Pain 'attacks'

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Currently experiencing what I can only describe as an 'attack' of pain... it's happening more frequently, usually waking me in the night. It's 4am Disappointed

Had Dihydracodiene only a couple hours ago, but still woke like this. Took paracetamol about 40 mins ago and have just taken ibuprofen with a yoghurt drink about 10 mins ago. It's only just starting to ease off. The usual pain, which can be bad enough in itself, is like a 'toothache' sort of pain, but when this happens it's combined with a kind of 'salt in a wound' sort of pain and it is excruciating. I honestly wonder whether to go a+e when this kicks in, but chances are it would have faded by the time I actually got seen. 

Has anyone else had to deal with this pre treatment?

  • Awww, enjoy family time :) 

    I actually think the slow release may have eventually helped... took it around 7pm, but had to take other meds up until around 12.30am... but then I didn't need pain relief again until 7.30 this morning! That's the longest I've been in months. Just a shame I wasn't asleep for most of it lol but I think that's due to ditching the Amitriptyline. Was nice to be able to lay in bed pain free for a while tho :) fingers crossed for the same result tonight, tho I'm scared to jinx it! 

    Should be getting my oncology appointment in the coming week, then positioning scans, then onto treatment. At least that's what's I've been told is the plan xx

  • I am delighted to hear that Jen.  And chase up your appointments if you haven't heard midweek, the sooner you get started the better.

    Irene xx

  • Oh, that’s interesting about the X-ray Irene rather than the DEXA scan. If I had a dog, I couldn’t walk it…I went to the supermarket today-on a stick to get to the car with my partner driving. And in my new power assisted wheelchair to get round the shop.

    We came home and I couldn’t even help put the shopping away. Nor could I get my socks on this morning-I have a gadget to help do that but I put them on squint. I’m normally on my own so would have had to put up with it, but luckily it’s a Saturday and I’m not on my own so I could get it sorted! 

    Listening to what you’ve said, I’m going to consider requesting an x ray, so thank you for your help Irene..much appreciated. I had to have a number of scans, mri, ct and ultrasound last year when I had my stroke and the staff were wonderful with me-the gibbering wreck in the wheelchair! The year before, when  I had my blocked bile duct I refused an mri, even when I was offered sedation. The fear is just beyond belief for me, and it’s very difficult, which doesn’t help! 

    Sarah xx


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  • Oh Jen…I’m so glad you got some sleep and were without pain for a while. It’s just miserable if you can’t sleep with pain.

    I’m really hoping that treatment starting will help. Personally, even though my cancer was different, treatment-particularly radiotherapy- made a huge difference for me within a couple of weeks.

    Sarah xx


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  • It's very reassuring to hear that you and others have had relief soon after starting radiotherapy. We're all different, there's no knowing, but for a while I thought it was a given that it was going to get worse before getting better... 

    Do you mind me asking ( and you absolutely don't have any obligation to talk about anything you don't want to), but what makes you so uneasy with the scanning process? I can relate to the degree that I was an absolute wreck for my MRI and CT scans, just went to pieces. I held it together enough to get it done, remain still etc, but I found the whole thing terrifying. I actually faired better for the PET scan, weirdly! Even tho the thought of it was more scary to me. Again, you have no need to talk about it if it will upset you. You've been through so much! I guess, personally, I've been through various things in my life, but the things I'm most scared of, don't actually make sense to other people... I'm scared of silly things, like shopping queues, dinner around a table, stuff that most people just 'do' without thought or actually enjoy... xx

  • I don’t mind at all Jen, don’t worry! It started with one of my mri scans. I went for pelvic mri and had been through these before. This time, I had the scan and staff came in and said I also needed an abdomen and thorax scan. Obviously this took longer and I wasn’t expecting it. 

    The whole thing was very noisy and seemed to last for an eternity and I started to panic. I had to force myself to stay still though every instinct was to run. When it was over, I could hardly stand, and I remember staggering out of the scanning room, holding onto the wall. I was just overcome by fear..I wondered why there was the extra scan, I assumed and was terrified my cancer had spread. I just couldn’t get these thoughts out of my head and I said then I would never go through this again.

    I started of have flashbacks of the radiotherapy waiting room, and the room where I had my treatment and even had dreams about it. I can still see it all clearly in my mind after more than 6 years. I cannot even look at a picture of a scanner without panicking. 

