctor. A physical therapist can provide exercises tailored to your recovery and help strengthen the muscles around your chest and back.

- Follow-Up Appointments: Keep up with your follow-up appointments to ensure that your recovery is progressing as expected. If you have concerns, don’t hesitate to communicate them with your healthcare provider.

In conclusion, while it is common to experience some discomfort after pneumothorax surgery, it is crucial to listen to your body and seek medical advice if your symptoms do not improve or if you have any concerns. Your health and recovery should always be your top priority.

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