11 WEEKS AFTER PARTIAL KIDNEY REMOVAL AND STILL IN PAIN ,CANT BEND,WEAR JEANS ETC

FormerMember
FormerMember
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Hi everyone, first post ever on a forum site so please bear with me.

I am/was a single "healthy"(or so I thought) male of 55 years never smoked not overweight good diet ,moderate social drinker etc.

I was diagnosed with RCC back in Jan/feb with a 4cm Cancer tumour in my left Kidney.

This was found due to a scan which I had for a Liver cavernous Hemangioma . That's another topic in its self which does not belong here I guess.

It was one thing being told of the liver problem but to be hit several weeks later with the news I have cancer was a double whammy.

I underwent a partial Nephrectomy on the 16th March ,a date I will never forget. It was done with the Da Vinci Robot. The surgeon was fantastic however the after care in a "top" London Hospital was appalling to say the least. My family found the money to pay for this operation due to the fact the tumour was growing and we could not seem to get a date soon on the NHS. I wont name the Hospital on this public forum but im sure the treatment in an NHS from what I have experienced would have been far better.

I would like to ask those of you that have had major surgery ,is it normal for the patient after the surgery to be told to climb from the operating bed/trolly on to the hospital bed with drains,tubes,catheter attached? That was what I was told to do straight after the operation back in my room.

The next day the catheter stopped working because a nurse decided to strap one to my leg rather than leave the bottle on the floor. and it seemed to cause a vacuum , The kidney drain came out and had to be replaced, Blood seemed to flow back up the Morphine tube! The drain bag was put in bed with me at one point and seemed to have collapsed like a punctured football. How can anything drain into a bag like that? This was my first visit in Hospital and I could go on an on about my stay. It just seemed to lack professionalism . Day staff ok but the nights were quite frightening to say the least. Quite what would have happened in an emergency I don't know. Someone was ment to come in and show me how to get in and out of bed and what gentle exercises I needed to do ,a physio  I guess? But never saw one.! No one seemed to be in charge.Dreadful place.

I am 11 weeks post operation and as per my heading , I am still in loads of pain in my stomach area.I cannot lean forward to put a left sock on without it feeling like someone is putting a knife through my belly lower region. My chest is tight and there is a burning sensation most of the time. The areas where the incisions all six of them are sore and swollen.My stomach is still bloated even with 10 lbs weight loss. I can only just drive as it was too painful to press the clutch down. I cant even open my garage door,its up and over and too heavy. My ribs at the ends hurt. Constant aching . I can walk and stand but sitting down and getting up again really hurts. Its like something is tearing in my stomach or something has been stitched to something that needs to move freely. Anything which squashes the stomach towards the thighs caused a lot of pain.

After several visits to the

The GP suggested they might have left an instrument in side me!  So I was x rayed and told I was very constipated and that was causing the problems. That was about 6 weeks ago now.

Another x ray and its not really showing anything. I think I am waiting for a CT scan,the GP has written to the surgeon but still not heard anything.

I cant wear trousers or jeans if I have to sit down without undoing them because its agony on the places where the incisions were. It seems to be worse where the drain was which is interesting.

Its trakky bottoms for most of the time which is so not me.

Now the operation is over and im still alive ,friends seem to have all dispersed, with the theory and attitude "well you don't have cancer anymore its been taken away" All over ...move on ! If only they knew half of it. And if I had a £ for every time someone said "im there for you if you need me" what a load of old tosh! Talk is cheap ,very little action when you really do need help. Please tell me im not the only one who thinks this or experienced this?

So I am at my wits end ,I am unable to work anything other than some computer work but after a while its to uncomfortable to sit at a desk because the stomach is squashed .

Tasks like bending down to pick up a towel or even standing at the wash hand basin leaning forward to wash my face is painful. This should not be the case after 11 weeks post surgery. I followed the instructions of the surgeon after the operation ,two short walks per day ,keep moving around.

I feel so much is wrong inside me and I cannot get any one in the medical profession to give me an answer as to what the problem is . I keep asking ,getting appointments ,being prodded and examined but still no answers. I cannot continue to live like this . Im even told i need counciling ! I just need to feel normal again or at least feel like im improving day to day. I feel like a Frankenstein experiment..I am at the end of my tether feeling so rotten all the time day and night.

No one has any answers.

