Coughing & Shortness of Breath During or After Rads

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KAK
KAK Member Posts: 1,679

Hi, everyone.  Just wanted to start a thread about this.  There are a lot of things that I wasn't informed about before I had radiation & my current respiratory symptoms are one of them.  I am in the process of getting diagnosed & treated for this, but in nutshell, almost a year after rads, I have developed a lingering dry cough & shortness of breath that have persisted no matter what I do.  I got a terrible respiratory infection during rads that the rad onc refused to treat me for.  I ended up seeing my pcp for it & it went away with antibiotics.  I also have a history of developing an asthma attack after being exposed to certain allergens (smoke from a fire, certain animals) but never had chronic asthma in my life. 

Now I've got these symptoms of asthma that have persisted & are not relieved with my allergy meds & using an inhaler.  I'm taking cough medicine so I can sleep & not be kept awake by my own dry but persistent coughing.  I finally did some digging around because a friend of mine who had rads has these problems, too.  Thus I discovered a syndrome called radiation pneumonitis, which is not uncommon in breast cancer & lung cancer patients who get radiation to the chest area.

I've had a lot of other radiation-related & post-treatment issues, too, that I had to end up researching myself.  Won't go into those here.  I found some decent info on potential side effects from radiation, including radiation pneumonitis, at the following link:

Radiation Treatment Side Effects

So, just wanted to start a thread for any of us having these symptoms so we can get the proper attention & treatment of them.  Pneumonitis is treatable, but it needs the right treatment & attention.  And I've found that a lot of us experience the Big Brush-off from our rad oncs about the short and long term effects of radiation when what we need is some validation.

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Comments

  • KAK
    KAK Member Posts: 1,679
    edited December 2009
  • Nico1012
    Nico1012 Member Posts: 1,492
    edited December 2009

    KAK ~ I could have written your post! One year out from radiation now and the asthma symptoms and cough persist. NO ONE warned me of theses possible se's and my rad onc pooh poohs the very notion that these se's are radiation related! The episodes of sob are scary because they are un-predictable. NOTHING so far has helped including inhalers, antibiotics, resp. tx at the hospital, etc. You stated that pneumonitis is treatable, do you have a link to that info? THANKS for starting this thread, I was starting to think I was crazy for blaming  rads for my symptoms.

    Nico

  • Jane_M
    Jane_M Member Posts: 1,549
    edited December 2009

    KAK - Me, too.  I had a pulmonary function test that showed that I had pre-emphysema.  I've never even smoked a day in my life.  I've gone from using my rescue inhaler once a year to once a month.  Radiation sucks and I will never do it again...Of course, now that I have had both breasts removed, I won't have to.

  • whitbyjet
    whitbyjet Member Posts: 23
    edited December 2009

    wow, thanks for the information. I'm the same way with my asthma-usually only being around cats triggers an asthma attack, but for the last 2 months (4 months post radiation) I've been short of breath and feel like my throat is closing up like in an attack. It's pretty scary and I have a feeling it's from the radiation.

  • KAK
    KAK Member Posts: 1,679
    edited December 2009

    It's really good to hear from everyone. Nico, in my comment, if you click on 'Treatment of Rad...' that should bring you to a link with treatment suggestions. It's good to know we're not crazy!

  • somanywomen
    somanywomen Member Posts: 872
    edited December 2009

    I just stated rads 2 days ago and I am so interested in the possible side effects, esp, since pre-surgery 3-mammos, chest x-ray, ct chest, pet scan (whole body) lumpectomy w/rad solution for sentinal node hunting, more x-ray for rad simulation set-up and now 30 days of rads....I can not get a straight answer from any of my doctors, they just say the benefit out weighs the rads....Has anyone of you used the "Trilogy Radiation System"?...It is suppose to be state of the art and have less side effects...I was told by my Rad doctor (whom I have only seen on my first visit) that this machine was so superior...should I believe her?...How many of you have used it and what were your side effects?...I took a list of all my pre rads and never got a straight answer on what is too much rads in such a short period of time.....At this time whether I need it or not I am using aloe except for treatment times, do you think this will help?..I feel so bad for all of you and the way our doctors don't give us the rest of the story until it is too late sometimes...We have to be our own doctors to get through this and keep pushing for answers to our very legitimate questions....bless all of you for what we are enduring.....

  • elimar86861
    elimar86861 Member Posts: 7,416
    edited December 2009

    A couple weeks after rads ended, I got a respiratory virus.  Now here I am weeks later, still coughing my head off, but I don't think mine is strictly from the rads because I have had lingering bronchitis due to a virus before.  However, all this coughing made my ribs on my treatment side get pretty sore.  I wanted to mention the rib soreness on your coughing thread to see if most others notice this too.

