Pain persists even with deep breathing in cases of pneumothorax?
I have experienced recurrent pneumothorax three times over the past six years.
The first two times involved drainage tubes and surgery on the left side, but this time it occurred on the right side, requiring another chest tube insertion and a five-day hospital stay.
After being discharged, I still experience some chest pain when taking deep breaths.
Is this normal?
Xiang, 20~29 year old female. Ask Date: 2018/04/05
Dr. Zhou Ziguang reply Pulmonology
Hello: 1.
If the follow-up X-ray shows no recurrent pneumothorax, it may just be neuromuscular pain.
2.
Additionally, consider discussing with your physician whether a chest CT scan is necessary for further evaluation.
Reply Date: 2018/04/05
More Info
Experiencing chest pain after recovering from a pneumothorax, especially following a procedure like pleurodesis or chest tube insertion, can be concerning. However, it is not uncommon for patients to report some degree of discomfort or pain in the chest area during the recovery phase. This can be attributed to several factors related to the surgical procedure and the healing process.
Firstly, after a pneumothorax, the lung and surrounding tissues undergo significant changes. The insertion of a chest tube, which is often necessary to remove air from the pleural space, can cause irritation to the pleura (the lining of the lungs) and the intercostal muscles (the muscles between the ribs). This irritation can lead to pain, especially during deep breathing, coughing, or movement. The pain may also be exacerbated by the healing of the incision site where the chest tube was placed.
In your case, since you have experienced multiple episodes of pneumothorax and have undergone procedures on both sides, it is possible that the cumulative effects of these interventions could contribute to ongoing discomfort. The body may take time to heal fully, and the presence of scar tissue from previous surgeries can also lead to sensations of tightness or pain.
It is important to note that while some pain can be expected, it should gradually improve over time. If the pain persists or worsens, or if you experience additional symptoms such as shortness of breath, fever, or significant changes in your breathing pattern, it is crucial to seek medical attention. These could be signs of complications such as a recurrence of pneumothorax, infection, or other issues that may require intervention.
In terms of management, here are a few recommendations:
1. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, always consult with your healthcare provider before starting any medication.
2. Breathing Exercises: Engaging in gentle breathing exercises can help improve lung function and reduce pain. Deep breathing can be uncomfortable initially, but it is essential for lung expansion and recovery. Start slowly and gradually increase the depth of your breaths as tolerated.
3. Physical Activity: While it is important to rest, gentle physical activity can promote healing and prevent stiffness. Activities like walking can be beneficial, but avoid any strenuous exercise until cleared by your doctor.
4. Follow-Up Care: Regular follow-up appointments with your healthcare provider are essential to monitor your recovery. If you have concerns about your symptoms, do not hesitate to reach out to your doctor for further evaluation.
In summary, while some chest pain after pneumothorax recovery can be normal, it is essential to monitor your symptoms closely. If you have any doubts or if your pain does not improve, seeking medical advice is the best course of action to ensure a smooth recovery.
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