Increased Problem with Asthma After Rads?

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Increased Problem with Asthma After Rads?
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  • sisterinspirit
    sisterinspirit Member Posts: 204
    edited June 2009

    Has anyone experienced increased problem with asthma after completing radiation?  Would like to hear your story and how you deal with your asthma.  My asthma was a problem the first week of radiation.  Rad onc comment was that my lungs were very sensitive.  Started as a tickle, then developed into full-blown attack that was improved with albuterol.  After the first week, much better.  I'm now  almost 10 months post rads, and my asthma has been giving me fits all spring.  Don't know if its related, but I'm suspicious.  Look forward to your comments.  Thanks!

  • AniPie
    AniPie Member Posts: 30
    edited August 2009

    Hi Sisterinspirit,

    I don't have asthma but have breathing problems during weather changes and from allergies.  I had 16 treatments of rads that ended 7/8.  Since then I have had increased breathing problems.  I called my rad onc and they said that is not a side effect of radiation, although I know they told me a small portion of my lung would get some radiation.  I'm going to a pulmonologist next week, will post something after.

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

    I just finished rads last week, so I have no idea what will be long-term. I have had a bit of an increase in asthma but I don't know if it's from the rads. I used to take very large doses of Vit. C (4 grams per day) as a natural antihistimine but stopped it with the chemo and rads (antioxidents are contraindicated with chemo/rads) and will be starting them again next week when I am 2 weeks out of rads so I'll see if that makes a difference.

    Leah

  • Lmflynn
    Lmflynn Member Posts: 373
    edited October 2009

    Not sure if this string is still running -- hope so.

    Sisiter in Spirit - I am having severe asthma issues -  have 3 regular rads left and the asthma started week 1.  The rad onc says he's not seen this in his history and I keep hearing allergies, etc.  Even sent me for a pulmonary test that shows asthma -- well no kidding -- I'm having astma symptoms ... I'm getting frustrated and scared.... I have had asthma in the past but also am a marathon runner and haven't used an inhaler in a decade.... would love to hear from you or others as its the long term effects that scare me the most..

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

    It seems the increase in asthma is still there even though I'm back in the Vit. C (which has helped the itchy eyes and drippy nose). Asthma is not more severe, just more frequent.

    Before I started rads my med onc said the asthma culd get worse, but his feeling was that the risk of recurrence/mets was greater than the risk of even severe asthma. The rad onc said it wouldn't affect the asthma but rad oncs say that about a lot of SEs.

    Mantra of rad oncs: it's not from the rads, it's not from the rads.

    Leah

  • Lmflynn
    Lmflynn Member Posts: 373
    edited October 2009

    Thanks for replying Leah S -- I agree it is a mantra .... not only is it not from rads -- they've never seen it before..... I'm thankful for the boards as it at least helps you know that you are not alone.

    Because I only had 3 regular left -- my rad onc felt comfortable moving to the boosts and will come back to the 3 final regular rads... to see if not radiating where it hits the lung helps me.  I was better today and could walk around my park but still needed to use my inhaler in the morning ... which again I haven't done in 10 years...

    thanks for sharing

  • Irishred
    Irishred Member Posts: 136
    edited October 2009

    YES, I agee with you,  I am having breathing problems since radiation, they told me I could get radiation bronchitis or pneumonia from radiation and in the last week I am having a really hard time getting my breath.

  • poetjanet
    poetjanet Member Posts: 41
    edited November 2009

    so glad to find this thread.  I did a search on asthma.  I just finished rad #11 yesterday. I am clearly having tightness in my chest, and feeling my asthma that HAS NOT BOTHERED ME IN AT LEAST A FEW YEARS feeling like it is on the verge of starting up.  Every day practically,  I am asking myself if i really need to be doing this, with one surgery, and then a reexcision both a lot of tissue removed for a stage zero cancer.  I said yes to radiation because it was grade 3, and to catch what ever floating  cells were left.  But how many treatments does it take to burn those up.  Does it have to be 33, or is 12 enough?  I really don't want to be doing this. My breast is SO sore already too, I can not fathom how much it will hurt with 22 more treatments!!!

  • cookiegal
    cookiegal Member Posts: 3,296
    edited November 2009

    yikes, I am scheduled to start rads soon, and I have athsma as well, though since it is so dormant I have not been on meds for a while. I wonder if I should start up with athsma meds again?