    Also, in all my Googling, I remember seeing something about the effects of radiation to the lung worsening over a year's time.  I mean if you got a lung x-ray right after rads, you might not notice much difference in how the lung looks; but if you x-rayed the same lung a year after rads, you could easily see the damage caused by the rads.

    I don't know if any of you ASKED your doctors HOW MUCH of your lung was getting zapped.  I was "disturbed" to find out they were hitting 20% of mine.  I threw a minor fit and the doctor was able to reduce that to 12-13% by blocking the lung off a little more.  That still seems like way too much, but in rads treatment the attitude is like, "Ho-Hum, that kind of collateral damage is just an everyday occurence around here."  I guess that's why I am always going on about "better treatments" because if the best they can do is also ruining ~10% of your lung, that is just NOT GOOD ENOUGH.

  • KAK
    KAK Member Posts: 1,679
    edited December 2009

    Ladies, I have done a little more research and written a post on my blog about this.  I'm still coughing.  I see my doctor in a week.

    Coming Up For Air

    Click on the 'home' link on the upper right corner to see the blog sidebar.

    There is sooooo much they don't tell us beforehand.  

  • Irishred
    Irishred Member Posts: 136
    edited December 2009

    Wow I could have written your post myself.  Mine started almost immediately after rads were over.  Seemed like no matter what I did ( even carrying a load of laundry in to fold) I was out of breath.  I could breathe in, but it never seemed like enough air.  I am also using inhalers (from my previous once or twice a month) to once or twice a day.  PCP put me on antiobiotics, steriods, steriod shot and a breathing treatment, seemed to help some, but as soon as meds were done, right back to where I was.  My fatigue is better, but with this breathing problem, still cant do much.  My PCP tood chest xray and said it was fine.  I am totally sick of this and am not getting much result from the rad onc.  Just to  a point that I don't know who to see and what to expect.

  • Irishred
    Irishred Member Posts: 136
    edited December 2009

    And now I have either pulled a muscle or fractured a rib from this horrible dry cough.  So I have to contend with that hurting every time i breathe.  Very frustrating.

  • KAK
    KAK Member Posts: 1,679
    edited December 2009

    Hi, ladies.  Jane, I can't believe you were actually told you had pre-emphyzema.  Yikes.  What are they doing for you?

    Well, I ended up with an incipient head cold over the weekend, on Sunday.  I called the doctor who was on-call for my pcp, and told him my story, and he prescribed an antibiotic right away, which has helped a lot.  All I needed was for a cold to turn into bronchitis or worse right now.  I see my pcp next week for follow up.

    I think most of the rad oncs are in denial, I swear.  

    Irish, I'm not so sure that the average radiologist would even recognize pneumonitis.  I wonder if maybe your pcp could get a pulmonologist to read yours or at least some other radiologist.

    The thing that kills me is that if the pneumonitis isn't resolved, it can turn into permanent fibrosis.  Swell...

  • Jane_M
    Jane_M Member Posts: 1,549
    edited December 2009

    I haven't gone back to see the Rad Onc...too many doctors to see.  I follow up with my pcp, surgeon and regular oncologist.  I take Singulair everyday plus an advair discus inhaler and my regular inhaler for now.

  • KAK
    KAK Member Posts: 1,679
    edited December 2009

    Hugs, Jane.  Cripes.  Do we have like waaaay too much going on or what??

  • suzwes
    suzwes Member Posts: 1,740
    edited December 2009

    Thanks everyone for this information.  I finished chemo in September and rads on November 24th.  I've been coughing for about 4 weeks, asthma meds helped at first (theophylline, advair, singular and albuterol) but nothing helps now and this cough is dry and different from the asthma cough.  I thought I was going crazy until I read these posts.  I see my PCP on Monday and will ask her to do a chest xray and give me some kind of med so I can at least sleep more than one hour at a time without coughing.

     Elimar: I too have what feels like bruised ribs.  The radiation oncology nurse warned me that some women experience this after radiation - she did after her radiation.  She said hers lasted a few months after she finished radiation.  I think these coughing jags are making the rib pain even worse!

  • Macc
    Macc Member Posts: 23
    edited December 2009

    I have just started rads and my rad onc warned me about pneumonitis but said if it occurred it would be many years in the future. He also said it is treatable with antibiotics and steroids, which need to be reduced slowly.

