Multiple Myeloma new diagnosis. Excess fluid, infection, fever and pain.

FormerMember
FormerMember
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Hi All

My Dad was rushed in to hospital in mid May with excruciating back pain. He had a sore back for approximately 6 weeks prior. Scans discovered a compressed vertebrae which ultimately led to Stage 2 Multiple Myeloma diagnosis. 

He was in hospital for just under 6 weeks. It was torture for everyone but especially him, obviously.

His treatment started - VTD. On his 3rd and 4th outpatient visits for his Daratumumab and Velcade stomach injections his tummy leaked fluid from the injection sites shortly after and lasted few hours. Anyone else experienced this?

Dad has severely swollen legs and tummy. He's gone from a large t-shirt to 3XL for comfort and 5xl trousers in few weeks. 

I rang the hospital treatment helpline and told them I was concerned. We went through questions and answers which led to them asking for him to pop in for a check up which much to Dad's disdain led to readmission

His consultant says that my Dads Heart, Liver and Kidneys are good but he has no explanation as to the extreme fluid build up. They have done an MRI and CT scan. 

My Dad also now has possible cellulitis so they are increasing his antibiotics to stronger ones and trying to bring his temperature down. 

They are talking about the possibility of getting a vascular consultant's input. ( I wish they already had).

Also, Dad has a new severe 'shock' type pain in his shoulder but supposedly nothing is showing on scans or x-ray.

I have been in the room and witnessed the sudden cry out in pain and he embraces or freezes in position scared to move his shoulder. There is clearly something wrong.

Very worried about the fluid and the pain.

Grateful to hear of anyone else's experience with severe edema and possible cellulitis/infection. 

They have put Dad forward for Stem Cell Transplant but we are months of that us the other hospital who will carry it out has to approve first, closer to the time.

Stage 2, I was told 3-5 years however community palliative team have said could be last year. I'm confused Disappointed relieved

HeartbeatSorry that we all have to be on here in the first place but I'm glad there is somewhere to talk as I'm struggling but can't tell anyone. I have to keep strong for my parents. 

  • Hello Tearful.   I am sorry to hear about your Dad’s diagnosis and it sounds like he’s having a rough time at the minute.  I was diagnosed last May 2020 I am a specialist Fracture Trauma nurse and I thought I had pulled a muscle in my back…… how wrong was I!!,  I am now waiting on a Stem Cell transplant. That’s just a brief introduction to me but I think your dad has probably got cellulitis due to the treatment and if I were you I would push for further investigations regarding the build up of fluid……. That must be so uncomfortable  sometimes we have to take a stronger approach to the medical profession and insist on another opinion especially if your Oncologist doesn’t know what’s causing it. Also I would ask for a referral to an Orthopaedic physiotherapist regarding his shoulder. They are very experienced in diagnosing shoulder conditions and can give the appropriate treatment. He might even benefit from a steroid injection. He is your Dad so go an push the medical team for some answers. Always have your questions written down for you appointments and don’t ever feel rushed during those appointments. Don’t leave until your happy with the advice and answers you’ve been given.  The Clinical Nurse Specialist in Haematology should also be on the top of your phone list and ask to see them. They really can be invaluable.   I wish you well and I hope your Dad gets ease xxxx

  • FormerMember
    FormerMember in reply to Mardan

    Hi Mardan, thank you for your reply. XX

    I hope your stem cell therapy isn't too long a wait. 

    Thank you for sharing the fact that you are a fracture trauma nurse and still thought you had pulled a muscle in your back. I told my Dad that so he didn't feel alone. 

    Turns out that Doctors are thinking it could be the Pregabalin that is causing the excess fluid so they are weaning him off that to see if it helps. Fingers crossed Fingers crossed alas he is in a lot of pain at the minute while they do that. They haven't said what will replace it yet.

    I queried the shoulder with the Dr. They said they believe it to me nerve pain that should settle itself and if it doesn't after 6-8 weeks they may consider steroid injection. 

    He got discharged yesterday and we are so glad he is home but he really is in a lot of pain. Thankfully palliative care nurse is due out on Friday.

    Thanks again XX

    Wishing you well!! 

  • Hello Tearful.  I am sorry you Dad is still suffering. But it’s good to get him home. People do much better in their own environment. Yes Pregablin could be annoying him, sometimes the drugs are more trouble than they are worth and it takes time to get it right. I had quite a few side effects from all the stuff I was prescribed in the beginning.                When  I was an inpatient I had severe rib pain. It wasn’t bone pain and they put it down to maybe nerve pain. I was given Lidocaine 5% patches. They are 15/15 cm and covered a fair amount of area. They were very effective. They stay on fo 12 hours. Could this be an option for your Dad. 6-8 weeks is a long time to have that amount of pain. You might need to persist and ask for justification if they don’t want to prescribe. Your Palliative nurse should be able to help. I hope things get better for you all.       Every Best Wish xxx

  • FormerMember
    FormerMember in reply to Mardan

    Hi Mardan

    Believe it or not he is already on those patches

    They increased his Longtec last night so hoping it helps. 

    If he didn't have the back pain he could cope so much better. 

    A compressed vertebrae obviously takes a very long time to heal. His consultant said he might always have pain in his back.

    Xx

  • Hello Tearful.   It was just something I remembered after our texts. Hopefully he will get some relief soon. I will think of him and please don’t hesitate to ask if there’s anything I can do to help. You can even vent your frustration as it’s so hard on all the family.    Take care xxx. Joanne

  • Just check that when they did the MRI that it included the shoulder too. My mum has light chain myeloma (diagnosed in February) and from before and after diagnosis had literally months of severe left hip/leg pain and was told it was nerve pain, meds kept increasing (causing their own problems including legs swollen like balloons) and it eventually got to the point she couldn’t walk or stand, culminating in a fall in May causing her to fracture her pelvis/acetabulum- this actually prompted an MRI and it showed a huge myeloma deposit that had been causing the pain, softened the bone and deformed the hip socket. Radiotherapy to the area has worked wonders, lots of meds stopped and the treatment is bringing the light chain count down massively. Sometimes it’s difficult to see there will be a way back from situations when they are so bad (I know at one point I genuinely thought it would never improve) but hopefully things will get better over the next few weeks for you and your dad.