    I wonder if this means I should go with the 16 rads over the 25? I still wonder what to do about that as well. 

    ????

  • poetjanet
    poetjanet Member Posts: 41
    edited November 2009

    Hi cookegal,

     I'm embarrassed to say, my chest tightness may have been due to having a sweater slung over my shoulders with just the top button buttoned across my throat. (I was wearing it that way to let my aloe vera I put on my BC breast dry. won't do that again!) I didn't leave it that way real long, until I noticed it was bothering me; but by evening yesterday, and today, I am feeling much better. Also when I heard them tell me yesterday morning that they were not coming anywhere near my lungs or broncial tubes I felt relieved.  That doesn't account for the other people on this thread though, but since I noticed that someone posted after me, I thought I better let you know that in my case it seems to have been a false alarm. 

  • pip57
    pip57 Member Posts: 12,401
    edited November 2009

    I have had breathing issues due to allergies all my life.  They had been pretty much under control for the few years before bc dx.  After rads, I had to go on Advair twice a day.  Really does help. I am certain that rads brought it back.  So is my gp.  

  • mjkpuff
    mjkpuff Member Posts: 10
    edited November 2009

    after reading this thread, I guess my question is answered.(posted a new thread on other illnesses)I have severe COPD... how can these doctors even consider rad. for a person with any kind of lung condition?? On Mon. I will call the onc. and tell her NOT to call the rad onc. Bad enough I have to have Chemo... May forgo that too..

  • JacquiG
    JacquiG Member Posts: 1
    edited January 2010

    Hello mjkpuff - I had ER/PR- HER2++ breast cancer in 2003, had surgery, refused rads because I had just developed asthma. Refused chemo too as I do not like being ill. But it is a difficult decision isn't it, and the harassment has to be experienced to be believed! Got local recurrence in 2004  and 2008 as one might expect but coped with that in the same way - surgery only.

    What did you do and how are you doing?  I hope you are well and looking after yourself.

  • Raili
    Raili Member Posts: 435
    edited January 2010

    Oh this is not good!  I hadn't even thought about the possibility of rads aggravating my asthma.  This sucks!  A few years ago, my asthma was severe for 4 months straight, when there was a fire in our apartment building, but it's been under control ever since.  I only use my albuterol inhaler a couple times a year now.  If rads makes my asthma flare up, I'm going to be so mad. 

    It's so infuriating that I felt absolutely healthy and wonderful when I was blissfully unaware of the existence of the cancerous tumor inside of me...it was so small, non-agressive, early stage, that I had no symptoms... and now it's all the cancer TREATMENTS that make me feel like crap (or will) and have all these nasty side effects.  I know, I know, if I had waited to feel symptoms from the cancer, it would have been too late, and it's a good thing they caught it early.  But I'm still feeling so resentful that the treatments feel way worse than living with cancer ever did.  And there are so many agonizing questions, dilemmas of weighing the odds of which is worse, cancer treatments that are hell to go through now and may or may NOT prevent recurrance, or foregoing the nasty treatments to have a good quality of life NOW, not knowing if the cancer will return and always having that hanging over my head??  

    UGGGHHHHH.

  • Wizzy
    Wizzy Member Posts: 22
    edited January 2010

    I agree with what you say here Raili - Having declined the "preventative" mastectomy I was offered after 2x DCIS surgery, I now have this small cancer for which they are offering me lumpectomy/excision followed by radiotherapy saying that will be sufficient. The more I read about rads the more I'm thinking that a mastectomy - though pretty major initially, sounds like it will have fewer side effects and be over and done with. I've asked for a call-back from the breast care nurse to try and find the right solution for me. I'm more scared of making the "wrong" decision on treatment than I am of the cancer!! How on earth do people reach a decision???

  • Raili
    Raili Member Posts: 435
    edited January 2010

    Exactly, Wizzy!!  We're always stuck between a rock and a hard place, just trying to choose the lesser of the evils!

    I remember the day of diagnosis, I was so shaken up, crying, etc... but the moment I got out of the office and into the parking lot, with my mom and my best friend with me, I blurted out that I wanted to just have a double mastectomy right away and get everything OVER with so I didn't have to DEAL with it.  We all brushed that off as me just being in a very emotional state... but it's now been over two months, and I still kind of feel like that.  Because like you say, although it's a "big deal" to have no breasts, overall, there would be fewer side effects and you'd heal from the surgery, and then it's over.

