Coughing & Shortness of Breath During or After Rads

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  • pj12
    pj12 Member Posts: 25,402
    edited December 2009

    Dear Berry,

    I have not been so unfortunate as to have the breathing side effects from radiation that so many have so it may seem easy for me to ask you to think twice about discontinuing RT.  I'm not suggesting you resume your recent therapy at all.  I was thinking you could look in to IMRT (image modulated radiation therapy) or the technique given with the patient lying on their stomach.  Both apparently target the tumor bed more precisely and spare the heart and lungs better.  I hated radiation and found it very stressful but I surely wanted the reduction in recurrence it provided.

    Please forgive me for inserting my differing opinion.  I just want you to get good treatment.

    Best wishes however you decide.

    pam 

  • pj12
    pj12 Member Posts: 25,402
    edited December 2009

    Dear Berry,

    I have not been so unfortunate as to have the breathing side effects from radiation that so many have so it may seem easy for me to ask you to think twice about discontinuing RT.  I'm not suggesting you resume your recent therapy at all.  I was thinking you could look in to IMRT (image modulated radiation therapy) or the technique given with the patient lying on their stomach.  Both apparently target the tumor bed more precisely and spare the heart and lungs better.  I hated radiation and found it very stressful but I surely wanted the reduction in recurrence it provided.

    Please forgive me for inserting my differing opinion.  I just want you to get good treatment.

    Best wishes however you decide.

    pam 

  • Irishred
    Irishred Member Posts: 136
    edited December 2009

    I could have written this myself.  Within a week of being done with radiation, I had such a shortness of breath, I could hardly bring in a load of laundry and fold it.  And I am a very active person.  Well, I agree, my rad onc is a total asshole,  even tho I gave the nurse all the details, he never even mentioned my problem.  I went to my PCP and he diagnosed radiation bronchitis/pneumonia .  I have now been on steroids (including shots) and antibiotics for more than a month.  It still isn't great.   I was told before radiation that there is a very slight chance of radiation pneumonia and they have never seen it at my local hospital.  well that was a damn lie.  So instead of going 90 to nothing every day, I have to work at breathing.  No energy back yet after almost 3 months. and it really SUCKS!!!!!  So I feel for you girl, hopefully it gets better, I just dont know when.

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

    Berry, diagnostic images (more radiation...) can pick up a cancer recurrence so you can deal with it.  Scar tissue from radiation is forever.  I'm just saying.  Pam, you should be right.  And there are some docs that deserve our trust.  But unfortunately, many of the medical professionals we put our trust in often do not do right by us nor do they tell us the truth about their procedures.   Cncer treatment, I've come to discover, is very much a caveat emptor experience.

    Yes, there are conscientious rad oncs out there, but mine was the head of the department at a well-respected teaching hospital.  And he STILL didn't do right by me.  And I so didn't really need radiation.  It decreased my recurrence risk by an estimated 15%.  That's all the peace it gave me.  But the scar tissue it gave me is 100% forever.

  • Leah_S
    Leah_S Member Posts: 8,458
    edited December 2009

    Yes, the famous mantra of the rad oncs, "It's not from the rads. It's not from the rads".

    I have mild asthma and since rads it's been much more frequent though not more severe (finished rads in august). Med onc said worsening of asthma was a possibility but he felt the danger of not doing rads in my case far outweighed the danger of even severe asthma. Rad onc said it won't affect the asthma. Guess who I believe.

    Leah

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

    Oh, Leah, watch out.  The research I've read says you may develop inflammation 3 to 9 months after rads, and fibrosis 12 months out.  I was right on schedule.  With no warning.  I hadn't had any asthma symptoms  in at least 3 years.

  • Leah_S
    Leah_S Member Posts: 8,458
    edited December 2009

    Sigh.

    The gift that keeps on giving.

    Leah

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

    You betcha, Leah.  I wrote a blog post with that title about radiation:  The Gift That Keeps On Giving

    It's such a drag.  And they do not warn you that your life will never be the same.

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

    I haven't looked on here in a couple weels.  My respiratory virus is gone, lingering cough is minimal, and sore ribs still sore but not nearly as bad.  The thing about rads is that the fibrosis develops over months and even years, so if you just recently finished rads you don't know if you are only just now seeing the tip of the iceberg of symptoms to come.  Not that I want more radiation, but I will be very curious to look at my next chest X-ray whenever and see how the lung looks on there.

    If you are on Tamox., watch out, some of the cough and cold preparations interact with it.

  • ccbaby
    ccbaby Member Posts: 985
    edited December 2009

    I had a CT scan (for my breast reconstruction, unrelated)  recently and a .4 cm ovoid nodular showed up in my lower left lung. They seem to think it is post-inflammation from the radiation, but want me to get another CT scan in 3-4 months to see. I don't have any unusual coughing or any other side effects, so I am hoping it is just inflammation. Did any of you receive CT scans after radiation and/or after symptoms started showing up?

