What causes dull chest pain after recovery from tuberculosis?

After recovery from pulmonary tuberculosis, dull chest pain may be caused by factors such as traction from healing lesions, altered breathing patterns, anxiety, pleuritis, or bronchitis. This discomfort can be improved through posture adjustment, breathing exercises, emotional regulation, and medication. If the pain persists or worsens, or is accompanied by coughing or chest tightness, prompt medical attention is necessary.

1. Traction from healing tissue: After recovery from pulmonary tuberculosis, fibrotic or calcified lesions in the lungs may develop and pull on surrounding pleura or soft tissues, causing intermittent dull pain. It is recommended to avoid strenuous exercise, maintain relaxed postures, and practice slow, deep breathing to relieve local tension.

2. Altered breathing habits: Shallow breathing developed during illness may persist after recovery, leading to prolonged chest muscle tension and resulting in dull pain. It is advised to consciously practice diaphragmatic breathing to relax chest muscles and reduce fatigue-related muscle pain.

3. Anxiety: Persistent worry about disease recurrence may lead to chronic anxiety, causing autonomic nervous system dysfunction and heightened perception of chest discomfort. Listening to calming music, taking light walks, and practicing emotional regulation can help. Psychological counseling should be sought if needed to alleviate symptoms.

4. Pleuritis: Residual inflammation following tuberculosis may irritate the pleura, or mild pleural adhesions may develop, causing dull pain due to pleural friction during breathing, often accompanied by shallow and rapid respiration. Under medical guidance, medications such as ibuprofen sustained-release capsules, diclofenac sodium enteric-coated tablets, or cefixime dispersible tablets may be used to relieve symptoms.

5. Bronchitis: If lung resistance has not fully recovered, secondary bronchitis may occur. Inflammation stimulating the airways can cause dull chest pain, along with mild cough and sputum production. Patients may use amoxicillin capsules, ambroxol hydrochloride oral solution, or salbutamol aerosol under medical supervision to improve symptoms.

Maintain good indoor ventilation, avoid exposure to dust, smoke, and other irritants, follow a light yet nutritious diet, maintain regular sleep patterns to prevent fatigue, and engage in moderate, gentle exercise to enhance lung function and overall immunity.