    I have a feeling no doctor would recommend that I have a prophylactic bilateral mastectomy, considering I "only" had a 1 cm tumor, mucinous/low grade/early stage with DCIS microcalcifications... but I just completed my lumpectomy and didn't get clear margins, and have to go back for a re-excision, and then start 6 weeks of radiation, and discuss whether chemo is necessary, and there are still days when I wanna say SCREW IT, JUST CHOP THEM OFF.

    I find it so exhausting to have to spend my days thinking about this stuff, researching treatments and options, scheduling and going to appointments, talking with the nurse, emailing with my surgeon, watching YouTube videos of radiotherapy so I can at least have a picture in my head of what the darn machine looks like, laying awake at night worrying about chemo, BLAH BLAH BLAH!  I am sick of being "cancer girl"... having to put so many things in my life on hold...

  • Wizzy
    Wizzy Member Posts: 22
    edited January 2010

    I didnt get clear margins with my first DCIS surgery, hence the second. Then he was recommending a precautionary mastectomy and now, its a "real" cancer and they say excision plus radiation ???

    This morning I woke around 4am and by the time the alarm went off (5.30) to get up for work I had decided DEFINITELY on asking for the mastectomy. By 5pm, I was at my mums, having told her the diagnosis, heard how well Uncle Peter was during/between his 3 courses of radiation... quite liking the idea of hanging on to the (almost) matching pair... except of course, that I am not Uncle Peter and his was in his ear!! (and it returned...)

    I did see the plastic surgeon (always makes me think of a little plastic action man toy that would melt under the theatre lights) about a year ago, and he explained the mastectomy/reconstruction procedure in (a little too much) detail... and the breast care nurse said I could have a mould taken for a temporary plastic nipple. I asked what colour I could get - she said whatever I wanted but probably 'me' colour "because you wouldn't want a purple one would you....hahaha" - Well, YES as it goes...I WOULD! I even went as far as cutting the top of an empty tube of handcream to make a model....

    I didnt want anyone with me when I went for my results and, as it turned out, I got a very last minute appointment on an afternoon when I was supposed to be working - so I got into work just before 5pm and did the rest of the shift.

  • NativeMainer
    NativeMainer Member Posts: 10,462
    edited January 2010

    My asthma progressed from mild and well controlled to moderate, and it took a year to get it back into good control.  The damage was cummulative-it continued getting worse for 6 months after rads was done. 

  • Raili
    Raili Member Posts: 435
    edited January 2010

    Wizzy, I like that mental image of a plastic surgeon... ha!  I will have to remember that.

    I don't know much about reconstruction stuff...wow, temporary plastic nipples can be PURPLE?? :)  That could be interesting.  Every summer, I go to the Michigan Womyn's Music Festival, which is a week camping in the woods with about 6,000 women, workshops, concerts, etc... the festival is clothing-optional, and women wear a lot of outrageous costumes as well as wearing nothing at all.  There are naked women with two breasts, one breast, and no breasts.  Anyone who showed up with PURPLE NIPPLES would be so revered! :)  (One year, there was a woman with bright blue pubic hair.  I don't know how that came about!)

    In sort of related news, my nipple was bright blue for a few hours after surgery, due to the radioactive dye they had injected in it beforehand.  That was pretty funny to me.  My pee was bright blue as well, for the next EIGHT TIMES that I peed.

    Wow, now I'm really off on a tangent, huh!  Life with BC just feels so surreal... never in a million years would I have imagined I'd have a blue nipple, or be posting about it on the Internet... geez.

    I wanna ask my surgeon if having a double mast would prevent me from needing rads/chemo/hormone therapy.  I seriously don't think I would mind not having breasts, if it meant I could avoid those awful treatments.  And I wouldn't go through reconstruction, either.  Having been with so many no-breasted women at the festival for 6 years in a row now, having no breasts has become "normalized" enough to me... also, I am a trapeze student, and there are certain trapeze moves that would be much easier without breasts.  Especially while working with a partner - you wouldn't believe how many times ones boobs are in the way or accidentally kicked... hmmm. 

