Concerns About Pneumothorax or Chest Injury After Trauma? - Pulmonology

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Is there a concern for pneumothorax or chest contusion?


Four days ago, I experienced a blunt force impact to the lower left rib cage, similar to the sensation of chest compressions during CPR.
At that moment, I felt air being forcibly expelled from my chest cavity, followed by a prolonged coughing fit.
Since then, every day, I have felt discomfort in my chest whenever I take a deep breath, exhale completely, or laugh, with increased discomfort at the site of impact.
On the second day after the injury, I was able to do light aerobic exercise and my breathing was fine, although my heart rate increased.
I would like to ask the doctor the following questions: 1.
Is the persistent pain during deep breathing indicative of a possible pneumothorax or pulmonary contusion? 2.
Is it possible for this injury to heal on its own? 3.
How can I determine if I need to seek medical attention? 4.
I am also very concerned about the possibility of sudden worsening while I sleep at night without being aware.
5.
I recently underwent hair transplant surgery a little over a month ago; could the injury to my chest affect my blood oxygen levels and subsequently impact the development of the newly transplanted hair follicles? Thank you very much for taking the time to address these questions!

Niming, 20~29 year old female. Ask Date: 2023/06/08

Dr. Wu Yingxun reply Pulmonology


Hello: You should see a pulmonologist to determine if it is a pneumothorax or just a contusion.

Reply Date: 2023/06/08

More Info


It sounds like you've experienced a significant trauma to your left chest area, and your symptoms are understandably concerning. Let's address your questions one by one, while also providing some additional context regarding your situation.

1. Persistent Pain with Deep Breathing: The discomfort you're experiencing during deep breaths, coughing, or laughing could indicate a few possibilities, including a pneumothorax (collapsed lung) or lung contusion (bruising of the lung). A pneumothorax occurs when air leaks into the space between the lung and chest wall, which can happen after blunt trauma. Symptoms may include sharp chest pain, difficulty breathing, and a feeling of tightness in the chest. A lung contusion, on the other hand, results from bruising of lung tissue and can lead to similar symptoms. Given your description, it is advisable to seek medical attention to rule out these conditions.

2. Self-Healing: In many cases, minor injuries to the chest can heal on their own, especially if there are no fractures or significant damage to the lung. However, if there is a pneumothorax or a significant contusion, medical intervention may be necessary. The body can heal itself, but monitoring is crucial to ensure that complications do not arise.

3. When to Seek Medical Attention: You should seek medical attention if you experience any of the following:
- Increased difficulty breathing or shortness of breath
- Severe or worsening chest pain
- Coughing up blood
- Symptoms of shock (such as rapid heartbeat, confusion, or fainting)
- Any new or worsening symptoms that concern you
4. Risk of Sudden Deterioration at Night: While it is possible for conditions like pneumothorax to worsen, many patients do not experience sudden changes overnight. However, if you have concerns about your breathing or chest pain worsening while you sleep, it would be prudent to consult a healthcare provider. They may recommend monitoring your symptoms closely or even performing imaging studies like a chest X-ray to assess your condition.

5. Impact on Blood Oxygen Levels and Hair Transplant: Generally, a minor chest injury should not significantly affect your blood oxygen levels unless there is a serious underlying issue like a pneumothorax or severe lung contusion. However, if your lung function is compromised, it could potentially impact the healing of your hair transplant. Hair follicles require adequate blood flow and oxygen to thrive, so maintaining good respiratory health is essential. If you have concerns about your oxygen levels, a healthcare provider can perform tests to assess this.

In summary, while some chest injuries can heal on their own, the symptoms you're experiencing warrant a thorough evaluation by a healthcare professional. They can perform the necessary imaging studies and assessments to determine the extent of your injury and provide appropriate treatment if needed. It's always better to err on the side of caution, especially when it comes to chest injuries. Please take care and seek medical attention as soon as possible to ensure your health and well-being.

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