Terrified i've got IBC please give me some advise.

merrysee
merrysee Member Posts: 58

Hi there, i'll start by giving you a little history of my breast problems, i should start by saying i'm 30 years old and am currently 25 weeks pregnant, as i'm pregnant no-body seems to take my problems seriously as it's just assumed that my breast problem is hormonal.

Well, back in May of this year i discovered a lumpy area in my right breast, it was located about an inch below my nipple. I went to the doctor and she referred me to my local breast clinic, i went along and they did an ultrasound scan on the area i was concerned about, she told me instantly that problem was just down to normal pregnancy hormone related changes, so i left feeling relieved and forgot all about it.

However roughly 2 weeks ago i looked down at my breasts whilst getting dresses and i noticed that my right nipple looked like had dipped in slightly at 1 side, when i touched the breast it responded normally and retracted straight out, making my nipple look completely normal again, i'm a terrible sufferer from health related anxiety problems so since i first discoved my nipple didn't look right i've been constantly checking my nipple and poking it to see if it is still responding, my nipples have always been flat anyway and 9 times out of 10 it looks normal then sometimes it looks like it's dipped in slightly but as i said before always retracts back outwards when touched.

Anyway this isn't the only problem i've been experiencing with my right breast, i've been getting sharp stabbing pains in the breast too, and an area on my breast which is itchy, it's where the top of my bra sits going inwards towards my arm pit, my right arm sometimes feels warm too when it's flat resting on my breast, although my actual breast itself does not appear warmer than the other, nor does it have a rash or bruise etc.

Well i've been to my doctor's twice about this now in the last 2 weeks, each time they ask me to take my bra off to look at my nipple and of course my nipple always looks normal, typical! They just put it down with me being pregnant, and when i tell them about the itchiness etc, all i seem to hear is it's normal pregnancy related problems, like i said before as i suffer from this anxiety problem no one seems to take me seriously and i'm petrified that there just dismissing my problem because they don't believe me, my doctor said that if i had an inverted nipple due to cancer it would stay inverted and not retract so easily. I'm terrified i have IBC, as i've stupidly been googling my symptoms and of course self diagnoised myself, i thought i'd come on to the website and ask you lovely lady's if my problems seem to sound like symptoms of IBC, i'm really keen to hear your storys of inverted nipples, if you've had one did it stay inverted etc.

I'm sorry if you feel i'm wasting people's times, but this is something i'm so worried about, i can't concentrate on anything else and it's ruining my pregnancy.

Thanking you kindly in advance

Mel. xx

Comments

  • merrysee
    merrysee Member Posts: 58
    edited July 2011
  • HollyinMich
    HollyinMich Member Posts: 210
    edited July 2011

    Hi Mel, so sorry to hear that you are having concerns with your breast.  My nipple inverted badly with my IBC.  It did not respond well to stimulation at all.  The outer edges of my areola would pucker ever so slightly as if it wanted to react the way it should, but that was it.  Not trying to be too graphic, but it really was so badly inverted that it was quite challenging to keep it properly cleaned and not end up with soap deposited in it that would irritate it further.

    Additonally, my right breast swelled to twice the size of my left.  I was quite lopsided.  The skin was very red in color, hot to the touch and I had the classic peu d'orange (orange peel) appearance to my skin.  My breast did itch a bit, more so in the begining.  I would get sharp shooting pains through my breast that felt as if I was being stabbed through my nipple and it would ache.  The stabbing pains were really quite breathtaking at times.

    I hope my story helps to put your mind at ease a bit.  Your symptoms sound very much like they could be only pregnancy related.  Your breasts go through so many changes during pregnancy and the itching that you are experiencing could very well be just your skin stretching as they become larger.  I had that as well when I was pregnant with my daughter 9 years ago.  I went from a C cup to a DD by the end of my pregnancy.  Of course it's always a good idea to keep an eye on breast changes.  Keep in mind though, that with IBC symptoms progress very quickly.  My nipple seemed to completly invert overnight.

    Best of wishes to you! 

  • merrysee
    merrysee Member Posts: 58
    edited July 2011

    Thank you Holly, your words are really incouraging, i am aware that breasts go through so many changes and i'm praying that my breast problem is just that. I actually had breast surgery just over a year ago, a breast uplift with implants, taking me to a DD, i'm currently wearing a F bra and thinking i might need to go up another size, it just concerns me as i'm only having problems with one breast? When i had my surgery my nipples were re-positioned so have never been the same in look since, i'm not sure if they've always looked this way since my surgery or this is a new thing, i've never really given them much thought before i guess. I'm sorry for your troubles, and i hope you don't mind me venting off my problems on this site. xx

  • mrsnjband
    mrsnjband Member Posts: 1,409
    edited July 2011

    Hi Merrysee,

    Holly gave you some great advice. Have they given you an antibiotic to take?  That is usually the first course of treatment.  If it gets better after antibiotic, then you don't have IBC. 