    I had no issues at all having a petscan, and it seems it’s the mri that’s my issue. I had a ct scan in hospital very soon after surgery, but I was effectively helpless at that point and could hardly move. I let them do it, and was dragged onto the table from a bed. After I was discharged I didn’t want to go through any more scans. Then I needed a ct scan some years later because I had pain, nausea and there was clearly something wrong. I got as far as the door of the room in a wheelchair and was in tears. It was overwhelming. 

    My partner was there and persuaded me to go in but that took a long time. Eventually I did it and got my diagnosis of gallstones. My fear had been cancer again so I was actually delighted!

     I then had to go through 2 ERCP procedures which involved a camera down my throat to investigate my bile duct. By this time I had 2 stomas and it was very uncomfortable to lie on my side with my legs up. I became really anxious because of the gagging in my throat and being mainly held down by the nurses to keep still.  It failed the first time as they couldn’t unblock my bile duct so I had to do it again a week later. The doctor gave me breathing exercises and upped my level of sedation but this didn’t  work for me. However it was successful, and my gallstone was removed from my bile duct. I said I would refuse to do it again so was glad it worked.

    It’s basically fear of finding cancer again-simple as that. My surgeon is very understanding and doesn’t force me to have any mri scans now, as she knows my level of panic is so huge. I simply can’t do it. When I had to have my gallbladder out Iin 2033, I agreed to an mri to check surgery had been successful as I knew the surgery was very risky for me after my exenteration. Again I was crying like a baby and wouldn’t go in the room but the staff helped me and assured me it wouldn’t take long. They were right. Brain scans last year after my stroke were also short and I coped because I had to. Still crying like a baby but the stroke had left me unable to speak properly and I knew they needed to find out how bad it was. 

    I can’t control my fear, even though I know it’s not rational, because I’ve nearly died several times in the last few years- I had a pulmonary embolism from chemo in the mix too, and wasn’t expected to survive that and all these things have left me terrified about what could be next!  So that’s why…I will never have more scans unless it’s a really serious situation. 

    Sarah xx


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  • Wow. That really is a lot... it's no wonder you have this embedded fear of such things. Although these procedures have been done ultimately to help you survive, it sounds like literal ongoing torture :( I'm not sure I have better words tbh! Because your experiences are so extreme and raw. It's impossible for me (or most people) to comprehend... I feel like anything i could say might seem inappropriate tbh! And not do justice to what you've had to go through to still be here... but I'm glad you are. I hope that going forward, you are able to retain more of a sense of control over what happens to you and your own body. Your story has both shocked and amazed me, but mostly, I think you're amazingly strong and brave xxx

  • Sarah, I get it, I really do.  And, for what it is worth, the DEXA scan is over in a couple of minutes too, the staff don't even have to leave the room (just in case they send you for a DEXA scan - which said my hips were normal, ha!)  It took a bog-standard X-ray to show degenerative osteoarthritis.

    Anything else hip-related that I can help with, please just shout out.

    Irene xx

  • That sounds better! So pleased you are getting some help.


    I think one of the things that should be on the To Do list (that is on this forum somewhere) is 'Give your GP ONE chance to sort out your pain, then move on to medical team at hospital' 

    It just seems like AC is such an unknown to many of them and they seem very worried about issuing effective painkillers.

    Glad you are getting sorted. Oramorph should be a big help.

    xx

  • Just a little update incase it helps someone else...

    So I've been on the zomorph slow release 20mg day and night, but have still needed paracetamol, oramorph and sometimes ibuprofen every few hours on top... meaning still waking through the night and having only very short periods of time pain free. 

    I have been on and off pregabalin for a few years now for anxiety and most recently weaned off a few months ago as I felt it wasn't really helping anymore... but last night I was feeling very on edge and in some kind of weird 'hyper' state where I just couldn't relax at all. I decided to try taking 100mg pregabalin from the leftover stash I still have. I read online that a combination of morphine and pregabalin can be very effective for neuropathic pain and reduce the need for higher levels of morphine. I did also take paracetamol and one ibuprofen before I settled at around 9.30pm. Didn't actually fall asleep until gone midnight, but it's now 6am and I slept through! Only just now needed to take more paracetamol. So that means I've managed around 9 hours without needing to take any extra pain relief during the night :) I am amazed! Hoping it's not just a fluke... 

    I know I read from some others here that they had some visual issue etc from taking pregabalin, but I don't seem to have that reaction. I suppose I'm a little reluctant to be back on pregabalin again after weaning off, but if it works while I'm going through all of this, then I guess it's a no brainer. Will try it again tonight and see if I get the same result and then speak to the treatment team about it. If it means taking less other meds overall, that can only be a good thing in my mind. Fingers crossed!

    Jenna xx