Post-Pneumothorax Recovery: Common Concerns and Symptoms - Pulmonology

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Questions Regarding the Treatment of Pneumothorax


Hello, doctor.
I underwent a chest tube insertion surgery yesterday due to a pneumothorax caused by acupuncture.
I am currently using underwater drainage with the chest tube.
This morning, I used a wall suction device and have been experiencing difficulty breathing and severe chest pain.
I stopped using it because of the pain.
The nurse advised me to take deep breaths and cough, but every time I cough, I experience intense pain and a feeling of tightness in my chest.
I would like to know if this is a normal part of the recovery process.
The hospital is currently overwhelmed with a large number of flu patients, and the nurses are very busy, so I couldn't get a detailed response from them.
Thank you.

Qing, 20~29 year old female. Ask Date: 2016/03/08

Dr. Zhou Ziguang reply Pulmonology


Hello, the question you raised requires clinical judgment and should be assessed by your physician.
Please direct your inquiries to your healthcare provider.
Wishing you good health, Dr.
Chou-Tzu-Kuang.

Reply Date: 2016/03/08

More Info


Post-pneumothorax recovery can be a challenging process, especially after undergoing procedures like chest tube insertion and negative pressure suction. It is understandable that you have concerns regarding the symptoms you are experiencing, particularly the pain and difficulty in breathing.

Firstly, it is important to recognize that experiencing pain in the chest after a pneumothorax and subsequent treatment is quite common. The insertion of a chest tube can cause irritation to the chest wall and surrounding tissues, leading to discomfort and sharp pain, especially during deep breathing or coughing. This pain can be exacerbated by the healing process as your body repairs the lung and chest wall.
The recommendation from your nursing staff to engage in deep breathing and coughing is crucial for your recovery. Although it may cause discomfort, these actions help to expand the lungs, prevent atelectasis (collapse of part of the lung), and clear any secretions that may accumulate. It is essential to find a balance where you can perform these exercises without causing excessive pain. You might consider using a pillow to support your chest when coughing, which can help reduce the intensity of the pain.

Regarding your breathing difficulties, it is not uncommon to experience shortness of breath during the recovery phase. The lung may still be in the process of re-expanding, and the presence of a chest tube can also create a sensation of tightness. If your breathing difficulties worsen or if you experience new symptoms such as increased heart rate, fever, or significant changes in your oxygen saturation, it is crucial to seek immediate medical attention.

As for the pain you are experiencing, it is important to communicate this with your healthcare team. They may be able to adjust your pain management regimen, which could include medications such as NSAIDs or opioids, depending on the severity of your pain. Effective pain control is vital, as it can facilitate better breathing and coughing, ultimately aiding in your recovery.

In terms of the timeline for recovery, it can vary significantly from person to person. Generally, the healing process after a pneumothorax can take several weeks. Most patients begin to feel better within a few days to weeks, but complete recovery, including the resolution of symptoms, may take longer. Regular follow-up appointments with your healthcare provider are essential to monitor your progress and ensure that your lung is healing properly.

Lastly, if you have concerns about the busy hospital environment and the level of care you are receiving, do not hesitate to advocate for yourself. It is your right to ask questions and seek clarification about your treatment and recovery process. If you feel that your concerns are not being addressed, consider reaching out to a patient advocate within the hospital.

In summary, while the symptoms you are experiencing can be normal during the recovery from a pneumothorax, it is essential to manage your pain effectively and communicate openly with your healthcare team. Deep breathing and coughing are important for your recovery, and finding ways to minimize discomfort during these activities will be beneficial. Always seek immediate medical attention if you notice any concerning changes in your condition.

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