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You can help reduce your chances of developing a condition that causes a barrel chest by: Avoiding things that can damage your lungs, like tobacco products, secondhand smoke, poor air quality, chemical fumes and allergens Testing your home for radon gas Wearing a mask or other personal protective equipment (PPE) when youre around chemicals, secondhand smoke or in areas with a lot of dirty air When To Call the Doctor When should a barrel chest be treated by a healthcare provider