    Have then done a mamagram or ultra sound?  Those would be tne next step.in treatment.   

    if you are stiill  concern in the area hat didn't improve then I think you should have a biospy to rull out cancer.  It rare to get cancer while pregant but it can happen.  This way if it benign you can put your mind to rest .

    Please keep us updated on how you are doing.,

    Sending love & support. NJ  

    PS Since you've had a breast lift then your symptoms are probably from that but I would rather error on the side of caution rather than not know.  Just my opninion.  

  • merrysee
    merrysee Member Posts: 58
    edited July 2011

    No anti-biotics have been suggested, i'm guessing it's because they think my problem is just hormonal regarding my pregnancy, i had an ultrasound in May but on a different area of the same breast, results were normal, the breast specialist that i saw would not perform a mammogram as she said my breast's were so dense due to my age and with me having breast implants, my doctor said he doesn't want to keep sending me for scan's as it makes my anxiety worse, and he's confident that there is nothing wrong, but this doesn't stop me from worrying daily and probably making the situation 100% times worse?

  • merrysee
    merrysee Member Posts: 58
    edited July 2011

    Also if i did have IBC how quickly would symptoms get worse, i heard that symptoms show up in a matter of days/weeks, is theis the case. I'm not sure what else i can do, here in the uk you need to be referred from your gp to a breast clinic but my doctor won't refer me?

  • HollyinMich
    HollyinMich Member Posts: 210
    edited July 2011

    You're welcome Mel. Yes, the symptoms do show up and progress rather quickly.  I'd say within a week I had all of the appearances of IBC.  After all the visible signs began, then my breast began swelling and swelling and swelling it seemed.  It was quite terrifying to see my breast change so rapidly.  

    Since you've already been to see your doctor and they won't refer you at this time, I'd keep a close eye on it. If you notice a sudden change then go immediately back and ask for a breast MRI since you cannot have a mammogram.  Mammograms are bad for detecting IBC anyhow.  MRIs however are very good at picking up IBC.  I'm not sure how it works with being pregnant, but I could imagine that it could be done without the contrast since it's not an X-Ray.

    Glad I could help put your mind at ease a bit.  Hopefully you will get some resolution soon and I'm praying that it is nothing to worry about! 

  • HannahD
    HannahD Member Posts: 2
    edited August 2011

    Hello,

    I too have very similar symptoms to yourself. About 5 weeks ago I notice one of my nipples was inverted but it could be pulled out easily. I would notice it was inverted a few times a day and became paronoid checking all the time.

    I visited my dr and was referred to a breast clinic where I had an ultrasound which showed nothing abnormal and I have been asked to return in 3 mths time so they can keep an eye on it. I too am concered about IBC after reading several articles on the internet.

    I have had 2 children one who is 2.5 yrs and my second was 6 mths when I noticed these changes. I breastfed my second for a month and wondered if all the pregnancy hormones and a brief spell of breastfeeing could have changed the elasticity of my breast.

    I anyones experience would I have had further symptoms by now of IBC? The breast clinic I am under have been excellent and very reassuring but I still am anxious when I notice my nipple inverted,  although I am very anxious person anyway. I also seem to notice it more around the time of my period - could this have an influence? I am also on the pill which I have been back on for 2 months since having my second baby. The breast clinic didnt really discuss hormonal influence when I have visited them.

    Does anyone know if a breast ultrasound would pick up signs of IBC.

    Thanks

  • Southamptonmom
    Southamptonmom Member Posts: 491
    edited August 2011

    Please do a complete exam of your arm pit. Both sitting up with your arm up a little, and then with your arm down. IBC rash progresses very quickly, I was told my medical oncologist, it spread swithin days to weeks.

    If it is hormone related, I often got mastitis when I was breast feeding. I used a diaper, poured water into it, and microwaved it until wam enough that it didn't burn my skin, and tucked it into my bra. Diapers are great because they hold the heat for a long time.

    If it continues to be bothersome, seek further advise buy switching doctors or getting another opinion from another breast surgeon. (((Hugs)))

  • HannahD
    HannahD Member Posts: 2
    edited August 2011

    Hi Southamptonmom,

    Thanks for your post. I might sound stupid but I don't really know what I am looking for in examining my armpit. Would this be a lump or for rashes. It has been 5 weeks now since my nipple has been inverting and I don't have any sign of a rash - however I don't think it is to do with mastitis as I don't have a fever etc and I stopped BF 5 months before my nipple began inverting.

