Although I know it is rare; I thought it might be useful to share this, so that if you have the symptoms, you can rule it out. IT IS RARE, so please don't get alarmed this is for info.
I am on Tamoxifen and Herceptin and have terribly tiny veins - hence a port-a-cath was fitted.
After my cancer came back in my recons. breast (within 6 mnths), I had some more nodes removed and developed lymphoedema (in September this year). The lymphoedema suddenly flared up last week and I went to two A&Es (useless) called my lymphoedema specialist, but couldn't find anyone who had a clue or had got time to see me. On the offchance I walked into the breast clinic and amazingly, my breast care nurse 'found' my surgeon on his way back from lunch. I was given antibiotics. After 3 days it looked a bit better. It looked a bit bluish, but then it had done for a few months, and over the months everyone (lymphoedema nurse, physio, Macmillan nurse, oncologist) put it down to my bad circulation - and it wasn't that blue.
So, day 4, I got a call to say that my surgeon wasn't happy and wanted me to have an ultrasound.
Had the ultrasound on Monday. I was admitted to hospital immediately, put on a blood thinning drip. I had the portacath removed yesterday and am on injections and Warfarin; staying in over Christmas for regular blood tests to ensure the clot is dispersing safely. And also to be near the cardiac team in case.
So, all this time I have been doing exercises, wearing my sleeve and glove. It all seemed logical, but all I keep being asked why I didn't make more fuss about the pain. But girls, you will know that you get used to it and I assumed that this is what lymphoedema felt like.
My right bicep was 38cms, whereas my left was only 28, but again, I just went and got another sleeve fitted. (That fact alone makes me laugh, as WHY didn't I make more fuss? but we just don't as we get so used to things)
The vascular specialist has put the clot down to the foreign body in my thin veins and Tamoxifen - but, not helped by the compression sleeve. He doesn't believe I have lymphoedema.
Bad luck all round really. Anyway, I'll be fine now, but just wanted to share as I've never heard of this before, and thought you should know. The blood clot has such similar symptoms to lymphoedema and to 'cording' that I'd just accepted it.
Look out for
1. bluish tinge,
2. a feeling that there is a tight sinew from under your arm towards the hand
3. obvious swelling
4. the fact that it doesn't seem to be less swollen in the morning
5. the fact that a compression sleeve doesn't help.
A simple and cheap ultrasound will show any blockage if the operator is correctly skilled and is asked to look.
Happy Christmas and look after yourselves
(and typed with one arm!)
Annie
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