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.
mrschicopea
I've been off my coumadin for 4 weeks now. I had been on it for 10 months following two PEs. My main symptom when they were discovered was difficulty breathing. A shortness, heaviness, need to yawn and get more air in type of sensation.
Since last Saturday, I've been having SOB sensations. I'm having major de ja vu. First I attributed it to a possible cold (that all my kids have/had). But it doesn't really *feel* like a cold. No cough, no real congestion. Then I thought maybe the humid weather. But even on non-humid days it'll hit. Now I'm considering it might be stress and anxiety related. The thing is, those are the things I thought before I was diagnosed last year and in fact I was misdiagnosed by doctors - twice (including being misdiagnosed by a CT scan even though my d-dimer was high). It's approaching my clot-iversary and all of this is causing me a tremendous amount of worry.
Points of note - as per my doctor's orders for just coming off of the meds, I had a d-dimer done on Monday (two days after my new SOB started), and it's completely normal. Not high at all. It's rare to get a false negative right? I mean, especially since I'm already experiencing the SOB. If it was something it should register?
Sometimes, I think it feels okay. Like first thing in the morning. From what I remember about it before, it never felt okay. It wasn't something that ebbed and flowed.
I'm just wondering if I should make a doctors appointment to double check, or just suck it up and accept that I'm okay. That sounds weird to say, but I guess I'm just so anxious and feel like I"m waiting for it to happen again. I know no one can tell me what to do, but at the very least I knew this group would understand the hamster wheel thinking that the stress from this can cause.
Since last Saturday, I've been having SOB sensations. I'm having major de ja vu. First I attributed it to a possible cold (that all my kids have/had). But it doesn't really *feel* like a cold. No cough, no real congestion. Then I thought maybe the humid weather. But even on non-humid days it'll hit. Now I'm considering it might be stress and anxiety related. The thing is, those are the things I thought before I was diagnosed last year and in fact I was misdiagnosed by doctors - twice (including being misdiagnosed by a CT scan even though my d-dimer was high). It's approaching my clot-iversary and all of this is causing me a tremendous amount of worry.
Points of note - as per my doctor's orders for just coming off of the meds, I had a d-dimer done on Monday (two days after my new SOB started), and it's completely normal. Not high at all. It's rare to get a false negative right? I mean, especially since I'm already experiencing the SOB. If it was something it should register?
Sometimes, I think it feels okay. Like first thing in the morning. From what I remember about it before, it never felt okay. It wasn't something that ebbed and flowed.
I'm just wondering if I should make a doctors appointment to double check, or just suck it up and accept that I'm okay. That sounds weird to say, but I guess I'm just so anxious and feel like I"m waiting for it to happen again. I know no one can tell me what to do, but at the very least I knew this group would understand the hamster wheel thinking that the stress from this can cause.
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The negative d-dimer is a really good sign. False positives are really common, but not so the false negatives.
Even if you don't really "have" your kids' cold, your body could still be fighting it off, which is why you could be feeling weird. Also, too, once the anxiety hits, it can really take some time for it to run its course and it can drive you nuts in the meantime.
If it is easy, it might be worth going into your doc and getting the once over. If you can spend a couple hours and wind up reassured that you really are doing OK, it would probably be time well spent.
Also, if it is anxiety, try the breathing exercise my asthma/allergy doc gave me. Once an hour, on the hour, take a deep breath, hold, let it out, hold. Repeat, but don't do more than twice to avoid a hyperventilation feeling. Sometimes we just have to remind ourselves that we're in control if we need to be.
Hang in there!
If it's any consolation, my family has been dealing with a cold also the past few weeks, and actually I was the first one to get sick, I spent one day feeling really terrible from it, but the next day I kind of felt alright. I didn't get as sick as I expected. Then my kids got sick, my mom got sick, and it's just like this cold is kind of strange. It's not letting go of us all that easily, and for about three weeks now, our family has been dealing with this cold. Because although I never got horrifically bad, I've had some irritation in my throat and sinuses, and it's like I'll feel better, then I'll feel worse again, and I've had some real stabs of lung pain on bad days while I'm dealing with this.
Now, I can't know if you're going through exactly the same thing or not, but I'm on warfarin for life so I'm quite confident I'm not experiencing clots. You are much earlier in recovery than I am, though, and recently off warfarin, so you may just for the sake of identifying what is normal and what isn't for YOU post-PE, want to see the doctor. I just made an appointment with my doctor far more often than I went to the ER, and for me that was a strategy that worked, and my doctor's office was always very kind and said that of course it made sense to be checked out when I didn't feel right, having been through what I had. Even if you decide to go to the doctor and it's a 'false alarm', don't consider it that, but rather just part of educating yourself about what is within the parameters of normal discomfort, pain and SOB for you now.
I hope you figure things out and start feeling better soon!
You guys are so great. And you're right, figuring out what is normal has been the name of the game for the last year. I'm actually going to look into getting into therapy to have someone who is paid to deal with my anxiety about all of this. The poor person!
My doctor will call me tonight with the results.
Hope your test results look good!
I know the further out I got from my PE, the less anxious I'd feel and I'd find I could just go about my day without thinking about it, but every once in a while, I'd remind myself of my PE, and it's not so much that I'd feel anxious about the PE, but anxious about why I wasn't feeling anxious about it, like I'd think, hey, you aren't treating this with the vigilance it deserves; a PE is going to come out of nowhere! But that's just crazy talk.
You have to really fight the urge to let it take you down. For me it got easier with time and with what I call practice... practice not feeling hyper vigilant, practice mindfulness without hyper awareness. It's hard. But it can be done.
It's hard... Anxiety is cruel and it can be there whether it's got a justified reason or not. I feel like if it's bothering you that much, go and see the doctor for another appointment to discuss options, whether it's medicated or not.