Blood transfusions

FormerMember
FormerMember
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Hi

My mum has stage 4 lung cancer. She's had chemo and after 4 cycles her tumours shrunk well. However through chemo and now she's having ongoing aneamia and needing blood transfusion every 2/3 weeks varying between 2/3 units. 

Has anybody else experienced this? I don't understand how she could have such a positive response to chemo but still be having such difficulty as she's quite symptomatic with shortness of breath had dizzyness.

We are waiting for haematology review but does anyone know if there are any other things that can be done to support? Can she have a regular lower amount of blood transfusion as we always see to find out when it's urgently needed and then have trouble getting appointments quickly.

She's a candidate for immunotherapy but will they consider this with ongoing anaemia?

Sorry for lots of questions. My mams a fighter after being diagnosed at Easter but she's starting to get quite low and as a family we are at a loss of what we can do. Any thoughts/advice welcome. Thank you x

  • Hi

    This is a relatively common side effect of chemotherapy (and also radiotherapy), so don't worry about it.  The drop in the red cell blood count does happen very quickly after the chemo cycle, so the transfusion is needed at that time.  As with all chemo side effects it is a lottery as to which, if any, can happen to a person. She is not doing anything wrong and unfortunately there is nothing you can give her to stop this from happening. The low blood count will be lowering her mood.

    I too had this side effect, and my blood counts started to drop after the first cycle and never fully recovered during the chemo cycles. After both my 3rd and 4th cycles I needed blood transfusions; 2 units at each session.

    The 'good' thing was that after the events of the 3rd cycle I knew that this would happen again, so ahead of cycle 4 I mentioned it to my Consultant and the very much needed blood transfusion was booked in advance. So if your Mam has any further cycles of chemo, then ask that the blood transfusion sessions are booked in advance.

    I hope this helps and I wish the best possible outcomes for your Mam.

    Kegsy x

    "If you are going through hell, keep going" ; Sir Winston Churchill
    " Cancer may take my life; however it will not become my life" Kegsy August 2011
  • FormerMember
    FormerMember

    Hi MrsUzi 

    Sorry to hear your Mum has on going problems. My bloods drop too and to counteract this we organised injections to get the bone marrow working to replace them on the fourth day after treatment.

    I can see you have said she has completed her treatment and usually after a month they should keep improving. I would suggest asking her team what is the best management or anything they can do. It does seem though that now it's stopped and time will pass it should hopefully sort itself.

    Re you saying why seemingly good results but so many side effects. Chemotherapy aims to attack rapidly dividing cells, but also will attack the cells you don't want. A good response on tumour reduction can mean you get the unwanted side effects but usually it's a sign it is doing what is needed.

    I don't think they will do regular more often unfortunately. I had my first blood infusion yesterday. They tested them in the afternoon they were just ok at 10.5, they retested them in the morning and I was anaemic needing the transfusion at 7-8,  so when they plummet, it can be a sharp fall within hours.

    I am due to start immunotherapy after this type of chemotherapy and as I said, I knew I would likely have blood issues, my oncologist never said anything about that meaning I wouldn't be offered the immunotherapy (though I never specifically asked that question). Your team would be best to answer that , but I doubt it would mean she couldn't have immunotherapy as a treatment.

    Good luck with it all.