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Pectus Excavatum Issues since 2021
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Bone and Orthopedic Conditions
Question #19379
108 days ago
202

Pectus Excavatum Issues since 2021 - #19379

Boi Fumesah Toh

In 2021,I discovered my chest started going inwards. I was scared and went to the hospital and the doctor told me it was GERD of course I have gastric..fast forward to 2025 it turns out to be Pectus Excavatum. It keeps worsening as time goes on. Please I need help so that it doesn't progress

Age: 28
Chronic illnesses: Gastric
Pectus
Excavatum
Pectus excavatum
Chest wall deformity
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Doctors' responses

Dr. Arsha K Isac
I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.
108 days ago
5

Hello,

Investigation

Chest CT Pulmonary function test Echocardiogram

Your condition needs proper evaluation and treatment

Please consult a Thoracic surgeon/ pulmonologist in person for this and do these tests

Thank you

1412 answered questions
53% best answers
Accepted response

0 replies
Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
106 days ago
5

Hello dear See pectus excavatum is a chronic disease with both gastric and respiratory issues Kindly get below tests done for confirmation Stomach USG Chest x ray Echo radiography Spirometry Fevi fev2 tests Kindly share the result with pulmonary surgeon or cardiologist for better clarity Please donot take any medication without consulting the concerned physician Regards

2297 answered questions
62% best answers
Accepted response

0 replies

Firstly, let’s clarify the situation with pectus excavatum. This condition, where the breastbone sinks into the chest, often starts in early childhood but may not be noticeable until adolescence or adulthood. You mentioned it worsening, which is concerning and can sometimes affect posture, respiratory function, and aesthetics, potentially impacting quality of life. It’s essential to get an accurate assessment of its severity. I’m assuming your diagnosis is recent—if not, ensure you’ve got updated medical imaging like a CT scan or an echocardiogram to assess any effects on heart and lung function. Interventions vary widely based on the severity and symptoms. For mild cases, physical therapy might help. It involves exercises aimed at improving posture, such as strengthening the back muscles and expanding the chest wall, which can mitigate progression somewhat and might improve symptoms. For more pronounced cases, surgical options like the Nuss or Ravitch procedure are available. These procedures aim to correct the chest wall deformity and are generally done if the condition affects breathing or causes significant psychological distress. Lifestyle modifications include maintainining a healthy weight, avoiding activities that cause significant strain or discomfort, and keeping up with regular check-ups to monitor changes over time. Should you notice any breathing difficulties, chest pain, or other new symptoms, make sure to reach out to a healthcare professional promptly—worsening symptoms can sometimes demand more immediate interventions. It’s also worthwhile to discuss with a specialist in thoracic surgery or a pulmonologist, who can provide targeted advice specific to your condition’s progression.

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