Doctor insights on:
Spontaneous Pneumothorax In Children
Unexpected: A spontaneous pneumothorax occurs when there is a sudden increase in pressure in the lung, causing a rupture. Most occur in people having a weakness on the surface of the lung, making it more susceptible to rupture. Treatment, if needed, is usually tube insertion for a first episode, and surgery for subsequent events. ...Read more
Collapsed lung: Spontaneous pneumothorax is collapse of the lung due to air leaking out from the lung. Spontaneous means that there is no obvious cause such as trauma. In most cases, it would be treated initially with a chest tube, which will allow the lung to re-expand. If it re-occurs or if the air leak does not seal, sometimes surgery is necessary. ...Read more
You don't die.: Small ones do not even require treatment. Larger ones can easily be treated with the temporary use of a chest tube which will reinflate the lung. Deaths from a pneumothorax are rare. Since you are a smoker I would guess the pneumothorax was the result of a rupture of a bleb or cyst secondary to emphysema. Stop smoking. ...Read more
Unknown reason: Spontaneous pneumothorax, where a lung leaks air (from a broken bleb) into the chest cavity space, occurs more often in persons with taller, slender bodies. The reason is not known, but maybe taller lungs develop blebs ("bubbles" with air just under the lung's covering) more easily, or break blebs more easily. Men may be affected more often because they are taller than women. ...Read more
Yes: Primary spontaneous pneumothoraces (sps) generally occur in people aged 20-30 years. The male:female ratio is estimated 6 to 1. Risk factors for primary and secondary spontaneous pneumothorax (sp) include: smoking (including marijuana), tall thin stature in otherwise healthy, connective tissue disorders, pregnancy, familial history. Lung inflammation is also hypothesized to be important. ...Read more
Likely: It depends on the size and your symptoms but the majority of these do not require treatment ...Read more
If well healed: Barotrauma from scuba or skydiving at high altitude could put a person at risk for spontaneous pneumothorax but since airline cabins are pressurized, a routine airline flight should not induce barotrauma. If previous pneumothorax has been treated without complication routine air travel is ok. ...Read more
Unfortunately yes: There are different techniques to treat spontaneous pneumothorax (sp). On average, a vats pleuradesis that uses talc application has over 90-95% success rate in primary sp. This means, even after aggressive surgical and chemical pleuradesis, there may be up to 10% of individuals that suffer recurrence. ...Read more
Rare: In normal patients aviation does not lead to spontaneous pneumothorax. In people who have bullous disease or blebs (abnormal lung tissue that form large air sacs) pressure changes may lead to a higher risk of spontaneous pneumothorax. A person who already has had an episode of pneumothorax has as high as a 50% chance of having a recurrence without definitive treatment.. ...Read more
YES: The most effective means of pleuradesis occurs when medical grade talc is surgically applied. The success rate is estimated between 90-95%. Thus, individuals can see up to 15% recurrence. The other issue is that, patients may be at risk for pneumothorax in the opposite side. It is important to have thorough evaluation and discussion with a thoracic surgeon. ...Read more
Unlikely: Never heard of this.Get a more detailed answer ›
No: Pneumothorax is a risk with barotrauma occurring during rapid changes in pressure causing the lung to overexpand. For example if a scuba diver is at depth takes a deep breath and comes up from the high pressure depth to low pressure at surface, the lungs will overexpand. As pressure decreases, volume of air in lungs increase>barotrauma. Living at constant pressure at high altitude is ok. ...Read more
Bleb: The usual cause is a weakness on the surface of the lung called a bleb, or ballooning of the wall. This is a weak stop, which can rupture when subjected to sudden high pressure. Blebs are common, and are rarely symptomatic. Treatment can be conservative, aspiration, tube drainage, or surgery. ...Read more
Slightly: Once your heart, blood and lungs have acclimatized there should only be minimal if any additional risk. The only time of increased risk is the initial change to a higher altitude. ...Read more
I had spontaneous pneumothorax 14 years ago as a tall, thin high schooler. What are the chances that it will return?
20-50%: Studies show highest chance of recurrence in 30 days with 23-50% chance of recurrence over 5 years; smoking increases the risk. ...Read more
Does the chest bilaterally expand if you have a spontaneous pneumothorax? Are there always symptoms associated with it?
Depends: Hopefully, a pneumothorax does not involve both sides! A large bilateral pneumothorax tends to be fatal! The lung will re-expand if a chest tube is placed or if the leak of air around the lung seals itself and the pneumothorax is slowly absorbed. Symptoms depends on the size of the pneumothorax and range from minimal to severe shortness of breath. ...Read more
My sister had spontaneous pneumothorax twice. She weighs only 30kgs and height is about 150 cm. How can we prevent from reoccurrence of this disease?
Consult pulmonologis: As sister gets spontaneous pneumothorax, , she needs complete check up of her lungs by investigation to find out the defect in lung structure or/communication between lung and plura or adjacent structure like food pipe. Consult the pulminologist and get her treated so her lungs do not get collaspsed by recurrent pneumothorax. ...Read more
Eventually: It is important you communicate with your surgeon. He/she will provide you with post-operative instructions including encouraged activities and any limitations. Depending on the extent of surgery and how things go after surgery, your doctor will give you instructions to assure your safety. ...Read more
Generally excellent recovery
depends on findings, and interventions like chest tube, or vats
othe pulmonary disease
be careful for a month or so.
Surgeon will get x-ray to be sure you are expanded and no problem.
Start like a novice and work back to full, program.
fatigue-rest. ...Read more
I've gotten chronic pancreatitis for 12years and also suffered spontaneous pneumothorax. Is there be a link in these two?
