Endo Battery

QC: Lung Collapse During Your Period, Symptoms That Are Often Missed, What About Adhesions in Your Heart or Lungs?

Alanna Episode 152

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Dr. Francesco Di Chiara, a leading consultant thoracic surgeon, shares critical insights about thoracic endometriosis and its impact on lung function. The episode explores the differences between thoracic endometriosis and lung disease, the implications of lung collapse during menstruation, and the most commonly misdiagnosed symptoms.

• Lung endometriosis is one presentation of thoracic endometriosis
• Lung collapse during menstruation (pneumothorax) is a sign that shouldn't be overlooked rather than immediately dangerous
• Shoulder and neck pain are the most commonly missed symptoms, often leading to incorrect orthopedic treatments
• Adhesions in the lungs can prevent full expansion, reducing capacity and exercise tolerance
• After surgical treatment, thoracic endometriosis may recur but typically in a less invasive form
• Research on thoracic endometriosis recurrence rates is still developing

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Speaker 1:

Is there a difference between thoracic endometriosis and lung disease? Or how dangerous really is it when your lung collapses during your menstrual cycle? We hear about adhesions in our pelvis, but does it happen in your heart and lungs? And what are the most missed signs and symptoms and misdiagnoses of thoracic endometriosis? That and so much more with Dr D Chiara. Stick around. Life moves fast and so should the answers to your biggest questions. Welcome to EndoBatteries. Quick Connect your direct line to expert insights Short, powerful and right to the point.

Speaker 1:

You send in the questions, I bring in the experts and in just five minutes you get the knowledge you need. No long episodes, no extra time needed, and just remember expert opinions shared here are for general information and not for personalized medical advice. Always consult your provider for your case-specific guidance. Got a question? Send it in and let's quickly get you the answers. I'm your host, alana, and it's time to connect. Today I am joined by my guest, dr Francesco Di Chiara, a leading consultant thoracic surgeon at the John Radcliffe Hospital in Oxford and a true pioneer in minimally invasive chest surgery. Dr Di Chiara is transforming the way we approach complex thoracic conditions. With deep expertise in lung cancer, chest wall trauma and thoracic endometriosis. He's not only a gifted surgeon, but also a passionate educator and an innovator. I am thrilled to be diving into this conversation with someone who is shaping the future for thoracic endometriosis. Please help me in welcoming Dr Francesco Di Chiara. What is the difference between thoracic endo and lung disease?

Speaker 2:

Lung endometriosis is part of thoracic endometriosis. It's one of the presentations.

Speaker 1:

Is it dangerous if my lung collapses during my period?

Speaker 2:

We've talked about this a little bit, but Rather than dangerous, it's a sign of thoracic endometriosis that shouldn't be overlooked. Yeah, pneumothorax can be potentially dangerous if left untreated and can lead to complications. But the most important thing is to diagnose appropriately.

Speaker 1:

Yeah, what do doctors often miss in this diagnosis? What are the most common symptoms that they will miss for throsteic?

Speaker 2:

Shoulder and neck pain. Shoulder and neck pain is the most misdiagnosed element. Patients are sent to orthopedic surgery, to chiropractors having infiltration of corticosteroids, all kinds of things, but not thinking about the diaphragm.

Speaker 1:

Adhesions but not thinking about the diaphragm Adhesions. We always hear about them in your abdomen and your pelvis, but they don't feel like they hear about them in the chest. Are they there and what are the risks they pose to the lung and the heart? Function like the cardiac circulation.

Speaker 2:

When it comes to the heart, I wouldn't say that adhesions are so relevant, but when it comes to the lung, they're very important. Especially, repeated lung collapses can lead to adhesions and the lung especially will end up being adherent in a position that does not allow full expansion, and this can create a lot of complication reduce lung capacity, reduce exercise, tolerance, recurrent buildup of fluid inside the chest a whole lot of problems.

Speaker 1:

Yeah, can thoracic endometriosis come back after surgery?

Speaker 2:

As we know, endometriosis can come back. We think that also thoracic endo can come back. We also know from the chest that if you do excision, the disease normally can come back, but always in a lesser form or not as invasive. When it comes to thoracic endo, the numbers and the values and the experience have not allowed us yet to have a definite answer.

Speaker 1:

That's a wrap for this quick connect. I hope today's insights helped you move forward with more clarity and confidence. Do you have more questions? Keep them coming, send them in and I'll bring you the expert answers. You can send them in by using the link in the top of the description of this podcast episode or by emailing contact at endobatterycom or visiting the endobatterycom contact page. Until next time, keep feeling empowered through knowledge.