So today was my first treatment day. It went well, more at the end.
I can’t remember everything that I have shared on here so here is a probably unnecessary update. Please bear with me if I am repeating myself (now I can officially blame it on Chemo Brain). Feel free to skip to the end if you just want to read about my first day of treatment.
Up to now:
I have waited almost two years for a diagnosis. Is this even possible, can one live with anal cancer for two years and still come out the other side with treatable cancer?
I saw five or more specialists and numerous GPs in that time.
The closest I got to a diagnosis was a GP who said I had a mass and a consultant who told me I had an anal polyp on the anus.
When I was operated on to remove the polyp I was told afterwards they could not remove it and instead had taken a biopsy.
Naively or ignorantly I thought a biopsy was a small sample. I bled a lot after the surgery and I was extremely uncomfortable. I was given Paracetamol and Codeine and after a visit to my GP after an excruciatingly painful poo, cream for an anal fissure. I felt like a fraud and ridiculous.
When I saw the surgeon again he told me I had anal cancer and apart from being left believing I might be untreatable everything else kicked into place. The service I have had subsequently is just incredible.
But here’s the issue. It turns out the surgeon took a 4cm lesion /tumour. I did not know this. This is why I bled so much and why I was in so much pain when I went to the toilet. If I had known this I could have looked after myself better and not felt like such a fraud.
I don’t understand why he didn’t tell me, I had given consent to having anything necessary done, and, apparently he did an excellent job. He has taken pretty much everything bad leaving only a ‘residue’ according to the consultant (residue doesn’t sound very nice maybe they could come up with a different more pleasantly sounding term?).
My first treatment day:
My take aways are;
Everyone, and I mean everyone I have come into contact with have been nothing other than kind, compassionate, empathetic, caring and professional (I should perhaps mention here the one consultant who attempted my first sigmoidoscopy who was rude, swore at me and hurt me by being rough while inserting what felt like a thumb into my anus. Somehow I often forget to mention him but he was a one off).
Taking in so much information from Chemo Nurses to Radiographers is really challenging so having all the written information is really helpful. The MacMillan Anal Cancer booklet is brilliant and my main go to for information next to this Forum.
Having to keep my right hand in very hot water for what felt like forever was very uncomfortable and strangely anxiety provoking, maybe it would have helped if they had told me why I was doing this. I Guess it was meant to open my veins, if it was it worked but inserting the cannula still hurt.
Strangely the saline hurt while going in where-as the deadly looking purple Mitomycin did not. The heated pillow I had to rest my arm on was uncomfortable but I would love one under my pillow at home.
Looking around the room I realised that in the scheme of things I am lucky. I do not have to go to that room again. Other people there are not so lucky. That said, I still have cancer and I am allowed to feel peeved.
Radiotherapy was a pushover, inserting my insulin needle into the area afterwards was not so good. Mental note, DO NOT INJECT AN INSULIN NEEDLE INTO THE RADIOTHERAPY TREATMENT AREA, IT HURTS, EVEN AFTER THE FIRST TREATMENT!!
Taking about being lucky or not? Just be ready to feel anxious, no matter how brave you think you are, or how difficult you think it might be for other people.
I think being told over and over again about the possible side effects time is important but sometimes for me it just felt too much knowledge and occasionally overwhelming. So, BE KIND TO YOURSELF, you are not weak, you are not a coward or being ridiculous. Be honest and tell them when you are feeling anxious, or think you might be (imagining) an allergic reaction. They are there to care for you and they know what to expect. My Canula hurt during saline infusion, they put my mind at rest, simple as that.
Anyway I am on the way to writing a book, sorry.
I will stop now by concluding, I survived day one. I have now done the anxiety about my temperature, stomach pains, diarrhoea, bleeding and so far none of those have been real. But, THIS IS NOT A TIME TO WORRY ABOUT CRYING WOLF never ever hold back, no matter how small or even ridiculous you might feel. If you worry, if you are frightened, anxious or just feeling you are alone in all this, REACH OUT to anyone and everyone.
Day two tomorrow. Sleep tight.
Hi LCraig,
Just to say a massive well done on getting through day one and also now day 2.
It’s a tough one and your journey to diagnosis sounds horribly difficult. You have shared what I know will be very helpful and factual information for others on this journey. Hopefully now that you have finally accessed treatment things will move forward. It’s been a very long wait for you to get to this point.
Wishing you well for the days and weeks ahead. Keep being kind to yourself x
Hello LCraig
I really love your account but believe me you are not a fraud, and please don't ever think this. And wishing you all the best for tomorrow, and your message is so spot on - reach out.
Irene xx
Hi,
Thank you PEB24 for taking the time to reply to my posting, it really helps.
I got through the second day ok too.
I started to feel a little run down last night and I noticed what felt like an early sensation of nausea. So I took myself off to bed and took two ginger tablets and slept through the night. This morning I’m just tired.
Thank you again. x
Hi Irene75359 ,
Thank you for being so empathetic about my posting.
Last night I think I realised how serious this whole diagnosis and treatment experience is and has been. I know you are absolutely right about not being a fraud. If I was an outsider, a healthy person looking in I would feel the same about any cancer patient. It is strange how our thought processes can be different about ourselves.
Thank you again. Xx
Hi LCraig,
Best of luck for day 3 then a least you will have a little break at the weekend.
The first days of chemo ,particularly the infusion do cause horrible nausea so keep using the ginger and also the metoclopramide.
You are doing really well so far and your humour while going through this has made me smile. Can definitely identify with the Martini advert …
xx
Best of luck. I have ten sessions of radiotherapy to go plus I’m on a trial of immunotherapy every 21 days. Your account of meeting a horrible dr is similar to me. I had a colonoscopy a year before diagnosis. The locum dr doing it was rude, rough and it hurt! I often wonder if he even did the examination properly. He said ‘you just have piles’. A year on luckily I have a good gp who felt something and sent me back to the surgeons. I had an op to remove the lesion deemed not suspicious. However when I woke up it had been biopsied ….scans booked etc Last thing I expected was cancer!
Take each day as it comes that’s what I’m doing
Whatever cancer throws your way, we’re right there with you.
We’re here to provide physical, financial and emotional support.
© Macmillan Cancer Support 2025 © Macmillan Cancer Support, registered charity in England and Wales (261017), Scotland (SC039907) and the Isle of Man (604). Also operating in Northern Ireland. A company limited by guarantee, registered in England and Wales company number 2400969. Isle of Man company number 4694F. Registered office: 3rd Floor, Bronze Building, The Forge, 105 Sumner Street, London, SE1 9HZ. VAT no: 668265007