Post-Surgery Concerns After Spontaneous Pneumothorax: What to Expect

Pneumothorax just underwent surgery?

I would like to ask, I underwent surgery for a spontaneous pneumothorax about a week ago.
Initially, it was unilateral, but since I had an episode on the other side a few years ago without surgery or tube insertion, they decided to operate on both sides this time.
However, it has been about a week since the surgery, and although I have been discharged, I have been feeling unwell these past few days.
When I returned for a follow-up yesterday, an X-ray showed no abnormalities, but I have been experiencing a mild cough recently.
Today, when I cough, I feel a pulsating sensation above the surgical site on the left side, near the armpit extending to the chest area, as if gas is trying to escape.
Additionally, when lying down, it feels like something inside is pushing towards the left surgical site.
However, my father mentioned that even if I am correct in my assumptions, it would be highly unlikely for a recurrence or rupture to occur so soon after surgery, especially since I have been discharged for less than a week and the stitches have not even been removed yet.
I am unsure of what to do now...

Danxin Zhe, 20~29 year old female. Ask Date: 2015/07/02

Dr. Wang Zhenjie reply Pulmonology

It is recommended that you return to the original hospital for treatment.

Reply Date: 2015/07/02

More Info

After undergoing surgery for spontaneous pneumothorax, it is common to have concerns about recovery and what to expect in the days and weeks following the procedure. Your experience of discomfort, mild coughing, and sensations around the surgical site can be concerning, but they are not uncommon after such surgeries.

Understanding Post-Surgery Symptoms
1. Discomfort and Sensations: After surgery for pneumothorax, it is normal to experience discomfort around the surgical site. The sensation of something "wanting to come out" or a feeling of pressure can be attributed to the healing process. The body is adjusting after the removal of air from the pleural space, and the tissues are healing, which can lead to various sensations.
2. Coughing: Mild coughing can occur as your lungs begin to re-expand and heal. It is essential to differentiate between a productive cough (with phlegm) and a dry cough. If the cough is dry and mild, it may simply be a part of the healing process. However, if it worsens or becomes painful, it is crucial to consult your healthcare provider.

3. X-ray Results: The fact that your follow-up X-ray showed no abnormalities is reassuring. It suggests that there is no immediate concern for a recurrence of pneumothorax or other complications such as fluid accumulation or infection. However, it is essential to continue monitoring your symptoms.

When to Seek Medical Attention
While some discomfort is expected, certain symptoms should prompt you to seek medical attention:
- Increased Pain: If you experience a significant increase in pain, especially if it is sharp or localized to the surgical site, this could indicate a complication.

- Shortness of Breath: If you notice any difficulty breathing or a feeling of tightness in the chest, it is crucial to seek immediate medical attention.

- Fever or Chills: These could be signs of infection and should not be ignored.

- Changes in Cough: If your cough becomes productive with colored sputum or if you cough up blood, you should contact your doctor.

Recovery Tips
1. Rest and Recovery: Ensure you are getting adequate rest. Your body needs time to heal, and overexertion can lead to complications.

2. Follow-Up Appointments: Keep all scheduled follow-up appointments with your healthcare provider. These visits are crucial for monitoring your recovery and addressing any concerns.

3. Pain Management: Use prescribed pain medications as directed. If you have concerns about pain management, discuss them with your doctor.

4. Avoid Strenuous Activities: Refrain from heavy lifting or strenuous activities until your doctor gives you the go-ahead. This will help prevent complications and promote healing.

Conclusion
In summary, while it is normal to experience discomfort and mild symptoms after surgery for spontaneous pneumothorax, it is essential to remain vigilant for any signs of complications. Your follow-up X-ray is a positive indicator, but if your symptoms worsen or change significantly, do not hesitate to reach out to your healthcare provider. They can provide you with the best guidance tailored to your specific situation and ensure a smooth recovery process. Remember, healing takes time, and being attentive to your body’s signals is key to a successful recovery.

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