Severe bladder pain after radiotherapy

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I finished 28 day radiotherapy last Wednesday. The last few days of treatment were tricky as I had a catheter fitted and the bladder was swollen and sensitive. The catheter was removed the day after RT ended.

I now find myself in a very unhappy situation. I have not slept for four consecutive days due to the pain caused by the swollen bladder and urine infection. Strong pain killers make me drowsy but the pain still prevents me from sleeping. While I spent the night in A&E they took various blood and urine tests. It seems that my problem and the severe pain are caused by two things. Firstly, the radiation has caused the bladder to become inflamed and swollen. This will gradually subside over the next few weeks. Secondly, I have a urine infection – probably a result of the catheter. The generic antibiotic has no effect but when the test results come back it should be possible to find a targeted antibiotic which will remove the infection.

I am really not sure how to handle this. I cannot go much longer without sleep and in constant pain. I am already finding it difficult to concentrate. I hope nobody has had a similar experience but, if they have, any advice on how to cope would be welcome.

  • Hello  

    I am so sorry to read of your issues.

    It's a medical issue and you have to trust the team dealing with your issues. All I can suggest is you keep in touch with them, confirm you are still in pain and need something to get you to sleep. 

    Do please let us know how you get on.

    Best wishes - Brian.

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  • Firstly, what  says is the best way.

    I cannot speak to your position directly, but I can relate to the pain situation due to my encounter with severe, unrelated, back pain immediately after radiotherapy.

    It seems to me that, whilst waiting for the right antibiotics, your team need to treat the symptoms and manage the pain effectively. From what you described they are not yet doing that. I am not too surprised because, from experience, it is more art than science. It seemed to be, albeit for a different cause, they had to offer something and then watch what happened.

    If the painkiller isn’t you have been prescribed is not doing the job, then you have to find one or two that do. A word of warning here - the painkiller that was most effective for me took 14 days to build up. This should not be a problem for you, because your pain is caused by infection.

    I suspect that, when the test results come back and the correct antibiotic is found, then your situation will change quickly. Keep on at them until it does.

    Steve

    Changed, but not diminished.
  • I am pleased to say that the problem has been resolved. For the benefit of anyone reading this post, this is a brief summary. It was wrongly considered that I did not need a catheter as urine retention was insufficient to justify. This proved not to be the case and for over 4 days I was operating with a full bladder and no way of getting any relief or sleep. A new catheter has now been fitted and the relief from the intense pain has virtually gone - although I am still behind with sleep. I wish to say that I have the highest regard for all medical staff who continue t look after me and are very attentive and caring. These things happen - but I hope it does not happen to anyone else. Best wishes.

  • Thank you for your helpful comments. Please see my follow-up. Best wishes

  • Hi  I hesitated to say anything but I was in severe retention after only 4 of my 20 fractions of radiotherapy and was catheterised in A&E after suffering extreme pain such as you describe.

    I hope that the relief becomes even greater for you as the days pass. My nights became easier when I disovered the 2-litre night bags that attach to your leg bag. I get some via my urology department but I've also bought some online.

    I hope your recovery is swift and complete.

    Chris

  • Hello Chris ( 

    I do hope your situation is improving.

    I've also bought some online.

    Let me know if you need any more - I have about 3 month's worth of short thigh bags and about 3 months worth of night bags if you need them.

    Kind regards - Brian.

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  • Brian, that's really kind. I have several tests before the end of June which should tell me what I need. Can I come back to you later about this?

    Chris

  • Chris ( 

    No problem at all - No holidays planned until late August!! Slight frown.

    I hope you don't need them and things improve.

    Kind regards - Brian.

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  • Hello Chris. I am truly sorry that you experienced similar pain due to retention but pleased that things are getting easier for you. Like you, my discovery of night bags made a huge difference. The whole process is totally alien to me but we all cope as best we can. Being able to get up less frequently at night certainly improved my time asleep. Thank you for your good wishes which I reciprocate. Roger