Chest Bone Protrusions and Breathing Difficulties - Pulmonology

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I have a protruding bone in my chest, but recently I have been experiencing difficulty breathing?


Hello Doctor, I woke up the day before yesterday with pain in the protruding area behind my ear.
I have a protrusion in my chest bone (the bone located at the heart area) that has been there for a while, and I also have a protrusion in my ear that has been present since middle school.
I often had asthma during elementary school, and I wonder if that could be the reason for the protrusion.
Now, after experiencing pain in the protruding area behind my ear, I have felt a bit of difficulty breathing over the past two days, as if I can't take a full breath.
Could you please tell me what this issue might be? Thank you for your response! I appreciate your help!

Lorence, 10~19 year old female. Ask Date: 2006/06/15

Dr. Li Shiwei reply Pulmonology


Dear Lorence: The protrusion of the thoracic bones and difficulty in breathing are not directly related.
The protrusion of the thoracic bones refers to the xiphoid process of the sternum, which is normal in most individuals.
Difficulty in breathing may be related to asthma, so it would be advisable to consult a pulmonologist.
Thank you for your message.

Reply Date: 2006/06/15

More Info


Understanding chest bone protrusions and breathing difficulties can be complex, as these symptoms may arise from various underlying conditions. Based on your description, it seems you are experiencing pain near the back of your ear and a protrusion in your chest area, which you associate with a history of asthma. Additionally, you are feeling some difficulty in breathing.

Firstly, it’s important to clarify that a protrusion in the chest area, particularly near the heart, could be related to several anatomical features. The most common protrusion in this region is the xiphoid process, which is the small cartilaginous extension at the lower end of the sternum. In some individuals, this can be more pronounced and may cause discomfort, especially if there is any inflammation or irritation in the surrounding tissues. However, this protrusion is generally not directly linked to breathing difficulties.

Your history of asthma is significant. Asthma is a chronic condition that affects the airways, leading to inflammation and narrowing, which can cause symptoms such as wheezing, coughing, chest tightness, and difficulty breathing. If you have a history of asthma, it is possible that your current breathing difficulties could be related to an exacerbation of this condition. Asthma can be triggered by various factors, including allergens, respiratory infections, exercise, and even stress.

The pain you are experiencing behind your ear could be a separate issue. It might be related to muscle tension, referred pain from the neck, or even an ear infection. Sometimes, pain in the ear area can also be associated with temporomandibular joint (TMJ) disorders, which can cause discomfort that radiates to the ear and neck.

Given that you are feeling a sensation of not being able to breathe properly, it is essential to consider both physical and psychological factors. Anxiety and panic attacks can manifest as shortness of breath and chest discomfort, leading to a cycle of fear and hyperventilation. If you have been under stress or experiencing anxiety, this could contribute to your symptoms.

To address your concerns, it would be advisable to consult with a healthcare provider who can perform a thorough evaluation. This may include a physical examination, lung function tests, and possibly imaging studies if deemed necessary. They may also assess your asthma management plan to ensure it is effective and up to date.

In the meantime, here are some general recommendations:
1. Monitor Symptoms: Keep track of when your symptoms occur, their severity, and any potential triggers. This information can be helpful for your healthcare provider.

2. Asthma Management: Ensure that you are following your asthma action plan, using your inhalers as prescribed, and avoiding known triggers.

3. Breathing Techniques: Practice relaxation and breathing exercises, such as diaphragmatic breathing or pursed-lip breathing, which can help alleviate feelings of breathlessness.

4. Seek Immediate Care: If you experience severe shortness of breath, chest pain, or any other alarming symptoms, seek medical attention promptly.

5. Follow-Up: Regular follow-ups with your healthcare provider are crucial for managing chronic conditions like asthma and addressing any new symptoms that arise.

In conclusion, while the protrusion in your chest and the pain behind your ear may not be directly related to your breathing difficulties, they warrant further investigation. A comprehensive approach that considers both physical and psychological aspects will be essential in managing your symptoms effectively.

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