What is collapsed lung?

Collapsed Lung

What is a pneumothorax?

A collapsed lung (pneumothorax) is a buildup of air in the space between the lung and the chest wall (pleural space). As the amount of air in this space increases, the pressure against the lung causes the lung to collapse. This prevents your lung from expanding the right way when you try to breathe in. You will likely have shortness of breath and chest pain.

A pneumothorax may become deadly if the pressure in your chest prevents the lungs from getting enough oxygen into the blood.

What are the symptoms of a pneumothorax?

Symptoms depend on the size of the pneumothorax. In minor cases, you may not realize you have a pneumothorax. In more severe cases, symptoms will develop rapidly and may lead to shock.

Symptoms may include:

  • Shortness of breath (dyspnea). This may be mild to severe, depending on how much of the lung is collapsed.
  • Sudden, severe, and sharp chest pain on the same side as the collapsed lung.

Symptoms may become worse with altitude changes (such as flying in an airplane or going underground or underwater).

How is a pneumothorax diagnosed?

A pneumothorax usually is diagnosed through a physical exam and a chest X-ray. Your doctor may also do blood tests to measure the level of oxygen in your blood. You may need a CT scan or ultrasound to diagnose the severity of your condition. These tests will also help the doctor plan your treatment.

How is a pneumothorax treated?

Treatment can depend on the cause and severity of the pneumothorax. Treatment can also depend on whether the pneumothorax has returned. Some people stay in the hospital for treatment. A minor pneumothorax may heal with rest, but you will need to be checked by your doctor. In some cases, oxygen may be given (through a mask). More serious cases are treated by placing a needle or a chest tube into the chest cavity. Both of these treatments relieve the pressure on the lung and allow it to expand again. Sometimes surgery is done.

How can you care for your child who has a collapsed lung?

  • Help your child get plenty of rest and sleep. Your child may feel weak and tired for a while, but your child's energy level will improve with time.
  • Be safe with medicines. Read and follow all instructions on the label.
    • If your child is not taking a prescription pain medicine, ask your doctor if your child can take an over-the-counter medicine.
    • If the doctor gave your child a prescription medicine for pain, give it as prescribed.
    • Store your child's prescription pain medicines where no one else can get to them. When you are done using them, dispose of them quickly and safely. Your local pharmacy or hospital may have a drop-off site.
  • If the doctor prescribed antibiotics for your child, give them as directed. Do not stop using them just because your child feels better. Your child needs to take the full course of antibiotics.
  • If your child has a bandage over the chest tube, or the place where the chest tube was inserted, keep it clean and dry. Follow your doctor's instructions on bandage care.
  • If your child goes home with a tube in place, follow the doctor's directions. Do not adjust the tube in any way. This could break the seal or cause other problems. Keep the tube dry.
  • Do not let your child exercise until your doctor says it's okay.
  • Do not let your child fly in an airplane or scuba dive until your doctor tells you it is okay.
  • Keep your child away from smoke. Do not smoke or let anyone else smoke around your child or in your house.

Collapsed lung in children: When to call

Call 911 anytime you think your child may need emergency care. For example, call if:

  • Your child has severe trouble breathing.
  • Your child has severe chest pain.
  • Your child passes out (loses consciousness).

Call your doctor now or seek immediate medical care if:

  • Your child has new or worse trouble breathing.
  • Your child has new or worse pain.
  • Your child coughs up blood.
  • Your child's chest tube comes out or is bent or blocked.
  • Your child is bleeding through the bandage where the tube was put in.
  • Your child has symptoms of infection where the tube was put in, such as:
    • Increased pain, swelling, warmth, or redness.
    • Red streaks leading from the area.
    • Pus draining from the area.
    • A fever.

Watch closely for changes in your child's health, and be sure to contact your doctor if:

  • The skin around the place where the chest tube was put in is red or irritated.
  • Your child does not get better as expected.

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The content above contains general health information provided by Healthwise, Incorporated, and reviewed by its medical experts. This content should not replace the advice of your healthcare provider. Not all treatments or services described are offered as services by us. For recommended treatments, please consult your healthcare provider.

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