Post-Pneumothorax Surgery: Chest Discomfort in Teens - Pulmonology

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A few days after the pneumothorax surgery, there is some discomfort and pain?


Hello Doctor: My brother underwent surgery for a pneumothorax a few days ago, but recently he has started to experience mild chest discomfort without engaging in any strenuous activities.
The other lung has some minor alveolar issues, but the previous doctor mentioned that since he is still growing, there is no need to worry too much about that side.
Is this situation normal or a sign of recurrence? My brother is currently 17 years old, weighs 56 kg, and is 176 cm tall (he does not smoke or drink).
Thank you for your guidance.

vivian, 10~19 year old female. Ask Date: 2020/07/04

Dr. Yang Wenda reply Pulmonology


Hello: Whether there is a recurrence can only be determined by X-ray imaging results.
If symptoms worsen, it is recommended to return to the thoracic surgery outpatient clinic for a follow-up examination!

Reply Date: 2020/07/04

More Info


Post-pneumothorax surgery discomfort can be a common experience, especially in adolescents who are still growing. It’s important to understand the underlying reasons for this discomfort and what it might indicate about your brother's recovery process.

Firstly, pneumothorax, which is the presence of air in the pleural space, can lead to lung collapse. Surgery is often performed to re-expand the lung and prevent recurrence. After such a procedure, it is not unusual for patients to experience some degree of chest discomfort or pain as they heal. This discomfort can be attributed to several factors:
1. Healing Process: After surgery, the body goes through a healing process that can involve inflammation and irritation of the chest wall and pleura (the lining around the lungs). This can manifest as a dull ache or sharp pain, especially when taking deep breaths, coughing, or moving.

2. Nerve Sensitivity: The surgical procedure may have involved manipulation of the nerves in the chest area, leading to temporary sensitivity. This can cause sensations of discomfort even in the absence of any serious complications.

3. Residual Air: Sometimes, small amounts of air can remain in the pleural space after surgery. This can lead to a feeling of pressure or discomfort, although it may not necessarily indicate a full recurrence of pneumothorax.

4. Growth Factors: Given that your brother is only 17 years old, his body is still growing and changing. This growth can sometimes lead to changes in how the lungs and chest wall feel, especially if there are any lingering effects from the surgery.

5. Psychological Factors: Anxiety about the surgery and its outcomes can also contribute to the perception of pain. Adolescents may be particularly sensitive to changes in their bodies and may interpret normal sensations as discomfort.

In terms of whether this discomfort indicates a recurrence of pneumothorax, it is essential to monitor the symptoms closely. If the pain is mild and does not worsen, it may simply be part of the healing process. However, if your brother experiences any of the following symptoms, it is crucial to seek medical attention promptly:
- Increased chest pain or discomfort
- Shortness of breath or difficulty breathing
- A sudden increase in pain or a feeling of tightness in the chest
- Coughing up blood or any unusual respiratory symptoms
Given that your brother has a history of pneumothorax, it is advisable to follow up with his healthcare provider to discuss his symptoms. They may recommend imaging studies, such as a chest X-ray, to ensure that there is no recurrence of pneumothorax or other complications.

In conclusion, while some discomfort after pneumothorax surgery can be normal, it is essential to remain vigilant and consult with a healthcare professional if there are any concerns. Open communication with his doctor will help ensure that your brother receives the appropriate care and guidance during his recovery.

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