Can Sleeping on Your Side After Pneumothorax Surgery Cause Recurrence?

Three months after surgery for pneumothorax, I experience a sensation of contraction in my left chest when sleeping on my side?

I would like to ask the doctor, I previously had a pneumothorax in my left lung, and I underwent surgery for the initial pneumothorax.
Recently, I have been sleeping on my left side, with my left chest pressed down.
Is it possible that sleeping on my side could lead to a recurrence of the pneumothorax?

Yang Tongxue, 10~19 year old female. Ask Date: 2021/04/12

Dr. Huang Yiwen reply Pulmonology

Dear Yang,
The recurrence rate of pneumothorax after surgical intervention is low.
Sleeping on your side should not have an impact; it is normal to occasionally feel pressure after the surgery.
Changhua Hospital cares about your well-being.

Reply Date: 2021/04/12

More Info

Sleeping on your side after pneumothorax surgery is a concern for many patients, especially those who have undergone surgical treatment for a pneumothorax. In your case, having had surgery on the left lung for a pneumothorax, it is understandable to worry about the potential for recurrence, particularly when you are sleeping on your left side.

Firstly, it is important to clarify that the recurrence of pneumothorax after surgical intervention is relatively uncommon, especially if the surgery was successful in addressing the underlying issue. Surgical procedures, such as pleurodesis or the placement of a chest tube, are designed to prevent the re-accumulation of air in the pleural space. However, certain factors can influence the risk of recurrence, including the nature of the original pneumothorax, the presence of underlying lung disease, and lifestyle factors such as smoking.

Regarding your specific question about side sleeping, while it is generally not recommended to sleep on the side of the affected lung immediately after surgery, doing so does not inherently cause a recurrence of pneumothorax. However, sleeping on the left side may lead to discomfort or pressure on the surgical site, which could potentially exacerbate any residual pain or discomfort you might be experiencing. This discomfort could lead to anxiety about the possibility of recurrence, but it is essential to differentiate between discomfort and actual physiological changes that would lead to a pneumothorax.

If you are experiencing significant discomfort while sleeping on your left side, it may be wise to consider alternative sleeping positions, such as sleeping on your back or right side, to alleviate pressure on the surgical site. Additionally, using pillows for support can help maintain a comfortable position without putting undue stress on your left lung.

It is also crucial to follow up with your healthcare provider regarding any ongoing symptoms or concerns you may have. If you notice any signs of recurrence, such as sudden chest pain, shortness of breath, or a feeling of tightness in the chest, it is essential to seek medical attention promptly. Regular follow-up appointments and imaging studies, such as chest X-rays, can help monitor your lung health and ensure that there are no complications from the surgery.

In summary, while sleeping on your side after pneumothorax surgery may not directly cause a recurrence, it is essential to listen to your body and adjust your sleeping position if you experience discomfort. Always consult with your healthcare provider for personalized advice and to address any concerns you may have regarding your recovery and lung health.

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