Should You See a Doctor After a Chest Injury from Playing Sports? - Pulmonology

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Hit in the chest while playing ball?


Hello, doctor.
I am 16 years old.
While playing basketball, I was hit in the chest by someone.
It hurt at the moment, but after a while, the pain subsided, and I haven't had any significant symptoms since then, just occasional mild pain (which could be psychological).
Should I go to the hospital for an examination? Is there a possibility of internal injuries? I'm a bit worried...
I read that chest impacts can cause cardiac tamponade, but my blood pressure readings have been normal at 112/62/76 and 122/71/68, not particularly low, and my heart rate isn't particularly fast.
My breathing is also normal and not labored.
Should I go to the hospital for an examination? Thank you for your response, doctor.

Ru, 10~19 year old female. Ask Date: 2020/10/18

Dr. Yang Wenda reply Pulmonology


Hello: Given that your current symptoms are stable, with stable blood pressure and pulse, you can continue to be monitored.
If you experience any difficulty in breathing, please go to the hospital for an examination!

Reply Date: 2020/10/18

More Info


It's understandable to feel concerned after experiencing a chest injury during sports, especially at a young age. Based on your description, it seems that you were involved in a collision that caused immediate pain but subsequently subsided. However, you are still experiencing occasional discomfort, which raises valid questions about whether you should seek medical attention.


When to See a Doctor After a Chest Injury
1. Persistent or Worsening Symptoms: If you experience ongoing pain that does not improve or worsens over time, it is advisable to consult a healthcare professional. Even if the pain is mild, persistent discomfort can indicate an underlying issue that may need evaluation.

2. Signs of Serious Injury: While you mentioned that your blood pressure and heart rate are normal, you should be aware of other symptoms that could indicate a more serious condition. These include:
- Difficulty breathing or shortness of breath
- Severe or worsening chest pain
- Pain that radiates to the arms, neck, or jaw
- Coughing up blood or having a persistent cough
- Dizziness or fainting
3. Psychological Factors: You mentioned the possibility of the discomfort being psychological. It's not uncommon for individuals to feel anxious after an injury, which can manifest as physical symptoms. However, it’s essential to differentiate between psychological discomfort and physical injury.


Potential Injuries from Chest Trauma
Chest injuries can range from minor bruising to more severe conditions such as rib fractures, lung contusions, or even cardiac issues. While your vital signs are stable, it's important to remember that some injuries may not present immediate symptoms. For example, a rib fracture might not cause significant pain initially but could lead to complications like a pneumothorax (collapsed lung) later on.


Recommendations
- Observation: Since you are not experiencing severe symptoms, you may choose to monitor your condition for a few days. Keep track of any changes in your symptoms, especially if they worsen or new symptoms develop.


- Rest and Avoid Strain: Give your body time to heal. Avoid activities that may exacerbate the pain, especially high-impact sports or exercises that put pressure on your chest.

- Consult a Doctor: If you have any doubts or if your symptoms change, it is always better to err on the side of caution and consult a healthcare professional. They may perform a physical examination and, if necessary, order imaging tests such as X-rays or a CT scan to rule out any serious injuries.

- Pain Management: If you experience discomfort, over-the-counter pain relievers like ibuprofen or acetaminophen can help manage pain and inflammation. However, consult with a healthcare provider before taking any medication.


Conclusion
In summary, while your current symptoms may not seem alarming, it’s crucial to remain vigilant. If you notice any changes or if your discomfort persists, seeking medical advice is a prudent choice. Remember, your health and safety should always come first, and a healthcare professional can provide the reassurance and care you need.

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