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16 months old - Fear of lung cancer.

148 replies

mimmlw · 22/02/2021 18:49

My son was born October 2019. No problems at birth, born at 37 weeks gestation at 7lb 13 so a good strong healthy weight - if he'd gone to full term he could have been 10lb.

He was breastfed almost exclusively until August 2020 when I began to wean him off - I wanted to give his immune system the best chance.

In September 2020 he developed a severe infection that was suspected as some kind of blood infection. Some strong antibiotics and in a couple of weeks he seemed completely fine. Then between September and November he had a number of smaller infections, rashes, high temps etc but nothing requiring admission.

Then in November 2020 he became very ill, and this was the beginning of my 'bad feeling'. He was admitted for a week on IV antibiotics and his temperature was near impossible to bring below 40 celsius. No particular chest type symptoms although they did a Chest X-Ray as he was having mucusy nosebleeds which showed evidence of 'chest infection'. One doctor in A&E could hear a noise on his lower right lung, although no other doctor seemed to be able to find it. They did viral swabs and found evidence of Adenovirus and Rhinovirus - althought they said to us that they have no idea why he was so poorly from just this. I queried whether he is possibly immunocompromised, but it was shrugged off and told to 'see how he gets on'. He recovered from this illness completely and we had almost a week where he was the picture of health - as far as we were concerned considering his state since September.

At the end of November 2020 he started with a cough and I could hear his breathing be quite wheezy. No temperature. Took him back to the GP who diagnosed chest infection as she could hear a noise on his lower right lung (same place as A&E doctor - but seemingly more significant). A course of antibiotics but no improvement. Continued to take him back to the GP, but they just kept fobbing me off with 'well kids get ill, and he has no temperature and is generally well so be grateful' in a nutshell.

We then get a call from the Pediatric Consultant from the hospital at the very beginning of January 2021 as a follow up to his November admission. I say he isn't well and quite frankly I'd like something done about it as I've been ignored since it started in November. While he is generally 'well' in that he plays and laughs, compared to other children his age, he is simply not the same. He doesn't eat anywhere near enough, he can be incredibly lethargic and has a lot of 'off' days where he seems to be in pain we can't locate and he just wants to lay on the sofa, as well as his communicative development being slow. He was put on a 2 week course of Co-Amoxiclav (strong antibiotics), weighed and measured (he has gained since last measurements, although has dropped a full centile and needs monitoring), ordered an X-Ray and given a follow up consultation. The X-Ray shows shadows on his right lung - which was said to be a 'bacterial infection' despite antibiotics making no difference whatsoever. No improvement so he was referred to a specialist children's hospital but was told it may be 4-6 weeks until he was seen. I raised a concern that I had started to see blood on his cot sheets when I woke him up in a morning - but was told it was most likely nosebleeds so 'not to worry'.

I started noticing watery blood on his sheets and comforter more often, but there was no blood on him and it was just a couple of spots. Then last week he had a large coughing fit and coughed a large amount of bloody mucus. He has since coughed blood every day since, and regularly cries out in pain. I took him to A&E at the specialist children's hospital who were shocked he has been left this long. They said they don't believe it is an infection at all but 'wouldn't like to make guesses at this point' and was given an urgent referral to outpatients that they said should have given us an appointment within 48 hours. I phoned up as I hadn't heard anything and they forgot to make the referral. We now have a video appointment for the 1st March, which I said wasn't good enough, although they have nothing sooner.

I'm honestly terrified. I think any parent's logical conclusion would be to assume cancer when there are undiagnosed shadows on their lung, a noise and coughing blood. Although I still feel stupid for even considering this is an option and I hate jumping to conclusions - I just can't seem to find any viable alternatives and I feel so let down by his healthcare providers.

Is it normal that the appointments when it is suspected aren't extremely quick? Is there anything I can do to get him seen sooner? Am I being completely paranoid? How did you cope waiting for assessments and tests? Every hour feels like a year and the not knowing is unbearable.