I have read on here some peoples experience with this operation of virtually being house bound still after about a year and I can fully understand and sympathise

I really think as  patients we should be made more aware of how serious and complicated and the possible outcomes of this operation and not to expect a fast recovery all the time. Its far from straight forward and fraught with possible further problems.

We have all heard people say they know someone who "was playing football after a few weeks of having it done" nothing to it , "you can live easily with one kidney" All I can say is they haven't experienced anything like this.

I really would love to hear if anyone else has experienced similar to me and what was the result ?

Thank you for reading.

  • FormerMember
    FormerMember

    Hello, I was reading your post which was helpful to me didn’t realise thou it’s two years on since you wrote it!!!

    I do hope you are on the mend now.... please feel free to chat even if it’s only a rant!!!

    I’m 5 weeks pist op that’s after right still having to take high doses gabapentin..... if I don’t can’t walk... would love to know how you got through and a catch up on how you are today!!!! Well I hope and much better, take care x

  • FormerMember
    FormerMember in reply to FormerMember

    Was this specifically to me?

    Happy to chat. 

    Cellogirl

  • FormerMember
    FormerMember

    Hello,

     I hope you are doing better since reading this.

    I too have had a kidney procedure involving a Partial Nephorectomy for Cancer of the Kidneys, in the United States. 

    Since my procedure 10 years ago, I have suffered with chronic pain issiues directly related to the procedure. 

    Weeks after the procedure my condition was not improving but instead I was experiencing pain in the flank area of the procedure. Stabbing pain, a sharp plucking feeling and extreme pain the more physical I became. Lately, spasms. All in the flank area. I was told it might be a hernia( It wasnt) . I was told it was in my head( pain is associated with nerves that go to receptors in the head, but pain is an indication of damage of nerves, so no and yes to that) . I was told it would go away( it didnt). 

    I was lied to. I was NOT told that sometimes, when nerves are severed, they do not reattach and the muscles no longer function. This is called Atrophy. That is why you have a huge bulge. Also, scar tissue can attach to the lining of your stomach area, whenever that scar tissue is irritated by being pulled on, it can cause extreme pain. 

    I have been on pain medication since the surgery.

    There is no fix to our problem.

    I am now on disability due to the pain issues.

    I hope you are doing better.

    I suggest anyone that gets any procedure involving a kidney surgery of any kind, have them explain EVERYTHING, including the risks of permanent nerve damage, scar tissue issues, Atrophy of the muscles. 

    Doctors do not cover these issues. Period. 

  • FormerMember
    FormerMember in reply to FormerMember

    Oh. My. God. Mr. Username, your post nearly made me cry at the potential prospect of this degree of lasting pain. I'm still not feeling back to myself at 11.5 weeks, and my doctor tells me that is definitely not normal. He suspected a pseudoaneurysm, which was ruled out at a follow up CT scan. He also does not understand why I have pain at the large incision site upon doing a straight sit-up (he tested me in the office, I thought I was in middle school gym class again). I simply cannot engage my care without incision and flank pain. Doctor did the CT scan, ruled out the major stuff, so I'm just left with, basically, "I don't know what else to tell you." 

    Yes, none of this was known in advance, and I suppose many many many people have uneventful full recoveries, but I came to this site in part to convince myself that I wasn't crazy. What a choice we have: possible permanent pain, or cancer. :/

  • FormerMember
    FormerMember in reply to FormerMember

    Hello,

    It has now been about a month after surgery and most of the pain has improved but I'm now experiencing the flank pain. It feels like my kidney is just aching and spasming. Not getting any pain relief from the tramadol they prescribed for me and they don't seem to think I should'nt still need pain meds. This has been a horrible experience and I just wish to return to normal. I am the sole provider for my family and I financially need to be able to return to work but physically I know I cant do it yet. I feel like people who were here to support me and help are getting tired of it and feel like I'm just exaggerating the pain because I'm being lazy. No one seems to understand that even if I'm not having pain in this moment I know soon as I get up and start doing stuff the pain will begin and there is really no relief once it does. I also have a burning/numb sensation on my abdomen. The doctors said that is nerve damage and could never go away. They definitely did not inform me of all of this before hand. I'm sorry to hear that you are still having pain. 

  • FormerMember
    FormerMember in reply to FormerMember

    Hi

    It's -or can be- a delicate balancing act with nerve damage pain; I'm of the opinion that opioids like tramadol and the undoubtedly heftier longtec/shortec can be brilliant if controlled correctly. But these drugs will be highly addictive, so one question that is important is -- do I really want the possibility of being 'hooked' on what are Class A  restricted drugs in GB, even if they work great at first. At first...

