IBC Symptoms?? What do I need to know?
I am here to ask some questions because I had some strange symptoms last weekend and after doing some online research (which my husband always warns me about) I'm more than a little worried about the possibility of IBC.
A little background: I'm 43 years old, have breastfed two kids (one of which is 20 months old and I'm still breastfeeding, but only first thing in the mornings and before bed) and I have had mastitis twice in the last 18 months, which I did not take meds for, but treated with supplements, cabbage leaves and heat compresses. I am 5'2" and weigh 130 pounds. I have not been on the pill since 2006 and I had a mammogram at 40 (the 1st and last ) and all was clear.
So this is what happened;
On Saturday night (3 days ago) I noticed that my left breast was a bit larger than my right. Now, I should mention that while I was breastfeeding on a more regular basis, my left breast would always be the larger of the two especially if I hadn't nursed for a few hours. But that night while watching tv, I looked down and noticed that my left breast was bulging out of my bra and I just kinda thought 'hmmm...that's odd, that hasnt happened for a while'. Didnt think much of it but by the time I went to bed, I was feeling achey and flu-like and my left breast was really swollen and hot (I looked in the mirror before I got in bed and the whole top right quarter of my breast was red and hot to the touch). So I went to bed, feeling really crappy, thinking I was getting mastitis again and then while in bed I was absolutely freezing! We live in California and I don't run the AC at night so it's warm at night, but I could not get warm. I ended up getting out of bed to find some socks and even wrapped my socked feet in a flannel pillowcase to get them warm. I could not sleep I was so achey and cold, and I also had gotten some heat packs to put on my left breast cuz by this time it was really hurting. I finally woke up my son and let him nurse (which he does not get to do usually) on that side to try and relieve some of the pressure.
At 4am, I went to the medicine cabinet to find something to help me sleep/relieve the pain. I found a single ibuprofen tablet in the back of a drawer and took it and went back to sleep. All the while, I let my son nurse as much as he wanted in the hopes that it would be better by morning. I should also note that beginning a few days ago, my son's nursing has been very painful on my nipples. It's almost like when I first started nursing him and my nipples were raw till they got used to it.
The next morning, my left breast was definitely not as swollen but was still very tender to the touch and that top quarter was still very red. My husband put his hand up to touch it when I showed him and before he even made contact, he stopped and said 'Wow, that's warm!'. All day my breast was tender and inflamed, but I did not feel sick or achey anymore. That seemed to have been just overnight. At that point, I was just thinking it was mastitis again. But I did do a couple of google searches and when I read the symptoms of IBC, I started to get worried.
Now let me stop here and just say that I REALLY need to be on top of this, if it is AT ALL possible that it is IBC because I cannot get sick! Not just for the obvious reasons, of course no one wants to get cancer and/or die, but we have a 4 year old daughter who has cerebral palsy, is blind, is globally delayed and does not walk, talk, or crawl. She needs 24 hour care and I am under no illusions about her future needs; it is clear that she is going to need assistance for a long time to come. I am already stressed out enough about the fact that we had children so late so I (hopefully) only have about 30-40 years to be with her and help her but the prospect of maybe having a debilitating or deadly illness is not something that's an option for our family. I need to find out the quickest, most accurate way to confirm/dismiss these symptoms. If there is any chance that it may be IBC, I am willing to have a mastectomy as a pre-emptive precaution.
The red flags for me are as follows-
* As I understand it, mastitis occurs only when a milk duct gets plugged because it has been a longer than usual time between nursing sessions (this is why I got mastitis both times before, I was out of the house for an entire day and by the time I got home, my breasts were huge) But this was not the case this time, in fact I had nursed my son about 2 hours before I started to notice the left side swelling, so it would have been strange for mastitis to come on so quickly.
* If this was mastitis, it presented very differently than the other two times I got it. There was no actual lump (plugged duct) but instead there was just an inflamed red area and the whole breast was tender to the touch, including the nipple.
Also, there was the flu-like symptoms that I had not experienced before.
* The swelling came on so suddenly and the red area of the breast remained noticeable till yesterday (Monday). I cannot actually be objective about whether the redness is still there or not because I feel like I am still seeing it, but I'm not positive. DH said the same thing, he 'thinks' it's still slightly red in that area but it may just be because he saw it was so red on Sunday.
So I guess my questions are -
1) Does IBC come on with flu-like symptoms like I experienced? And do they go away as quickly as mine did?
2) Given that I dont have the orange peel skin or inverted nipple, what do I have to say to get the doctors to take this concern seriously?
3) What is the best form of test to ask for?
Last notes.
* The tenderness is gone now, even my nipples are not tender anymore.
* It's very possible that I was ovulating over the last few days and I had read that breast tenderness and sensitivity increases during that time, but I have never experienced it like that before.
* DH and I are hoping to try for one more baby so I have been drinking some fertility teas but not in large amounts, not on a daily basis yet and I had not taken any the day that his occurred.
