Should You Self-Monitor Rib Discomfort Before Seeking Medical Help? - Pulmonology

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Abnormal Sensation in the Ribs (Continued)


Doctor, I would like to ask if it is advisable to self-monitor first and see how the situation develops, as my breathing is still manageable.
I don't feel very short of breath, but sometimes I do experience chest tightness.
I looked online and found that pneumothorax is primarily characterized by chest pain (90%) and difficulty breathing (80%), so can I rule out the possibility of pneumothorax?

CJJ, 30~39 year old female. Ask Date: 2020/07/30

Dr. Yang Wenda reply Pulmonology


Hello: Please continue to follow the previous advice, and get an X-ray if you experience significant difficulty breathing or chest pain!

Reply Date: 2020/07/30

More Info


When it comes to rib discomfort, especially when accompanied by symptoms like chest tightness or mild breathing difficulties, self-monitoring can be a reasonable initial approach, but it is essential to remain vigilant and aware of your body's signals. Here are some considerations to keep in mind:
1. Understanding Symptoms: Rib discomfort can arise from various causes, including musculoskeletal issues (like muscle strain or rib injury), respiratory conditions (like pneumonia or pleuritis), or even cardiac issues. While you mentioned that your breathing is not severely affected, chest tightness can still indicate underlying problems that may require medical attention.

2. Self-Monitoring: If your symptoms are mild and you can breathe comfortably without significant pain, it may be appropriate to monitor your condition for a short period. Keep track of any changes in your symptoms, such as increased pain, difficulty breathing, or the development of new symptoms like fever, cough, or palpitations. If your discomfort worsens or if you experience any alarming symptoms, it is crucial to seek medical help promptly.

3. Risk of Pneumothorax: You mentioned that you researched pneumothorax (collapsed lung) and noted that chest pain and difficulty breathing are common symptoms. While it is true that these symptoms are prevalent, pneumothorax can sometimes present with atypical symptoms, especially in individuals with underlying lung conditions or in cases of spontaneous pneumothorax. Therefore, even if you believe you can rule out pneumothorax based on your current symptoms, it is wise to remain cautious.

4. When to Seek Help: If you experience any of the following, you should seek medical attention immediately:
- Severe or worsening chest pain
- Difficulty breathing or shortness of breath that is worsening
- Symptoms that do not improve with rest or over-the-counter pain relief
- Any new symptoms such as fever, cough, or dizziness
5. Consulting a Healthcare Provider: If your discomfort persists or if you have any concerns about your symptoms, it is advisable to consult a healthcare provider. They can perform a thorough evaluation, which may include a physical examination and diagnostic imaging (like a chest X-ray or CT scan) to rule out serious conditions.

6. Underlying Conditions: Given your history of respiratory issues or any other medical conditions, it is essential to consider these factors when assessing your symptoms. Conditions like asthma, chronic obstructive pulmonary disease (COPD), or even anxiety can contribute to feelings of chest tightness and discomfort.

In summary, while self-monitoring rib discomfort can be appropriate in certain situations, it is crucial to remain aware of your body's signals and to seek medical attention if your symptoms worsen or if you develop new concerning symptoms. Your health and safety should always be the priority, and when in doubt, consulting a healthcare professional is the best course of action.

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