  • Wizzy
    Wizzy Member Posts: 22
    edited January 2010

    I  must admit that the idea of whipping out a purple one in the pub appealed to me because its not like it would be "me"... my husband would freak out if he knew I'd even thought of that! I dont think it would surprise anyone at work because I'm always putting different colours in my hair with purple shades being the most frequent.(haven't gone for the blue pubic look as yet tho!!Laughing

     on the plastic surgeon theme.... when they said I had a tiny mass behind my nipple, I couldn't help but imagine a teensy weensy priest handing out the bread and wine (that isnt meant as any disrespect to any religion)

    Wow, how interesting... a trapeze student. You must be generally quite fit and strong to do that so it must stand you in good stead for recovery. Take care.

  • Raili
    Raili Member Posts: 435
    edited January 2010

    BAAAH!! Laughing Wizzy!  That's hilarious!  That would be a great short film, or a comic book or something... Scene: Operating Room, where a camera zooms in on a purple-nippled breast, and then goes inside of it, where there is a teensy weensy priest handing out bread and wine to a congregation of teensy weensy people...everyone is singing hymns in tiny, squeaky voices... then back to the outside of the breast, where there is a plastic action-figure surgeon who is attempting to perform surgery, but oops, his instruments are plastic, too, and oops, he begins to melt under those hot OR lights and becomes a puddle of goo.

    Oh, geez, I was disturbed enough when one of the millions of questions the surgery receptionist asked me was whether I "gave permission" for "visiting clergy" to come to my room.  Huh??  Nooo, I do not want some random priest wandering in to see me... why is that my only option?  Can I not have a visiting poet come and recite something lovely, or a visiting Ice Cream Truck Driver come give me a Dove bar?  Now I will be freaked out by the mental image of a microscopic priest behind my nipple!!  Ahhhh!  

     Oh, and yes, trapeze has made me strong!! :)  I was a couch-potato weakling when I started, then worked my way up to being able to do 10 pull-ups!  I haven't done trapeze in a few weeks, thanks to the stupid lumpectomy and now the upcoming re-excision, but I'm looking forward to returning to the bar...

  • sisterinspirit
    sisterinspirit Member Posts: 204
    edited January 2010

    Hi Ladies,

    Your comments bring back a lot of memories of all of the doubts and uncertainty about making treatment decisions and the overwhelming feelings after being diagnosed with cancer.  I wish you well as you go through this journey.

    It's been 15 months since end of rads and life is returning to normal.  The asthma is better, but still a little more reactive than before rads.  For those of you with asthma that are contemplating rads, I recommend that you visit with your PCP and review your treatment plan for asthma before you start rads.  That way you can be confident about managing your asthma if it acts up.   Bring your peak flow meter and inhalers with you to treatments and be sure that the technicians know that you have asthma.  You will get through this and life really does get better!

    Be well,

    Deb 

  • Wizzy
    Wizzy Member Posts: 22
    edited January 2010

    Yo Raili... you're watching the same movie as me Smile Give permission to visiting clergy????? ...and you thought they meant full-sized ones???? I like the visiting poet idea...better yet a visiting and amazingly clever medical researcher who has discovered a miracle cure that doesn't have side effects!!!!

    Thanks for your good wishes Deb. Glad to hear that your life is returning to normal. How many weeks rads did you have? I usually only use a Beclometazone inhaler (2 puffs twice daily) with Ventolin as/when necessary... not very often for now so its pretty mild. I dont have peak flow meters but I could get checked at the doctors or the gym. I am still more or less ok with the diagnosis because it wasn't a total shock from the blue. They told me, I said "Right, ok" and went to work.

    I'm not working this week as I'd already booked it as leave - I feel like this is my "one week to do stuff" and its frustrating to still be waiting for a call from the BC nurse. I need her input to try to make this decision and I need her to be checking out available dates if I opt for the mastectomy. To be honest, I wish the consultant hadn'r even suggested the lumpectomy because I wasn't expecting him to and had assumed that , following his suggesteion of mastectomy after DCIS there would be no alternative....& I wouldn't have to be making the decision... This way, I have responsibility over what happens but still no real control.

    Sorry, rambling on because I'm thinking out loud....

    Take care all

  • MarieK
    MarieK Member Posts: 911
    edited January 2010

    I do not have asthma but was warned by the RAD ONC that there is a 5 % risk of Radiation neumonitis which would need to be treated with anti-inflammatory drugs.