    Macc

  • KAK
    KAK Member Posts: 1,679
    edited December 2009

    Yeah, well, Macc, mine has now officially turned into fibrosis, according to a chest X-ray I got last Friday because I could not stop coughing.  And fibrosis is forever, unfortunately.

  • Berry77
    Berry77 Member Posts: 6
    edited December 2009

    I've had asthma for 8 years now. I just finished chemo Nov 20th and started radiation Dec 16th and the 2nd and 3rd days of radiation I started coughing and having choking sensations. My asthma has been acting up badly and I use my inhaler every few hours daily now. This after only 3 treatments...eeeks! I don't want to go back and am thinking of quiting the radiation. After all I am about quality of life not quantity and if I have to cough and have shortness of breath well that just stinks because I am a hiker, bike rider, yoga enthusiast and walker so my lungs are important to me :-)   

    I am thinking about canceling my rad appt and waiting for the doc to come back after the holiday to talk so I can tell her "heck no". They do rad on three areas, my throat, chest and arm pit areas. It's rough and I very much dislike it. Forget these side effects. I came I tried I don't like.

    I keep thinking about what the doc said "if you don't do radiation the chances the cancer could come back are 60%" so as I sit here I think about that more than anything. I don't know what to do but I know I don't like how I feel right now with shortness of breath, dry mouth and a nasty cough. If I feel that now how much worse and for how long will it be around. I just don't think I can do the remaining 32 treatments of radiation. This is nuts and my heart goes out to all who have these decisions to make.   

  • KAK
    KAK Member Posts: 1,679
    edited December 2009

    Berry77, I am with you all the way on this.  I wish I had not had rads at all now.  Radiation has caused or greatly contributed to all the health issues I've had this entire year & for what?  Not enough of a payoff, in my opinion. And did the rad onc talk about all this beforehand?  Oh, no....forget informed consent with most of these folks.

  • Berry77
    Berry77 Member Posts: 6
    edited December 2009

    I know. My rad onc said it wouldn't affect my asthma or breathing at all. She told me not to worry about it. I was very concerned considering she told me the radiation would cut into part of my lung. It was at this point when I said no way would I do this if it affected my asthma or breathing and she told me if I didn't do the radiation the chance the cancer would come back was at 60% and not to worry too much about the asthma because it probably wouldn't affect it. I left that office telling my friend "no way will I do this if my breathing/asthma gets worse". And now I just have to make that decision. I haven't felt good about doing the radiation anyway but now after my trouble breathing and reading more online about it I don't think I will continue with it.

  • KAK
    KAK Member Posts: 1,679
    edited December 2009

    Isn't that just amazing that she is either so poorly informed (there's tons of research about this out there, done by other rad oncs!!!) or in denial or just lying?  Makes me sick.  Literally, in this case.

  • Berry77
    Berry77 Member Posts: 6
    edited December 2009

    I get the feeling they don't want to worry you about possible side effects and cause more worry than necessay but at the same time I'd rather know. I want my options and possibilities up front please :-)

    I am grateful to have forums like these and people who speak up so I can be better informed. We are lucky to have each other. I spoke with a breast cancer survivor of some 40 years who said back in the day they didn't have all this internet knowledge and how lucky I am which I agree. Most of my knowledge and help has came from nurses. They have seen so much and heard so many things and they sometimes will share stories which is helpful. I do love the nurses and lab techs and everyone who cares enough to share.

    My throat really feels like it's been burned and I sure am having such trouble breathing in fact my lungs hurt. This cough is annoying! Coughing and wheezing and I haven't even done anything yet this morning.

    I don't think people should avoid radiation but at least research it, talk to the doc & nurses, and find out any options that are available. If it works then great and if it doesn't then you'll know what the next step is and how to take care of yourself that best suit your needs as well as your health for now and your future. It's a tough decision but I am glad I get to the make the decisions about my own health but it doesn't make it easy. Talk, ask, research!  

    Kak I am so sorry you have to deal with all that your going through but I am so glad you posted and shared your experience and wealth of knowledge you have and what you've found. This is all so helpful. Thank you and may your big heart be filled with all that's good.

  • KAK
    KAK Member Posts: 1,679
    edited December 2009

    You put it well, Berry.  We are lucky to have each other.  I don't mind dealing with side effects if I know what to expect beforehand & then I am allowed to make a truly informed decision about treatment.  I work in health care as a PT so I am just doubly appalled when other clinicians do not adhere to the principles we are all supposed to work by.  I also developed a massive upper resp infection during rads, even surround by docs at a major hospital, those sh*ts sent me home with that cold on a Friday to fend for myself & beg my pcp to see me.  I mean, how much work is it to write a prescription for an antibiotic???