  • strangelady
    strangelady Member Posts: 12
    edited August 2011

    merrysee, sorry I cannot offer any advice, but what I can say is that my situation is similar to yours. If you want to chat with me via PM I'be be more than happy.

  • merrysee
    merrysee Member Posts: 58
    edited August 2011

    Ok so i posted this post 5 weeks ago now, since then i've been back to the breast clinic, as i stated my nipple does not always seem inverted, only ever occasionally, i'm not even sure if this is the way it's always been, i'm obsessed with checking it too which probably doesn't help matters, anyway the lady at the breast clinic gave me a breast exam, she said there is no size difference, rash, red marks, she said my nipple did not look inverted to her, she also performed another ultrasound and results were normal breast tissue etc. However i'm still really worried something has been missed, my right breast at the top towards the side is really itchy, i know breast itchiness is common also in pregancy but it worries me that it's only one sided, my breasts have become hugh in my pregnancy so have grown quite a lot, i also have a odd sensation in my right arm, the top of it feels warm, but is not warm at all to touch, it's the side of my arm that is closest to my breast. I've been having problems in this breast for nearly 2 months months now, do you think if i did have IBC my symptoms would be more obvious in this time, i'm aware that symptoms of IBC progess quickly but are we talking days, weeks, months, etc. I keep checking for red mark's or something, it's driving me insane. Please can anyone shed any light for me?

  • leisaparis
    leisaparis Member Posts: 587
    edited August 2011

    If it were IBC, it does progress VERY quickly. Like sometimes OVERNIGHT. My symptoms were full blown within a week. I had almost every symptom there is for IBC, except the rash.

  • thegoodfight
    thegoodfight Member Posts: 560
    edited August 2011

    HannahD,

    Over 30 years ago after nursing my first baby, I ended up with an inverted nipple.   What they found is I had a clogged milk duct.  I had a surgery so they could sever the strands involved and my nipple returned to normal.   They couldn't guarantee that I would be able to nurse from that breast again, but I did two more times with no problems.

    That being said all these years later I am having a problem with recurring mastitis.  Have always responded to antibiotics, but looking for the reason it keeps returning.   Four bouts in a year.   Docs seem to think it comes from the radiation and may even have to do with the original clogged duct all those years ago.  I am now waiting for an appt. to see a breast surgeon at Moffitt CC to see if we can solve this.   My local MO said I could always have a mastectomy and that would get rid of it................a little drastic I think.

    Please ask if your inverted nipple could be a clogged milk duct.................................Caren

  • thegoodfight
    thegoodfight Member Posts: 560
    edited August 2011

    Update...............this time I do not seem to be getting better.  I started bactrim on Wed and had an allergic reaction (rash) I was switched back  to cipro.   I have a followup appt with surgeon on Tuesday.   I am asking for a biopsy.   My next appt at Moffitt at the end of Sept is for mammo and onc visit.   They have also set up an appt with a breast surgeon that day...............I can't wait that long.   My inner voice is saying listen, listen, listen.......................it is time for a biopsy.

    I am scared.  I am trying not to get ahead of myself, but I will be so angry if this is ibc and all the docs keep saying no, it is an infection because an antibiotic has always cleared it up.  Well not this time, and I have never had a fever and I should with an infection.   How can all the doctors say no cancer and now in my gut I know I need facts.   I am demanding the biopsy.   infact, I will call Monday to see if it can be done while I am there on Tuesday.  Not sure what a punch biopsy involves or if it can be done in the office, but I am about to find out.

    I have read too many times that after many diagnosis of mastitis women were finally diagnosed with ibc.   I am still hoping that is not the case................but I need to know.  If it is ibc we have wasted a lot of valuable time.

    Thanks for letting me ramble.........................................

  • Claudia413
    Claudia413 Member Posts: 114
    edited September 2011

    Caren, I'm with you about demanding a biopsy. If you're not pregnant, not nursing and do not have a fever, you don't have an infection (mastitis) and those doctors should then consider ruling out IBC. It looks like we still have a lot of educating to do in Florida.  

  • thegoodfight
    thegoodfight Member Posts: 560
    edited September 2011

    Claudia, I know you saw on the other post that I did indeed have a surgical incisional biopsy yesterday and already know the results are B9 .   Now they are growing cultures from the tissue samples and hopefully next week we will know what the bacteria is that is causing my infections.  BTW, I never had to "demand" a biopsy, surgeon said it first.   Of course I thought it was going to be either a needle biopsy or punch biopsy, but he decided he was going in..................wanted to see if he saw anything unusual............thankfully, no.

    Caren

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