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Anxiousinlondon
16-08-17, 00:01
Hi all, first time poster here, very glad to have somewhere to talk about this stuff. Sorry if this is a bit long!

I’m 32, male and live in London. Non-smoker (have never smoked, but grew up around smokers - thanks mum and dad!). I have had one episode of health anxiety before, about ten years ago, when I was convinced I had HIV. (I didn’t.) I know first-hand how debilitating HA can be. I’ve also been browsing already in relation to the issue I describe below and people’s posts here have generally been so thoughtful and kind that you have already helped me to regain a bit of control and perspective.

Anyway, unfortunately I’ve been having another HA episode in relation to symptoms that have been going on for some time, and I’m finding it very difficult. I can’t stop thinking that I have lung cancer and that I’m going to die.

In short, I went to A&E in May 2014 (3 years and 3 months ago to be precise...) with chest pain. I woke up in the middle of the night and thought I was having a heart attack. It felt... weird. Pain between the ribs and deep inside my chest. Scary. The doctors took my symptoms and did an ECG and a physical examination and told me, based on their observations, that I was not having a heart attack and the problem was most probably muscular. I had been going to the gym quite heavily for a few years and had stopped about a month before this incident because I hurt my lower back. The doctor palpated the space in between my ribs quite hard, which seemed to provide some relief.

Since then, I’ve had episodic recurring chest pain. The symptoms haven’t really changed since I went to A&E originally. It’s usually on the left side of my chest, and the position of it isn’t always consistent as far as I can tell. Sometimes it feels close to the sternum. Other times it feels closer to my left nipple. I’m also fairly sure I’ve had twinges of it across the right side of my chest. It is usually between the ribs and feels quite... deep?

To be honest, I was quite happy with what the doctor at the hospital said and the occasional twinge didn’t really bother me. Nevertheless, I did go to the doctor again about 18 months ago (can’t remember precise timing) and repeated the history etc and was examined, and she seemed pretty relaxed about it. Nothing further was done, no tests or anything. That was that.

Pain continued on and off (I don’t know timing because I just wasn’t keeping a note of it - maybe once a month, for a couple of hours?) and I had a recent episode during a holiday in France, which led me to seek further medical advice (I told my other half who suggested it...). The doctor suggested it sounded respiratory and that I could leave it for a few weeks and see if it improved. I suggested I’d like a referral or an x ray and so she referred me. I have my appointment with a thoracic/respiratory/lung cancer specialist on Friday. (She didn’t assign me to him - my health insurers just found me the earliest available respiratory physician appointment). I should also mention I have asthma, diagnosed about 15 years ago. My asthma is triggered by anxiety. It has, at times, been poorly controlled. I have therefore had episodes of breathlessness and asthmatic symptoms.

I have no other symptoms.

For some reason, the reality of having an appointment with a specialist set something off in my mind and now I am convinced that the only thing this could be is lung cancer. My grandfather died of lung cancer about 5 years ago (he was in his late 70s and had been a heavy smoker from the age of 12 - seriously). I did the foolish thing of consulting Dr Google (I know, I know) which of course has made my anxiety 1,000 times worse. I think my HA is also tied up with guilt and I feel like I would deserve to get sick because I didn’t take enough care of myself for probing what the doctors I visited said. I just... didn’t think it was that big of a deal after I’d seen them.

The thing is, in my rational mind, I know it’s sensible to get this checked. It could be cardiac. It could be respiratory. Who knows. It seems like there are some very informed people on these boards as far as this issue is concerned, and I understand (but please correct me) that lung cancer is quite rare at my age and that, assuming my symptoms at A&E were lung cancer, I would probably have been quite advanced at that point. Doesn’t lung cancer only present with symptoms once it’s fairly advanced? And if that’s right, I’d probably no longer be around to be typing this, or would at least be seriously suffering right now. I don’t know if this is right, but I also would have thought that symptoms such as chest pain and breathlessness (assuming it’s not caused by my asthma...) would not be coming and going if this was lung cancer - they’d just be constant. Whereas as I mentioned, my symptoms have come and gone over the past three years or so.