    Good luck to you.  There is this cough med that one of the 'sistahs' told me about that seems like it might help us both called Tesselon Perles.  She has COPD & swears by it.

  • Nico1012
    Nico1012 Member Posts: 1,492
    edited December 2009

    KAK ~ Tried the Perles and unfortunately they have no effect on me. Also tried Vicodin which has the funny little side effect of suppressing cough but who needs narcotic addiction added to the mix !?!? The one thing that has helped (and this IS weird) is Alka Seltzer Night Time Cough and Cold. I only take it at night because it causes drowsiness with a capital D but I'm at least not awake coughing all night. Oftentimes I have thought if I had it to do over again, I would scuttle rads and take my chances. My throat still burns occ. and my voice is much softer and more hoarse sounding, thank you rads, and I don't expect this to change. Do the Docs not have a moral or ethical obligation to at least warn us of these possible side effects? It's too late now I realize, but hell, it just seems SO WRONG that we weren't informed!!

    Nico

  • KAK
    KAK Member Posts: 1,679
    edited December 2009

    Hmm.  I've been slugging Robitussin Cough at night, I have to admit, although I also find I'm worse when I'm upright & better when I'm lying on my side.  Exercise helps while I'm doing it, but then the fibrotic tissue seems to shrink back up again.

    Nico, yes, they do have an obligation to tell us about SE's.  It's part of the Hippocratic Oath.  It's part of what we all swear by when we get licensed to treat other humans.  I'm so disgusted by that part of it.  It amazes me.  I actually read about a study recently by oncologists (rad oncs, I think) that found that the overwhelming majority of patients who were surveyed stated that they preferred their doctors to be completely honest with them about their prognosis & their treatment. Well, DUH!!!  Like, they had to do a survey to find that out???

  • Marple
    Marple Member Posts: 19,143
    edited December 2009

    Interesting, as I was told that with the amount of radiation that hit my lung I wouldn't notice anything except if I decided to become a long distance runner.  When I developed a cough during rads (which I still have), I was told "no, it's not from rads".  And yet before I started radiation I was asked if I wanted to go in to a trial to see if there WAS any difference in my lungs before and after radiation.  Since the testing involved more radiaoactive stuff I declined. 

    Since I did have one positive node I doubt I would have changed my tx choices however, I sometimes feel my concerns were not taken seriously.  Sigh, they are after all, in the business of treating cancer. 

  • Jane_M
    Jane_M Member Posts: 1,549
    edited December 2009

    Not to dissuade anybody, but speaking only for myself, I would not do rads again...ever.

  • Berry77
    Berry77 Member Posts: 6
    edited December 2009

    I just canceled my radiation. When I told them I have asthma and developed a cough and have trouble breathing just from a few treatments (3) all she said was "that's too bad". She told me that for me radiation treatment isn't really an option but I told her that I can't live with breathing problems and a cough like this, that just wouldn't work for me.   

  • KAK
    KAK Member Posts: 1,679
    edited December 2009

    Good for you, Berry.

    I've got a pulmonary consult now.  So, we'll see.  I'm feeling tired and grouchy after the last few days, especially after a full day of work, even though I love my job.  It's just weariness.  I work two days, then I'm off either one or two days, so I'm off tomorrow.  My boss tried to twist my arm to work tomorrow because we couldn't work in the storm yesterday (I do home care PT with the Visiting Nurses), and I had to say NO! several times, which ticked me off.  I need my days off or I'm completely wiped out for anything.  And I have 10 people coming for Christmas dinner and tomorrow is the only time I have to finish getting ready before Friday.  Sorry to be griping, but she really got my goat.  She's not usually like this & she knows better than to push at me -- at least, she should know better.  I'm on partial medical leave right now, for goodness' sake!!! 

    Grrrr...gonna go lie down for a little while.

  • chambew
    chambew Member Posts: 1
    edited December 2009
    All, sorry to hear of SE's though relieved others having lung issues post radiation.  My right lung is just plain diminished and isn't working quite right. I too have the dry cough and get wheezy.  Am hoarse by end of day. It's been 7 weeks since 3 weeks PB accelarated trial ended. Am tired of doctors telling me it's not from radiation or maybe it's a cold. 
  • KAK
    KAK Member Posts: 1,679
    edited December 2009

    Chambew, I'm very sorry to say that the rad oncs seem to be in complete denial about rads.  You are not the first to be told it's not rads.  I've got links to research by rad oncs about this on my blog, if you're interested, which does NOT deny it.

    www.accidentalamazon.com

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