    The symptoms could be anything from a cough to shortness of breath.  I can imagine that together with a preexisting asthma that the risk would be higher.

    My RAD ONC told me to go back to him if this developed and not to a clinic or family doctor.

    Did anyone go back to their RAD ONC to get anti-inflammatories?

  • MarieK
    MarieK Member Posts: 911
    edited January 2010

    BTW I did have a radical mastectomy but because my 1 positive node had "spillage" I need 28 doses of radiation after 6 rounds of chemo.

  • Anonymous
    Anonymous Member Posts: 1,376
    edited February 2010
    We all brushed that off as me just being in a very emotional state... but it's now been over two months, and I still kind of feel like that. Because like you say, although it's a "big deal" to have no breasts, overall, there would be fewer side effects and you'd heal from the surgery, and then it's over.

    I have a feeling no doctor would recommend that I have a prophylactic bilateral mastectomy, considering I "only" had a 1 cm tumor, mucinous/low grade/early stage with DCIS microcalcifications... but I just completed my lumpectomy and didn't get clear margins, and have to go back for a re-excision, and then start 6 weeks of radiation, and discuss whether chemo is necessary, and there are still days when I wanna say SCREW IT, JUST CHOP THEM OFF.

    I find it so exhausting to have to spend my days thinking about this stuff, researching treatments and options, scheduling and going to appointments, talking with the nurse, emailing with my surgeon, watching YouTube videos of radiotherapy so I can at least have a picture in my head of what the darn machine looks like, laying awake at night worrying about chemo,
    ||SY0-201||ccna wireless||ccse certification||

  • 3monstmama
    3monstmama Member Posts: 1,447
    edited February 2010

    triplhh93---YES YES YES, it is exhausting.  Since November when I was diagnoised, it has been exhausting. 

    And Wizzy and Raili, I would like to be visited not necessarily by the Dove man but maybe the people from the local specialty chocolate store called Chocolate Box.  Oh and I don't want stupid blue dots to mark where the radiation goes:  I want hearts.  Or stars.  Or glaring faces.

    hmmm, when I met with radiation oncologist yesterday she made no mention of asthma complications.  She did focus on how I have grade 3 DCIS and how there is a very high rate of reoccurance if I only did the lumpectomy AND that when it reoccurs, its not always DCIS.

    With three kids, I don't want to take chances but at the same time, I don't want to be crippled with asthma either.

    I am getting my treatment at a breast center---my radiation oncologist said that the equipment is being checked almost daily because they participate in lots of blind studies and so they need to make sure everything is in perfect order.  That sounded good to me--what does anyone else think?

  • TiffanyF4
    TiffanyF4 Member Posts: 171
    edited February 2010

    This topic caught my eye! I started my rads on Monday and have completed 1 week. Last weekend I had developed a cold nothing serious. However by day 2 of rads it got pretty serious went on antibiotic. By the end of the week I am in the ER unable to catch my breath. Stayed in the hospital over night was given breathing treatments and steroids. I have never ever had asthma! I was sent home with an inhaler another antibiotic and cough pills.  Could this be from the rads? I have 28 left OMG I can't cough like this and struggle to breath for 5 more weeks!

  • DaylilyFan
    DaylilyFan Member Posts: 80
    edited February 2010

    Hi, ladies, just thought I would chime in about my experience, relevant or not.  I finished rads about 10 days ago and my allergies are no worse than usual but I did catch bronchitis 2 or 3 days ago.  My personal, unscientific opinion is that my immune system is not up to snuff and I was vulnerable to a virus although I have TRIED to be careful about handwashing.

  • kat06365
    kat06365 Member Posts: 30
    edited March 2010

    I developed a radiation cough and I still have it, but not as bad as it was and I had my last radiation treatment on Dec. 12th 2008. I have occasional 10 minute coughing fits that start with a tickle in my throat and it seems to happen the minute I lay down in my bed at night. My stage 1 breast cancer was in my right breast, nothing in the node, it had not left the duct. I was very lucky. This cough can be aggravating when it hits and my Oncologist told me if it ever becomes an issue she would make sure I had a non-steroid inhaler to ease it. I haven't needed one yet. I do find that my breathing has changed since I had radiation. Just hoping I won't need the inhaler down the road. God Bless and hang in there everyone.

    Kathy

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