    And that's the thing really. Do you want the dependency AND the painful effects of the initial disease. If so, you and your GP must be on the ball with frequent med reviews and what-have-you. Some would rather cope with the pain than 'befriend' opiates in the first place.

    God bless, and give it some thought.

  • FormerMember
    FormerMember in reply to FormerMember

    Hello,

    Welcome to the chronic pain club. I am sorry beyond words of what you are going through. 

    I went though the same BS song and dance. I have a dead spot below the incision site going down my left leg. Above it,I experience spasms, snapping feelings, extereme dead feeling, chronic pain as in some one stabbing me. Sadly, it never went away. That was 12 years ago. The muscles at the site have atrophied, meaning without nerve impulses, they no longer work and when I stretch it feels like someone is tearing my body apart. Just in that area. I get swelling internally and my pants get tight. I have to lie dawn and get the swelling to subside. I was told scar tissue has attached to the lining in my abdomen and that creates the pain. I do know nerve damage has resulted. I heard the same crap. Its in your head....You have a hernia.....I had a doctor actually do an exporitory surgery for a possible hernia. instead he found a mess. He told me he couldnt repair it and said it would possibly put me in a wheel chair if he hit a nerve. I have been on disability since then. I couldnt deal with the pain and am on opiod medication. I have talked to many others reguarding this same procedure. The fact stands, those undergoing kidney surgery are at risk for damage due to scaring, damaged nerve endings and atrophy of affected flank musclesAs I stated. I am sorry this has occured to you. I was 50 when it happened, I had a spot of cancer on my kidney that mabe I should have just left go, who knows. eather way, whats done is done.

    I did qualify for disability after getting an attorney to represent my case. I can do limited things, mostly whatever my body lets me, to a degree. I work on small engines as a hobby and sell them to buy RC airplanes.

    It was recommended by my Attorney to find a hobby.

    Well, just take life one day at a time. There is no fixing your issue. I do know that.

    Take care.

    Sincerly,

    Scott Firman

    sfirman9@gmail.com 

  • FormerMember
    FormerMember in reply to FormerMember

    Well, hello.

    "There is no fixing your issue ..." doesn't sound like help and support, now, does it? Which is the primary point of these fora. There is -always always- a way to accomplish anything, given enough willpower and, of course, time. Pain Clinics in this country do a fantastic job, for example. I'm sorry for your own pain, truly, but posting that there's no fix isn't necessarily the case.

    (Btw, crafting engines is pretty smart, I recall my 1/20th scale Klimov, now long destroyed. : ( )

    Forza.

  • FormerMember
    FormerMember in reply to FormerMember

    Re; Balancing act,

    I agree with you concerning the pitfalls of being dependant on drugs to manage pain. 

    I cannot argue with anyone that would choose to not take any kind of drug to deal with chronic pain. however; Lets be realistic also.

    If all attempts to mask,or subdue a chronic pain issue that greatly affects the life style, everyday way of living for a subject to the point they require a wheel chair or must greatly limit their activities, the choice of opiods should still be offered as an option. 

    Allowing the government to dictate what medications work best for pain management due to a past practice of abuse by doctors or patients where as some actually benifit from that type of pain management.

    No two patients are alike as far as ability to tolorate pain and each patient should be handled on a case by case situation as to what methods of pain management, be it neurostimulation, or opoid medication.

    By dictating,or limiting medications due to media hype, past abuse practice, or whatever , the ultimate choice should be the comfort level as described by the patient.

    Not the physician.

    Consistant monitoring of the patient is recommended, and in most cases manditory. 

    My grammar may not be great as far as this writing, but the message is conveyed as intended.

    Thankyou for your comment.

    Sincerly,

    S Firman

  • FormerMember
    FormerMember in reply to FormerMember

    Hi, 

    Since this decided to not work as to my last comment, I will simply add; Every patient is different concerning what works best for pain management.

    I myself have already run the gammet of neurostimulators, physical therapy  and the like.

    Deciding on which pain managemet works best should be between the patient and the pain clinic. 

    I will not rule out any method that works best for any patient.

    The point is. Chronic pain resulting from any Kidney procedure is a real and life changing issue. It is NOT in the patients head.

    It is a real problem and requires REAL treatment.

    That is my take on this issue.

    Sincerly, 

    S Firman