Difficulty Breathing and Swallowing After Chest Injury: What to Do? - Pulmonology

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Difficulty breathing and difficulty swallowing?


Hello Doctor, 11 days ago, I was hit in the chest by an unknown object while riding my bike.
At that moment, I experienced intense pain and immediately pushed it away and discarded it.
There was also a thin, transparent foreign object that had penetrated my chest, which I removed as well.
The following day, I visited a dermatologist due to redness, swelling, and itching on my skin.
The area where the object penetrated developed a pimple-like lesion with a small hole in the center.
After applying medication and taking oral medication, it has improved significantly (I returned to the dermatologist for a follow-up after three days).
However, throughout this process and up to now, I have been experiencing difficulty breathing, requiring deep inhalation, and swallowing has become very challenging, as if there is half the space for inhalation and swallowing.
I would like to ask which specialist I should see for this situation and what possible solutions there might be.
Thank you, Doctor!

Miss Hsu, 20~29 year old female. Ask Date: 2022/06/01

Dr. Yang Wenda reply Pulmonology


Hello: It is recommended to first see a pulmonologist for a chest X-ray to assess whether it is related to breathing difficulties.
If throat or swallowing issues do not improve, you may consider seeing an otolaryngologist!

Reply Date: 2022/06/01

More Info


I'm sorry to hear about your situation. Based on your description, it sounds like you may be experiencing significant complications following your chest injury. Given the nature of your symptoms—difficulty breathing, pain, and swallowing issues—it's crucial to seek medical attention as soon as possible.

When you sustain a chest injury, especially one involving a penetrating object, there are several potential complications that can arise. These include:
1. Pneumothorax: This occurs when air leaks into the space between the lung and chest wall, which can lead to difficulty breathing and chest pain. Symptoms may include sharp chest pain, shortness of breath, and a feeling of tightness in the chest.

2. Hemothorax: This is the accumulation of blood in the pleural cavity, which can also cause breathing difficulties and chest pain. It may occur if blood vessels are damaged during the injury.

3. Injury to the Esophagus or Trachea: If the object that struck your chest penetrated deeply enough, it could have caused damage to the esophagus or trachea, leading to swallowing difficulties and respiratory issues.

4. Muscle Strain or Rib Fractures: Even without visible fractures, the impact can cause muscle strain or bruising, which can lead to pain during breathing and movement.

Given your ongoing symptoms, I recommend the following steps:
- Visit an Emergency Room or Urgent Care: Given the potential seriousness of your symptoms, it is advisable to seek immediate medical attention. An emergency physician can perform a thorough evaluation, including imaging studies such as a chest X-ray or CT scan, to assess for any internal injuries.

- Consult a Specialist: Depending on the findings, you may be referred to a thoracic surgeon or a pulmonologist. A thoracic surgeon specializes in chest injuries and can address any surgical needs, while a pulmonologist focuses on lung-related issues.

- Follow-Up Care: If you are diagnosed with any complications, follow-up care will be essential. This may include medications for pain management, antibiotics if there is an infection, or even surgical intervention if necessary.

- Monitor Symptoms: Keep track of any changes in your symptoms. If you experience increased difficulty breathing, severe pain, or any signs of infection (such as fever or increased redness at the injury site), seek medical help immediately.

In summary, your symptoms warrant prompt medical evaluation to rule out serious complications from your chest injury. Do not hesitate to seek help, as timely intervention can significantly improve your outcome and alleviate your discomfort.

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