Stage 4 lung cancer

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On the 19th July 2024 it was confirmed I have stage 4 lung cancer. It's been a massive shock as I have no symptoms but the cancer was picked up during a routine ct scan that was offered to ex smokers. Since the diagnosis, I've noticed breathlessness and a slight pain in my chest, I think these might be panic attacks as before the diagnosis I've had no symptoms. I'm also waking around 2am and can't get back to sleep. I also suffer from scoliosis and lumbar stenosis and had a full spinal fusion in September 2022 for which I am on Pregabalin, Meloxicam and codydramol so I can fall asleep the instant I come to bed. The past 2 weeks have been a whirlwind of tests and on Monday 22nd I had a biopsy so now waiting for the results of that to see what will be the best treatment. I'm still working as a doggy daycare provider and boarder but I'm intending on cutting back on the workload to spend more time with my family. 

My questions are:

Is this breathlessness and slight pain, panic attacks?

Will my sleep pattern go back to normal?

  • Hi Huggybear,

    Welcome to our Online Community here at Macmillan Cancer Support. I’m Kirstine, one of the Cancer Information Nurse Specialists.

    I am sorry to read of your recent diagnosis and can appreciate how upsetting this will feel for you right now. We will be happy to chat with you about this here on our Online Community platform or via our dedicated Support Line and we can take the time to talk over anything on your mind.

    I don’t want to frighten you, but for today we need to advise you to seek urgent medical assessment. You have mentioned chest pain and breathlessness, and these are symptoms that should be checked out straight away. Although they might related to the lung cancer diagnosis or the anxiety, we can’t be certain. It is very important to have a medical assessment immediately to check your heart function and assess for the possibility of other emergency issues such as blood clots for example. Please call 999 and a paramedic can carry out an ECG and assess you face to face.

    Once you have had emergency issues checked, and hopefully ruled out, please do come back to us and we can chat around everything else you are facing.

    Kirstine – Macmillan


    Cancer Information Nurse Specialist

    You can also speak with the Macmillan Support Line team of experts. Phone free on 0808 808 0000 (7 days a week, 8am-8pm) or send us an email. Ref KDf/ LD