Advice about pain.

FormerMember
FormerMember
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Hello, 

My partner - female 33 - was diagnosed with Hodgkin’s lymphoma a few days before Xmas.


She has stage 3 Hodgkin’s and has it in her neck, spleen and a mass on her chest. She is going though 6 months of ABVD chemo. 

She started her first round of Chemo last Friday - the 15th. 

For the day she had it and the following 2 days (sat/sun) she was absolutely fine. Monday and Tuesday she felt really bad, throwing up multiple times (even with the anti sickness drugs) and very exhausted, slept for the majority of those days as she didn’t have any energy at all. Then the days after - Wednesday and today she has been fine but she’s having pains.

The pains she is getting are like sharp shooting pains. They are in her chest, sides of her body and slightly round the back. They’re pretty constant. 

She phoned the ward where she’s having treatment to discuss. Then went in and had her oxygen taken, chest listened to and an ECG, which all came back fine. This was last night. 

Today she woke up, again fine and now the pains are back, phoned the ward, told to go in again. She’s currently in there now. Can’t be with her due to covid which is horrible as I’m sure a lot of you are aware. 

My question is, has anyone here had/having ABVD and experienced pains like the 1s she is having? Is it normal? Is this something that’s going to happen for the next 6 months? 

She’s also taking the below medication.

Take 1 everyday
Allopurinol

Sickness to be taken as and when 3 times a day
Metoclopramide

Taken after / before chemo
Ondansetron

  • Hi  and welcome to this corner of the Community, although I had a different type of Lymphoma (Cutaneous T-Cell Lymphoma (Skin Lymphoma) and totally different treatment journey...... but random pains were part of life during the early cycles of my treatment.

    I reported everything to my team, I was checked out including ECG and the conclusion was nothing was wrong.

    But my brick sized growth on my neck had enclosed a mass of nerves and muscles and the pain was off the scale. Once I started treatment my mass was being attacked and the mass started to ‘dissolve’ but this resulted in massive pain as the muscles and nerves were let loose from the mass. I had very strong pain meds to take when I wanted. For me it did improve as I went through the cycles but took a number of years for all the aches and pains to go.

    These are some useful links for you to have a look at:

    Nausea, she must not to suffer in silence when it comes to nausea there are lots of tools available - but her team need to know how she is getting on as it is often trial and error.

    Fatigue can hit at random times, there is not set pattern for this. Fatigue may well build up over time so take each day as it comes but at the same time keep some activity going as this does actually help overcome some of the fatigue.

    During my 6 cycles of R-EPOCH I was on my chemo for 120 hrs 24/7 at a time and the main issue I had was fatigue but my nurse team told me to keep active so I walked the ward corridors with my chemo stand after every meal and actually did a few miles a day.

    Avoiding Infections obviously is very important but you will totally get this during these challenging times.

    I would also highlight the importance of drinking lots of water as this will flush out all the toxins released by the chemo and protects her kidneys.

    Mike (Thehighlander)

    It always seems impossible until its done - Nelson Mandela

    Community Champion Badge

  • Hi, I would agree with Mike about the fluids, drinking lots really does help to keep everything moving (in all ways!) 

    sometimes sharp digging pains can be as a result of the cancer dying (yes it can be hopeful) and should lessen as the cancer dies steadily. Daughter experienced that after her third trial drug. 

    Hope they can sort out the nausea for her though, ask about Emend(Aprepitant) as it’s the best. I gather it’s taken about an hour before chemo though.

    Hugs xxx

    Moomy

  • FormerMember
    FormerMember

    Hi ,

    I recently underwent 6 months of ABVD for Hodgkins which was present in my neck, chest and lung and I also experienced shooting pains in my chest.  I found that this type of pain was most prevalent after my first few treatments and was not present after about 3 or 4 treatments from memory.  Although I have no idea if this is true, I put it down to the drugs doing their thing as my interim PET scan showed complete response after two cycles.

    Additionally, I was prescribed neulasta injections to increase white blood cell production which I had the day after chemo and this also caused persistent pain and tightness across my chest and neck around day 5 and 6 after treatment.  I'm not sure if your partner has also been prescribed this injection but I just thought it was worth mentioning as I was checked over a few times with this pain and in the end, we just worked out it was "normal" for me and it was probably the neulasta working.

    I hope this helps and I wish you both all the best for the remainder of treatment.