Nighttime Breathing Issues After Pneumothorax Surgery - Pulmonology

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Occasionally, I experience some difficulty breathing at night, but it is not painful?


Last month I had surgery for a pneumothorax, and now at night when I lie down, I feel a sensation of something in my throat.
Sometimes I also experience sudden palpitations and difficulty breathing, but there is no chest pain.
I had an X-ray a few days ago, and there was no recurrence.
I want to know if this is just anxiety about a potential recurrence or if the pneumothorax has returned.

Niming, 20~29 year old female. Ask Date: 2020/12/10

Dr. Jian Shuntian reply Pulmonology


Hello: Recurrence of pneumothorax is primarily characterized by chest pain and shortness of breath.
If you experience difficulty breathing at night, it is advisable to consult a pulmonologist to check for issues such as asthma or bronchitis.

Reply Date: 2020/12/10

More Info


After undergoing surgery for pneumothorax, experiencing nighttime breathing issues can be concerning and may lead to anxiety about potential complications, including the fear of recurrence. It’s important to understand that while some discomfort and changes in breathing patterns can occur post-surgery, they may not necessarily indicate a recurrence of pneumothorax.

Firstly, the sensation of having a foreign body in the throat, along with episodes of rapid heartbeat and difficulty breathing, can be attributed to several factors. Post-operative recovery can involve inflammation and irritation of the airways, which may lead to sensations that feel like obstruction. This can be exacerbated by anxiety, which is common after significant medical procedures. Anxiety can manifest physically, causing symptoms such as increased heart rate and altered breathing patterns, which might be mistaken for respiratory distress.

In your case, since you have already undergone an X-ray that showed no recurrence of pneumothorax, it is less likely that your symptoms are due to a physical complication. However, it is still crucial to monitor your symptoms closely. If you experience any new or worsening symptoms, such as chest pain, significant shortness of breath, or coughing up blood, you should seek immediate medical attention.

To address your concerns about potential recurrence, it may be helpful to engage in relaxation techniques or breathing exercises. These can help manage anxiety and improve your overall sense of well-being. Techniques such as deep breathing, mindfulness meditation, or progressive muscle relaxation can be beneficial. Additionally, maintaining a calm environment during sleep and ensuring that you are in a comfortable position can also help alleviate some of the discomfort you are experiencing.

If the sensation of a foreign body in your throat persists, it may be worthwhile to consult with an ear, nose, and throat (ENT) specialist. They can evaluate whether there are any anatomical changes or other issues contributing to your symptoms. Furthermore, if anxiety continues to be a significant concern, discussing your feelings with a mental health professional may provide additional support and coping strategies.

In summary, while your symptoms may be distressing, they are not uncommon following pneumothorax surgery. It is essential to differentiate between anxiety-related symptoms and actual physical complications. Regular follow-ups with your healthcare provider can help ensure that your recovery is on track and that any concerns are addressed promptly. Remember, open communication with your healthcare team is vital in managing your recovery and alleviating fears about recurrence.

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