I called my PCP and he can see me Thursday morning. By that time there may be no more visible symptoms so I'm going to have to make a very clear compelling case verbally to him to get him to take me seriously. Any suggestions??
My husband thinks I'm freaking out for nothing, and I hope I am, but in light our our situation, I have to be sure and I know that not many doctors are familiar with IBC so I wanted to get some opinions and suggestions to be prepared when I go to see my PCP.
Thanks so much for your help.
I truly appreciate any info you can offer.
Comments
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I hope that all of you who were awaiting test results have since received good news and that is why it has been quiet on this board for 6 days. I however need some reassurance and/or guidance as I feel like I am going to lose my mind! As you can see from my signature, I was diagnosed with stage IIb TNBC in August of 2011 and after surgery (lumpectomy), chemo and radiation, I wrapped up my treatment in April of this year.
About 18 days ago (Friday), my husband noticed that my right breast was a bit red (this was the breast the cancer was originally diagnosed in) when we were getting ready to go to bed. I took a good look before I continued getting dressed for bed and agreed - almost looked like I had gotten slapped on the underside and inside or the breast. When I woke up the next morning (Saturday), it was a bit more red and the nipple looked a bit strange...like when you get the chills and the skin withers somewhat. I was definitely taking note of everything but wasn't truly alarmed until the next day (Sunday) when the nipple appeared to be inverting.
Monday, I called my MO who told me to call my breast surgeon and get in for a sonogram and possible biopsy. I did just that and was in my surgeon's office the next morning (Tuesday). She started me on an antibiotic (Bactrim) and said to watch it closely and if there was no change by Thursday, I was to call her. When Thursday came, there was not only a lack of positive change, but things had intinsified. I thought that surely she would be doing some deeper checking but I was wrong. She put me on two more incredibly strong antibiotics (Cipro and Cleocin). I went through the next weekend feeling awful from the antibiotics and getting absolutely no benefit from it. On Monday, I called back and she once again got me scheduled the next morning (a week ago today). Still wanting to believe it was an infection, she sent me to infectious diseases and once there, it took the doctor about 45 seconds to say that it was NOT an infection, much less an antibiotic-resistant one.
I went back to my surgeon's office afterwards, at which point she performed a sonogram and a biopsy on a seroma I had had since my lumpectomy (why she biopsied this, I don't know). She then said that she was still sure it was an infection since IBC was so rare and sent me on my way pending the outcome of the tests. Yesterday, I finally got a call stating that the seroma tissue was benign (no surprise) and that there was no sign of infection (gee...shocking). She could not figure out what was going on and why I would have swelling of some of the axillary nodes under my arm. I then asked her if we could schedule a PET scan and a punch biopsy, just in case we were looking at a case of IBC and she refused to order/perform the tests, stating that this just couldn't be IBC.
I am at a loss at this point. The breast is not getting better. There are thickened areas of skin in several places with the dimpling and rough texture. The nipple is almost completely inverted and my breast is slightly swollen, warm, itchy and peeling. I am now feeling some shooting pain that shoot up through the breast to either my armpit or back through my chest - not constant but when it happens, it will stop me mid-sentence. Even with all of this, she wants me to wait a "...week or two" to come back and see if it starts to resolve itself. From what I have read about IBC, these weeks could be the difference between beating this disease and signing my own death warrant.
I would appreciate any input from any of you who have dealt with this. I am not a wuss and definitely not a hypochondriac...but I am terrified. I can deal with chemo again if I have to - of that I have no doubt. I will fight with everything I have in me, just like I did the first time. I just need to have someone willing to test me first so I know what it is I have to deal with.
HELP!!!!
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Im thinking I wouldget a second opinion if possible. I also had some of the same symtoms you are describing, but my bs went ahead and did a punch biopsy given my history, and I would like to know why your sugeon says it couldnt possibly be ibc. If it makes you feel any better mine was not ibc, but they still dont know what is causing the redness.
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Hi, I came back to this site today, it has been a yr and a half since my surgery, now I am having new kind of pain, like previously described, shooting , burning , sharp, periodically pains..a doctor took a punch biopsy on my red spot. Under the red spot is a new lump, a ultrasound found to be a oil cyst, noted to be not cancer, but now I wait for the biopsy result. My mom had IBC. I had microcalcifications first diagnosis. Had radiation, no chemo. Just sounding off and glad to have you gals to talk with. I am thinking if cancer is back, no more fooling around, I am 64 yrs old...I will get a mastectomy. Ugh..
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Hi, thanks Bon:). Got the good news today. Normal skin. The NP that called said the skin is clear, but surgeon would remove the oil cyst under the skin if I want. They always leave it up to me, so I opt not to remove the cyst, as the radiologist and surgeon agree that just looking at the mammogram, it is not cancer. I must read up on oil cysts, and learn more, as I know they don't tell us all scenarios that might develop. Hoping all is well with you, Bonnie! Hugs to YOU;)
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