I recently joined this forum for moral support and have found it has helped me and others a lot. While I recognise that our treatments for bladder cancer will vary considerably depending on each case history, my personal experience may give some comfort to fellow sufferers and be less alarming than just studying straight statistics. I had for many years had kidney stones. They became troublesome from around 2010 onwards, giving pain and blood in my pee once or twice a year. Ultrasound confirmed that I had stones, as did the sound of a ping in the WC when one passed. I lived with the problem until the blood in pee became a concern in July 2017, prompting me to see my GP. I tended not to rush into the medical environment very willingly because I had a fairly extreme medical phobia (white coat syndrome). My GP wondered whether my kidney stone symptoms were masking something else e.g. bladder cancer. That's how the current saga started. BUT I'm still here and will I suppose have to begin stamp licking for yet another Christmas. Incidentally, one of my coping mechanisms is to keep a diary of my symptoms of the bladder cancer. When they reappear, the fact that similar symptoms have come and gone over the last 5 years without much drama actually helps me to put them in perspective and reduce the mental stress. Thank you. This evening's rosé seems to have stopped whilst writing this as well! Merry Christmas everyone and good luck! Note: 24/07/24 edited to shorten. Treatment in 2017-18 included radiotherapy and two TURBTs. Urology signed me off in early 2019. Palliative care. Living quite a normal, independent life, albeit with a urethral catheter. I've transferred much of the original main text to my profile - which was blank until I discovered it a few minutes ago! More details there.
One of the delights of having bladder cancer and a catheter is that we get to see urine in rather more detail than when in normal health. Treatment regimes cause a certain amount of disruption to the bladder surface, as does the cancer itself. This can generate natural responses e.g. clotting and scabs if there's bleeding, and excessive mucus. Drinking lots of water helps to flush this stuff through but inevitably it can obstruct the urethra and/or catheter tubing. Catheters are made from materials which minimise compatibility problems with the body and resist the attachment of debris, however, their relatively small bore is further reduced by the retention balloon tube which also runs inside the main catheter tubing (it conveys water to the balloon after insertion, preventing the catheter from pulling out. On catheter removal, it allows the balloon to be deflated) Foley catheters, although quite flexible, need to have enough rigidity to enable the insertion procedure while also expanding the urethra slightly to compensate for their presence in the natural plumbing. This all adds up to a tendency to block because the debris is only flowing at a constant but slow rate, unlike a completely naturally functioning healthy bladder.
My 18th August catheter had been troublesome for a week and finally blocked at 3am yesterday. Normally I can take precautions and deliberately by-pass to relieve the building pressure but this proved to be extremely painful for some reason. I drove into our local A&E/SDEC for 9am after the rush hour, was exceptionally lucky with a parking space, then had a very painful wait of 40 minutes with the 20 or so others who were in varying degrees of agony. After booking in I was allowed to walk to SDEC where the patient numbers were also high. I had to visit the loo there to deal with by-passing during the 1 hour wait and noticed that I was bleeding a fair amount. The relief when the old catheter was removed (OUCH!) was considerable. Less welcome was the red bag and clots when flow was restored. This required me to have bloods taken and was told to wait until the results arrived when I would be seen by a Urology doctor. Nearly 4 hours later I saw a very nice doctor who questioned me in considerable detail, gave my bag a visual then said I could go as my bloods were in the normal range with just a very slight increase in infection markers. She consulted with colleagues before deciding not to prescribe precautionary antibiotics as my temperature was normal. It was probably the most painful blockage I've had to date. Surprisingly, the blood and clots had cleared by mid evening and I was fine overnight. Best wishes to all on here as they also plough through the ups and downs of this cancer experience.
I spoke too soon. I did some light shopping at Tesco. On my return I went to empty my bag, not suspecting anything untoward. It was dark red!! The tube had a 15cm series of clots amongst the redness. Needless to say, I'm drinking water and hoping it will settle down. The last similar occurrence was on 20th July 2023. It is alarming when it happens, as many of you will know.
Sorry to hear of your catheter issues. Do you have a Clinical Nurse specialist who can chat through the problems with? I don't think you should have to put up with these hassles, they are not things you'd want to put up with in the longer term are they?
My care has been palliative since mid 2019, an arrangement that is working well. I do discuss my occasional problems and alarming symptoms with my GP. In addition, my quite frequent appearances at Same Day Emergency Care has given me access to Urology doctors, as was the case on Monday. Although I am registered with the local District Nursing team, they cannot respond quickly to the sort of problems I have. Monday's heavy bleeding was probably a direct result of my bladder expanding due to a blockage. Normally I can deliberately by-pass the catheter, thereby alleviating that problem. On Monday it was so painful by-passing that I still had an expanding bladder. My history is such that bladder expansion often leads to bleeding, hence the use of long term foley catheters since late 2018. Not ideal, but it has worked well enough for several years. Unfortunately, my heart condition makes more drastic surgery, chemo and BCG treatments unacceptably risky. I hasten to add that I was completely unaware that I had a heart problem until pre-op in 2017.
Thank you for your concerns/support (and others on this wonderful forum). It helps one to stay sane!
Yes, thanks for asking. I was ok all day yesterday, overnight and today, so far. I'm being very careful when moving about so that my internals reseal and heal securely.
I hope that you are keeping well enough to endure the seemingly endless task of sorting through items in your care so that an eventual move will be considerably easier. I laughed at your lark and owl comment in the 'How are we all doing thread.' I'm also an owl. Last night I was listening to Japanese rock music until 3am. I've been a fan for at least 5 years but still can't fathom the language.
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