Hi, I'm a 57 year old woman who developed severe symptoms of interstial cystitis, a benign condition, in my late thirties but despite haematuria it took 6 years to get a cystoscopy and immediate diagnosis of end stage IC with a severely inflamed, scarred and shruken bladder. It was too late other than to have surgery, a complex type of urostomy to bypass my bladder. I also developed major bowel and temperature control issues at that time and awful pain which wasn't treated so has become chronic. I had further surgery last August to remove my bladder, internal urinary reservoir, and to detach the adhesions what had been causing problems and to give me a new urostomy. I became very unwell and required further hospital admissions which to be honest were so bad I'm refusing ever to go back in. Just prior to this I received an early stage invasive ductal cancer diagnosis which apart from the inconvenience of it all I couldn't have cared less about it as by the time I was due to have radiotherapy I was so unwell with the so called benign stuff it seemed completely insignificant. The unwell feeling has continued. I'm absolutely exhausted, feel sick constantly, lost too much weight which I'm really struggling to gain, feel really weak and chronic pain has started to affect other areas. I've been a really bad sleeper forever but even with the exhaustion I'm completely incapable of sleep now. That's along with new balance issues and falls. For some reason I've become so intolerant of the cold that I'm now reluctant to go out alone as I become drowsy and disorientated and acutely unwell. My daughters are concerned it's a cardiac issue because I look badly cyanosed. Some of this was initially blamed on anaemia which it turns out I'm not. This doesn't need to be outside, it happens just as often at home if I'm feeling cold or if I'm changing clothes. I stopped the Letrozole prescribed to lessen the risk of return of breast cancer because it retriggered hot flushes which alternate with the freezing spells so if I even bother going to bed at night my bed ends up soaking, then me freezing again. This goes on a lot during the day but dozens of times overnight. I strongly suspect I have sjogrens syndrome. I'm at increased risk of due to IC but because it only really seemed to cause me oral and eye problems over the years I basically ignored it. A year past in November my pain became much much worse and I seem to have developed many more sjogrens symptoms since then although also realised other common ones I'd also had for ages. I saw my dentist recently and she noted the dry mouth, sores on my tongue and oblivious to me the bleeding cracks at the side of my mouth so has referred me onto the dental hospital but that's likely to take forever so I've decided to go private rather than via the NHS. My husband has been supportive to some extent, mainly when I become unwell because I'm too cold but thinks because I'm doing the housework I'm getting better rather than it's because he doesn't do it so I don't have much option. I've spent most of this week trying to lie comfortably on top of my bed because I'm feeling so unwell and as if I'm getting worse. The more recent symptoms I've been having are concerning me that I may have non hodkins lymphoma. I haven't mentioned this to anyone and am trying to tell myself I'm being overly anxious but struggling to find another explanation for why I seem to be deteriorating so much rather than getting any better. Has anyone in the group developed Sjogrens following an IC or other autoimmune disorder and then go on to develop non hodkins lymphoma or anything similar? With thanks, Morvern
Hi Morvern and a warm welcome to this corner of the Community although I am always sorry to see folks joining us.
I am Mike and I help out around our various Lymphoma groups.
I am so sorry to read your story, you have had a hard journey to navigate over the years.
Obviously the only people who can help pinpoint if you have Sjogren's Syndrome or any the 60 types of Lymphoma are your medical professionals.
The common Symptoms of lymphoma can often be the same as those for many other health conditions including autoimmune disorders.
Having Sjogren's Syndrome is indeed listed in the Causes and risk factors for lymphoma and having this condition would make someone 5 time more susceptible to developing Lymphoma than someone who has not the condition..... but it is still rare for this to happen.
Over the years I have been helping out on the Community I think I remember one person report this but I have no idea who or when that was.
You need to keep working with your health professionals to find out what is going on....... but the Diagnosis of Lymphoma is rather straightforward in that it requires a biopsy of any areas of concern.
Always around to help more or just to chat
Hi Mike,
Thank you for your reply Mike, it's much appreciated.