OP posts:
Dobbyafreeelf · 22/02/2021 20:37

I'm not sure how quickly you would get a private appointment? I'd be tempted to ask the children's hospital if they would call be able to offer you a cancellation slot if one were to become available. Stress the urgency of the situation.
If he deteriorates between now and then I would go back to the children's hospital and ask for him to be admitted. I'd possibly go as far as refusing to take him home without being seen.

I'm assuming he had been tested for covid? I'm just wondering if this could be a child version of long covid or similar?

Thatwentbadly · 22/02/2021 20:38

You can try and contact PALS at the hospital.

redcandlelight · 22/02/2021 20:41

look up the hospitals records department. or the imaging department.
we had to pay a 'donation' to receive the hospial records and imaging on a dvd for my dc.
(that was before gdpr though, things might have changed since then)

mimmlw · 22/02/2021 20:44

@Dobbyafreeelf I'm calling every day at the moment between 9.30-10 as they've said is the best time to call for cancellations. However as the majority of appointments are phone/video not many people are cancelling.
I am very tempted to just go camp in A&E, he's been quite ill tonight but I thought him getting some good sleep was necessary. If he's no better tomorrow I'll likely take him in again.

Been tested for Covid very regularly and all negative. They don't think it's long covid either as I did raise that

OP posts:
Seoirnbru · 22/02/2021 20:55

Is there any possibility that he could have inhaled something? This would be my first thought in a child with recurrent infections on one side- something eg eg small pea sized that has caused part of one lung to clog up and therefore have persistent infection/shadowing on that side? Worth asking about as a possibility- I really hope you get him seen soon.

bluedillydillys · 22/02/2021 21:01

You must be so so worried! I can't believe doctors aren't more worried as it's not normal is it? I would go to A&E and insist he is seen to tomorrow, he can't go on like this in pain, coughing up blood and dropping percentiles whilst he waits for an appointment, poor baby Sad

loopyapp · 22/02/2021 21:03

Write to PALS with a detailed chronological account of whats happened.

He'll have an appointment within a week.

DaisyandIvy · 22/02/2021 21:09

What’s your gut instinct telling you to do?

I knew when my DC was ill aged 5 months. Doctors initially fobbed me off but I persisted. Afterwards, consultants praised me for persisting. Persist. Go with your gut feeling.

You’re his mum, you know.

JaninaDuszejko · 22/02/2021 21:15

I had completely forgotten but his godfather's mum is a consultant pediatric anesthesiologist! Not quite the right field but she's said to give her a call tomorrow and she might be able to give some advice or help somehow

Use this. It's dreadful really but you get much better treatment if you are middle class and use language doctors recognise. I'm a scientist and I go in with DS (he's atopic so has multiple conditions: asthma, eczema and allergies) armed with diaries and photos and say 'I think it might be this'. I go into scientist mode, the dispassionate precise language gets results. I have seen the same consultant who has taken me and my concerns seriously treat other, less educated parents, atrociously. It's not fair but I'm just glad I'm on the right side of that divide.

Also, keep copies of all discharge notes (maybe have them on your phone so you always have them). When you are stressed and tired (we always seemed to end up in the hospital with DS at midnight having an asthma attack!) it's easy to forget things but if you have the notes to show them it makes life easier for everyone.

So, talk to his godfather's Mum, she presumably knows you and will listen to you and will give you more time than a consultant will be able to during an appointment. Take notes and go and see his consultant with a clear plan of what you need to say. Your post has everything clearly laid out so that is a good starting point.

It must be very worrying. I agree it is very unlikely a small child would have lung cancer but there is clearly something wrong.

Aintnoshepherdess · 22/02/2021 21:24

Has tuberculosis been ruled out?

HollyandJingles · 22/02/2021 21:24

These symptoms sound so so familiar to me, my daughter has CF. We had no family history, her diagnosis was a total shock to us all. She never tasted salty, doesn’t have digestive problems usually, no more than anyone else.
She was diagnosed after her heel prick showed up as a problem and the nurses told us it does get missed sometimes.

Your poor boy, you must be beyond worried. I really hope you get some answers soon. Whatever they might be, its so much easier when you know what you are dealing with.