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

    CC, after that recent report on how much radiation there is in a CT scan, I'm not letting anyone do one at this point.  That report came out the day after I got my chest X-ray results, and the next possible step would have been to get a CT scan.  Then I heard that report and said, no way.

    Here's a link on it:  CT Scans Expose Patients to 80-400 Times the Radiation of a chest X-ray

    As for an ultrasound or even an MRI next time.

  • ccbaby
    ccbaby Member Posts: 985
    edited December 2009

    KAK...Yes, that same report came out the very same day that I had my CT scan! It kind of freaked me out...but nothing I could do at that point!  Will an ultrasound or MRI be as accurate?

  • grama5
    grama5 Member Posts: 81
    edited January 2010

    Glad to find this thread, I thought I was the only one not wanting to go on with rads. My rads were postponed because my incision still isn't healed (2 months) I have gotten the same thing, I was under the impression from the rads onco that their was a SLIGHT possibility of hitting my lungs and when I went in for the first rad treatment I asked the tech and she said " of course we are, 2% of the bottom of your lung, we can't miss it" Well since then I have been doing a lot of research and yes, I don't want to be stupid about this but I too am for QUALITY of life. I have cronic bronchitis from years of smoking  and deal with a cough as it is. Also read an article right here on Breastcancer.org under radiation/side effects on relation of lung cancer in radiation breast cancer patients.patients that have smoked or do smoke and no rads had a 6x higher rate of lung cancer than none smokers and the ones that have smoked or do smoke and also had rads treatment it went to 19x's. My bs told me I have a 20% reaccurence rate without rads and 10% rate with it. Remember there is no gaurentee you won't get it in the other breast. I am 65 and diabetic, I sure don't need more complications. I am simply glad to see I'm not alone on these thouhgts. However if my diagnosis was different I'm sure I would reconsider the consequences. I had very wide clear margins and in the low risk catagory and no chemo

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited January 2010

    Hi Flo!  (grama5)  Glad you searched these threads!  You know, you are right, after reading all of the posts, it just makes you feel, that you really are in charge of your body!   I had no idea about Radiation affecting some people this way!  I had radiation through the MammoSite Device, & just developed a "slight" cough for about 2 weeks, but it went away...and yes, I did use my inhaler more than usual, but not using it hardly at all now!   The rads with the Device only last 5 days, & really made me tired after it was finished....But I feel like I am so fortunate not to have done the rads the traditional way!   I never would have thought to even ASK about my asthma or side effects!  And to think it doesn't show up until LATER?  Damn! 

    Are you gals taking Tamoxifen or Arimidex now?  I have been on T for a little over 3 weeks, & so far no side effects!...I wish all of you the best....I'm so sorry you have to be your own advocates & oncologists & that you actually know more than the medical profession, if seems like...either that or they are just in denial!   Jeannette

  • grama5
    grama5 Member Posts: 81
    edited January 2010

    Hi Jeannette, I have just as many reservations on Tomox. I hope you do well on it and I hope they keep a good watch out for other cancers it can cause. Didn't you say you still had all your parts, just like me? If I had been given the info on the mammosite device I definatley would have gone that way and not be in the position I am in now. I'm getting more and more distrustful of the "care" I am getting. My incision is still not healed and to add insult to injury they billed me for the stitches they put in when it was my surgeon that didn't get it closed in the first place. They say "trust me this is what you NEED" and I'm supposed to trust them with my future health? Any comments welcome, some how I need to come to a decision.

    Flo

  • Chevyboy
    Chevyboy Member Posts: 10,786
    edited January 2010

    Good Morning Flo!  Yes, been taking Tamoxifen for almost a month now, & still no side effects. I'm thinking I might be getting some, but so far so good.  I've also done a lot of research, & read a LOT on this site about whether or not to try them.  But for me, it has been easy.  The Radiation went well for me, but the gals on several of these threads DO have side effects, mostly burning, & some have even more extreme side-effects....But it sounds like MOST of the women go through the Rads treatments, & their side effects go away!    We never want to try something "new".. But like I said, several of my friends have taken or ARE taking Tamoxifen, & they did great!   I just wish there were a way to "see" if any treatment is working!   Even Chemo.....man, I salute the gals that have gone through that....My Oncotype test showed I didn't need it.  Did they do that test of the tissue they removed yet to see what your "score" is? 

    And that's such a bitch about being charged again for what was their fault in the first place!  I would call them in a snap!   I would protest that charge....It wouldn't hurt to "question" that charge! 

    Well Kiddo, yes, you probably have to come to some sort of decision about your treatment...This could drive you nuts....If you don't trust your medical team, ask an Oncology team, or a Patient Advocate through the hospital.  Maybe you would get some different opinions. 

    The bottom line is we DON"T want to get cancer again, & all of these further treatments should help us protect ourselves.....But it's always a personal decision....Wish I could help you more!  Let us know..........  xoxoxo Jeannette

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