But that’s my rational mind. My irrational mind has me completely convinced that this is the end and that it’s all over. I’d therefore be so grateful for any thoughts and comments. I’m just trying to get through this day by day until Friday and so any support appreciated. I’ll be happy to update this once I’ve spoken to the specialist on Friday too (maybe happy is the wrong word...)

palspals
16-08-17, 00:51
Hi there,
Firstly, sorry to hear that you are going through this. Your story mirrors a lot of ours on here and so, you've found a place whereby people can truly empathise and understand. Truthfully, I share a number of those symptoms myself and entertained the idea of lung cancer for a day or two. What's more, I did smoke for a few years (only lightly but still). However, I realised that, some chest pain which could be attributed to so many things and some breathlessness (I have air hunger issues, triggered by anxiety- I know this because it goes away completely when I run haha) is really not enough to go by. I think it's great that you pushed for the X-Ray as I believe you need peace of mind and I am confident that's what you'll get on Friday rather than bad news. Also, it's important to push with GP's as sometimes one can walk away feeling rather dismissed. Still, I have every confidence you will be fine.

I say that because a few weeks ago I was convinced I had colon cancer. I showed MANY symptoms:
-unintended weight loss to the tune of 6kg (I got down to 49kg)
-change in bowel habits- I went a lot more frequently and often passed loose stools (still do)
-Anaemic
-Passed Blood on 2 occasions
-Awful left sided abdominal pain.

Even my GI was worried and I was scheduled for a colonoscopy/endoscopy two days after seeing her. Between the prep (no food, heavy laxatives) and the fear (I honestly thought I was going to die), I endured the worst two days of my life. Additionally, I had been told 6 months prior to get a colonoscopy due to my anaemia and had ignored it completely as I wasn't suffering HA then and am 23yo and figured the issue could simply be put down to my vegetarianism...So you can imagine how that made me feel. Anyway, cut a long story short- I had the procedures and woke up to the news that aside from a polyp and a few internal hemerhoids, I was squeaky clean. I am so glad I had it though. And I believe this X-Ray will provide the same comfort.

That being said, after you get the X-Ray and the all clear, you'll need to work on your thoughts too. I am seeing a therapist after my episode because my tendency to honestly believe the worst (even for example, when my stool test came back without trace blood, instead of being relieved, I thought, 'it's obviously a fluke sample') is problematic. I'm still in a bad mindset and have moved on to a mild pancreatic cancer fear due to pain in my left rib. It's a lot less severe but let's just say, it's keeping me from feeling at peace. So yes, have the X-Ray but perhaps also consider some therapy or even reading up on CBT online. When you're in the thick of an HA episode such advice seems arbitrary as the pressing issues seem physical, but I can honestly say that it's been helping me to an extent.

Anxiousinlondon
16-08-17, 11:31
Thanks for your kind words. Am trying to stay away from Google and just a focus on the cold rational facts. I will definitely be speaking to my doctor to get a referral for some CBT as soon as this is over (fingers crossed)...

swajj
16-08-17, 12:42
You are young and a non-smoker. The chances of you having lung cancer are almost nil. The type of pain you describe can easily be attributed to anxiety. You are right to stay away from Google. You will read about possible lung cancer symptoms and you will probably develop those symptoms. It is great that you are planning to seek counselling. Good luck.

Anxiousinlondon
16-08-17, 15:03
Thanks.

Anxiousinlondon
17-08-17, 08:19
My anxiety levels are increasing again today because I have the appointment tomorrow.
This is not fun :(

ODA_555
17-08-17, 19:51
My anxiety levels are increasing again today because I have the appointment tomorrow.
This is not fun :(
I understand your feelings. I took had a lung and stomach cancer episode this year and I saw 2 internal medicine doctors and 1 GI specialist who all told me that they didn't think I had cancer. The discomfort still is there but sporadic and moves a bit. The best way to confront this stuff is to have the professionals take a look at you. Best wishes.

Anxiousinlondon
18-08-17, 22:49
So I thought others might benefit from the consultation I had today. I met with a senior lung and thoracic consultant physician on Harley Street in London (it's the most prestigious medical street in the city). I explained my symptoms to him. He told me point blank: "There is no way you have lung cancer." I asked him to explain. He said that he's seen and treated around 1,500 cases of lung cancer in his career, and only two have been anywhere near my age (32). He said my chest pain was probably Tietze's. He offered me a chest x-ray just for my reassurance, which I took him up on. I'll get the results next week and will report back here.