Pains after pleurodesis - 1272292

dando
Posts:11

My wife have NSCLC Adenocarcinoma stage IV.
She had accumulation of pleural fluids, was treated with PleureX for a few months but the accumulation of the fluid did not stop (~250ml /day).
So the Doc suggested talc pleurodesis with the promise of good life quality. After the talc procedure she began to feel accelerating pains. Accordingly she is treated with higher doses of pain medications (Opioids).
The doc says that the source of the pain is the adhesion layer
I do not get an answer to the question- How long will it take to heel?. Is it a chronical pain or there is a process of heeling and after a certain amount of time the pains will begin to fade away?

Dan

Forums

catdander
Posts:

Hi Dan,

I hate to hear from you that your wife is experiencing pain from the pleurodesis. The pain is common after a pleurodesis and can be expected to subside as the inflammation subsides.

Dr. West explains,
"There are complications ...fever and pain are also commonly seen. In light of the fact that the procedure is deliberately causing inflammation, fever and pain are not especially surprising complications." http://cancergrace.org/lung/2007/03/18/mpe-managment-options/

In another discussion about talc pleurodesis Dr. Jed Gorden explains,
"Things that you can expect to experience — oftentimes, people experience a fever, and oftentimes people will experience pain. Now, we don’t enjoy giving people pain, but we do hope that this inflammatory process, while it’s sticking, is creating a lot of activity, and that activity can cause the fever and the pain. So, make sure that when you talk with your physician and the nurses, that you’re not afraid to ask for pain medications. What we ask is that you don’t use anti-inflammatories, like ibuprofen or steroids, because these may inhibit the ability of the two lung surfaces to stick together." http://cancergrace.org/lung/2015/08/10/gcvl_lu-cc04_managing_pleural_ef…

I hope this is helpful and quiets concerns of chronic complication. Of course if it doesn't get better let your doctor know.

All best,
Janine

jayrogers1306
Posts: 12

Obviously, the surgery was very painful, especially after getting out of the hospital and being put on very few and very weak painkillers. I was virtually incapacitated for another week though you could go out and do some small grocery shopping and such to forgot it.