Pulmonary Embolism Support Group
By far the most common form of pulmonary embolism is a thromboembolism, which occurs when a blood clot, generally a venous thrombus, becomes dislodged from its site of formation and embolizes to the arterial blood supply of one of the lungs. Symptoms may include difficulty breathing, pain during breathing, and more rarely circulatory instability and death.
Recovery hurts. Your body has been through a major trauma. And now that you're home, you're doing more so your body just needs to get up to speed.
It's pretty normal to have pain while recovering. I'd only worry about the pain if your INR is excessively low.
The SOB comes and goes too, for a quite a while. Also, the pain in your legs could be around for a while. With my first DVT, it took about two years for me to feel 100% again. The second DVT we found a lot faster and I felt fine there in about a week. It really is hard to predict how your recovery will go ... we're all a lot different and each clot is different.
This sounds pretty normal to me. Your lungs (your whole body, in fact) has been through a major trauma and it isn't going to be all better right away. It is is like starting to walk again on an ankle that was severely twisted and/or broken. It isn't going to feel great right away and it'll probably take a while for the pain to go away.
I mean, it might be anxiety, but your doc is not very experienced with PE recovery (and many aren't) if he thinks you should be pain-free and all better at three weeks out. At this point, really, I would be surprised if you were NOT experiencing chest and leg pain.
Hang in there! It does get better, just slower than we usually would like.
Yeah, a lot of us don't know why we clotted. I've been tested twice for genetic issues and came up negative both times. They told me in the hospital that I might just have something we can't test for yet. Many advances have been made in clot discoveries in the last 20 years and they'll probably find many more in the next 20.
As for the warfarin being uncomfortable ... try taking it with food to see if that lessons the problem. Also, you might consider asking your doc (and your insurance!) if you an try the brand name for a couple weeks to see if it helps. Sometimes the fillers and dyes they use in the pills cause people issues that can be alleviated by switching to the other.
Best wishes!
With respect to pain *after* diagnosis, that was certainly the case for me. The pain was worst at night (about 2am) whilst I was on both heparin and warfarin. My theory (and I'm no expert, so this is just a theory) is that the chest pain was party due to when blood got back to areas where it hadn't been (due to the PEs) for a while.
So, pain in the chest could actualy be a sign of recovery (of clots getting smaller). As I say, just a theory.
Regarding shortness of breath, it's normal for everyone's body to behave differently to the same effort at different times of day. For example, at 6pm if I walk up stairs then I'm not short of breath, but at 8am I am. So try to separate these usual fluctuations in our bodies from the worry that symptoms may be getting worse. Have a look at my post on Advice for Life after PE and Warfarin.
But, after reading that, please see the response from Ariel because that is equally important. It's important not to worry too much. I've found that by being aware of what's usual for me I've been able to control my worry.
Best wishes Jem.