Workup tests: I agree that you should be screened for CF and also for alpha 1 antitrypsin deficiency. In addition, I would suggest avoiding all smoke exposure. ...Read more
Is it advisable for a patient with primary spontaneous pneumothorax history to continue strength training? Does it increase the risk at all?
Live your life:
Spontaneous pneumothoraces usually occur in tall, skinny men. But not exclusively.
That being said, there is a defined risk of recurrence. If you have had it only once, often we will recommend waiting for a recurrence before doing surgery. The surgery is minimally invasive and the recovery very quick. Live your life, if it recurs you'll have it fixed. Do not alter your life in fear of this. ...Read more
Yes: Spontaneous pneumothorax can cause shortness of breath and pain. If air continues to build around the lung you can get a tension pneumothorax which can put pressure on your heart and decrease your blood pressure severely. Treatment is a chest tube with possible pleurodesis if spontaneous pneumothorax recurs. ...Read more
Pneumothorax: For normal healthy people, holding a sneeze poses no risk of causing a pneumothorax (collapsed lung). The rare exception is an older individual who due either due to a congenital lung cyst near the lining of the lung, or who has cystic degeration due to emphysema, where the increase in pressure would cause the air fill cyst to rupture and leak out air causing a mild lung collapse. ...Read more
I have spontaneous pneumothorax. I smoke e-cigarette while im trying to quit smoking. Is it bad for my health?
Yes and no: Trying to wean from smoking with e-cigarette will not increase the incidence of pneumothorax. It is not the nicotine that's a problem in lungs, it is the tar and all the small particles. On the other hand the side effects of nicotine on blood vessels and bones and are still there. So I hope you will stop smoking completely soon. ...Read more
Great Question: And I have a better answer: unlike the american bison, most mammals have two separate pleural or lung cavities. If one lung collapses, the problem does not usually affect the other side. This is why bison were easy to hunt. If you hit one side of the chest, both lungs could collapse. The picture shows human anatomy, wish I could also post a bison picture as they are majestic creatures. ...Read more
I have had 3 pleurodesis for spontaneous pneumothorax. Can I ever fly on a plane or no? Also can I ride roller coasters?
Need more info: This can only be answered by your pulmonologist who has your medical history concerning your lungs. ...Read more
Can I return to volleyball after suffering a spontaneous pneumothorax? My pneumothorax happened during sleep, so sport is not a major cause?
Yes: But be cautious. Any symptom similar to those your experienced during the first pneumothorax, then you should seek emergent medical care. A repeat pneumothorax should prompt a surgical procedure to prevent this problem so that you can resume your normal life and volleyball. ...Read more
Can traveling (driving) to places of higher elevation cause a recurrent spontaneous pneumothorax? Somewhere around 6000 to 8000 foot difference?
Pneumothorax: Can traveling (driving) to places of higher elevation cause a recurrent spontaneous pneumothorax? Somewhere around 6000 to 8000 foot difference? ANS: if you are predisposed to them yes. So if you have a lung bleb it responds to physics like a ballon. The higher u go the bigger it gets. If it gets big enough it ruptures & walla! Pneumothorax. The diff btw 6000 and 8000 is 2000. So may matter in u. ...Read more
Please tell me, could find is that I might have suffered a spontaneous pneumothorax (collapsed lung). How likely is this?
In December I had a spontaneous pneumothorax. I know I shouldn't, but if I were to smoke a cigarette or weed, what would happen to my lung? Thank you
Pneumo: Once this occurred - u have 20-60% chance of having it again for no reason at all. Some exacerbating risk- factors may be strenuous exercise, chest trauma, poorly controlled lung dzz, chronic smoking etc. However, having an occasional cigarette and/weed- while not the best way to spend ur health- should not increase ur risk more than original statement. Good luck ...Read more
I'm not sure if the same doctors will see this, but I went to the ER after 24 hours. I had a spontaneous pneumothorax, have tube in chest now. Ty...?
Be well: Generally, the tube will come out soon and hopefully you will be back to your regular life shortly. ...Read more
Hi, had spontaneous pneumothorax on 2010. I had a xray last week & shows “lungs are hyperinflated w a diffuse increase in lung markings. Is it normal?
Probably not: Spontaneous pneumothorax is usually due to rupture of a sub pleural bleb. This is a type of emphysema known as para septal emphysema. This might cause hyperinflation (increased lung volume), and could give the appearance of increased lung markings in the periphery on a chest radiograph. CT would be definitive, but is likely not necessary, because there is not much to do about it. ...Read more
What is chance for bullae to reappear again after they have been VATS removed after primary spontaneous pneumothorax? Did not have any lung disease. Ty
Depends on your lungs, why you had bullae in the first place, whether or not there are any left after the procedure, etc., etc.
This is not something a physician can weigh-in on without a thorough evaluation. Your physicians are your best resource for answering these questions because they know your case. ...Read more
I had a spontaneous pneumothorax one month ago. They said to me that it should stop smoking, my question is if besides the cigarette also I have to leave the marijuana.
25 year old son had spontaneous pneumothorax. Surgeon reattached lung to wall now is having same pain he had before surgery when he sneezes?
Might be normal: Might be normal post op pain but a quick chest x-ray will help make sure there's no recurrent pneumo. ...Read more
Hello. I had VATS and pleurodesis before 15 days for spontaneous pneumothorax. I feel better now. But since 2 days I had mild coughing. In biopsy underlying Koch's found. So now I am on AKT. Sometimes I felt palpitation with tachycardia. Plz reply soon.
Here are some...: Most of non-sepcialist physicians are unable to understand the pertinent specifics in terminology; therefore, the surest bet to get the answer to the point is to ask your treating doctors. To get these things done correctly, follow instructions in http://www. Formefirst. Com/eNewsletter06.html; thereby you gain much insight on how to work closely and timely with the doc. ...Read more
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