I know I'm very likely being overly anxious but had a tonsillectomy in a rush a few years ago because of suspected malignancy. I have had a lot of spells over the past few years where weight loss has been a problem as I have frequent bouts of oral sores, oral thrush and severe pain at the back of my tongue, tonsil area and throat on the left hand side. Of course these are common symptoms of sjogrens as well as of over conditions and not specific to lymphoma. They do make swallowing really difficult and I'm awful for choking as well as struggling with speech at times and my voice is very often hoarse or nasally. Fortunately my tonsils were benign and it would appear that I have some sort of trigeminal/glossopharyngeal neuralgia causing the pain. This was my GP's suggestion. ENT had decided to refer me on to Orthodontics but for whatever reason each time I attended my appointments they had referred me back on to cancer services in error. Anyway I finally spoke to the person I was supposed to have seen via Zoom just as we all went into lock down at the start of covid. He was very apologetic about all the mix ups and commented that the department who had dealt with me were basically incompetent and that he had already lodged a formal complaint of negligence as he was very unhappy with the standard of care I'd received and I should have had further investigations done urgently. He then referred me back insisting I was seen as soon as possible but needless to say I've heard nothing as they've obviously discharged me. I think I'm anxious because I've recently developed collar bone pain which extends up the left hand side of my neck and the mouth pain has flared up badly again. I have some painless swelling beneath my chin extending down the left side too. I'm trying to put the collarbone pain down to a side effect of radiotherapy but have had swollen lymph nodes just above my collar bone for a few years too. I had mentioned this to ENT but to be honest the Consultant basically scoffed at me and said what do you expect, you're slim that's why they're obvious. I did mention these to the breast surgeon when I initially saw her and she said they were very unlikely to be due to the breast cancer, had I not had my tonsils removed already then that would have been a potential site for malignancy. As I previously mentioned my recovery from the urology and bowel surgery hasn't been going well. I've had lots of problems including sepsis and bowel obstruction which were not dealt with well at all. I've had major surgery in the past but never felt as ill as this. Recently my mood has been awful because although life's been pretty difficult and I've had severe pain for the best part of 20 years I've always been a fiercely independent or to be more honest a really stubborn person all my life. I worked as a staff nurse for almost 30 years but had to take medical retirement 9 years ago. As a child and teenager I always had a lot of responsibility in caring for grandparents and an extremely manipulative mother who used ill health to get her own way all the time. Because of this I was hell bent I'd never be like her and I never accept or ask for help from anyone so possibly in some ways I'm my own worst enemy. I've been so frustrated and to be honest angry at myself because I see my inability in being able to return to the activities I really want to as a weakness and I'm at the point if I don't start to feel a bit better soon I don't know how much more of this I can put up with. As I mentioned I've opted to be seen privately and have made an appointment with a Consultant Rheumatologist at the end of the month. I received an NHS Dental Hospital update letter yesterday which to be honest was basically a lot of waffle confirming that dental services are still seeing so few patients they can give my no idea at all of expected waiting times. I have a GP but haven't even bothered mentioning any of this to him because I have no access to Urology care whatsoever now and no Gastroenterolgy care near home either as the surgery had to be done outwith my area because it was complex. The plan was then to transfer my care back to my own area but yet again I've been told they won't accept me because it's all to complex. I'm so sickened or to be frank, as a retired nurse, disgusted with the standards of NHS care, especially in my local area that I've already made the GP aware I won't be seeking help if required. The Oncologist recently discharged me from cancer services although I'll still be booked in for yearly mammograms and to see the surgeon a year post op. She did say she wouldn't expect to see me at the hospital again but that my MDT will obviously monitor me very closely so any problems would be flagged up quickly. Since I don't and never have had a multidisciplinary team it's all a bit of a farce.
Kind regards,
Morvern
Hi again I am sure that uploading your journey on this post has in some way got it ‘out there’….. I find it helps.
Honestly there is nothing much I can suggest or add as although my incurable cancer journey is soon to go into its 24th year the care and attention I have received from the multiple departments I have dealt with over these many years has been short of amazing (see my story using the link below)
I will say that I have always found talking face to face with others helps a lot so do check to see if you have any Local Macmillan Support in your area, do also check for a local Maggie's Centre as these folks are amazing.
Wishing you all the very best and I am always around to listen but may not have answers ((hugs))
Thanks for replying to me again Highlander,
Apologies for going on a bit especially when you've had such a difficult time and yet provide help and support for others.
Wishing you all the best, Morvern.
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