Hope4theBestPlan4theWorst · 22/02/2021 21:29

emcshs.nhs.uk/specialised-medical-services/specialised-surgical-services/specialised-paediatric-surgery-leicester/

Ask your GP to do a referral to Mr Owen - my friends daughter was treated here and they were amazing.

Sending you lots of love

yikesanotherbooboo · 22/02/2021 21:32

My advice would be to stick with your NHS appointment. It is coming up very soon in a specialist department. Your little boy is likely to need further tests and they can rack up financially very quickly. It is very unlikely that you will benefit in any way from speed as you are going to be seen very soon anyway.
What a nightmare , I really feel for you.
Cancer is unlikely but clearly whatever is going on needs to be diagnosed and treated.

Hope4theBestPlan4theWorst · 22/02/2021 21:32

Sorry just reading this it's more surgical
But might be worth calling them for advice at least as to who is best to assess him

HandforthParishCouncilClerk · 22/02/2021 21:36

Do you live in an area where there are high incidences of TB?

WasThereAplan · 22/02/2021 21:39

@HollyandJingles

These symptoms sound so so familiar to me, my daughter has CF. We had no family history, her diagnosis was a total shock to us all. She never tasted salty, doesn’t have digestive problems usually, no more than anyone else. She was diagnosed after her heel prick showed up as a problem and the nurses told us it does get missed sometimes. Your poor boy, you must be beyond worried. I really hope you get some answers soon. Whatever they might be, its so much easier when you know what you are dealing with.
Sorry to jump in can o ask does the heel prick always pick up CF? I have a baby with mucous digestive issues and was worried but her heel prick tests were fine
Geneticsbunny · 22/02/2021 21:47

Yes the heal prick can miss CF. It is designed to only pick up the most severe cases as very mild cases cannot cause any problems until adulthood.

HarrietLong · 22/02/2021 21:50

Hi OP, I don't have much to add, except that I think lung cancer is unlikely also, and would wonder if a foreign body or abscess is present? From my experience as a parent, be the squeaky wheel. It's awful, but in an overstretched NHS, the loudest and most persist parents get the fastest results. Do not worry about being annoying, and refuse to be fobbed off. Push for a CT scan as soon as possible. I wish you all the best.

HollyandJingles · 22/02/2021 22:18

Yes, sometimes the heel prick does miss CF. My daughter had three and they all came back inconclusive so we had to take her to Bristol for a sweat test, where she was diagnosed the same day.
Its been a rough few years, ups and downs, but you can have a good life with CF. She has just started some new drugs and they have literally changed her life.
Hormones are causing more trouble than CF at the moment, she has just turned 13.

Guineapigsarepigs · 22/02/2021 22:20

Keep listening to your gut and don't be fobbed off with eye rolling about being a first time mum. I hope that your DS gets the right treatment very soon.

Coronawireless · 22/02/2021 22:29

I’m thinking foreign body too.
Do use your paediatric anaesthesia contact!
Lung cancer extremely unlikely and it doesn’t sound like cystic fibrosis.

Pythonesque · 22/02/2021 22:42

@Coronawireless

I’m thinking foreign body too. Do use your paediatric anaesthesia contact! Lung cancer extremely unlikely and it doesn’t sound like cystic fibrosis.
This is exactly my thoughts reading through your posts. I think a foreign body could explain the whole story you've described, though other things are always possible. I hope your anaesthetist contact can help you work out whether to wait another week or by what route to ask for help sooner.

Best wishes for him getting sorted out soon.

mimmlw · 22/02/2021 23:09

Anaesthesia contact said that he will be fine to wait as is not in immediate danger unless anything changes. However I'm going to ring at half 9 each morning to check for cancellations.

I kind of feel as though a foreign body would have caused more problems before now? And the shadows on his lungs were first believed to be infection. And the noise on his lungs has become more noticeable and was easily missed according to the first doctor that noticed it. I'll still raise it as a possibility but gut instinct tells me that doesn't fit right.

Another possibility I've thought is possibly Bronchiectasis caused by the initial infections in September/November?

I doubt TB, not common at all where we live and I have an absolutely terrible immune system myself as does his nan who he stays with - with how infectious it is I would think one of us would suffer with it by now.

OP posts:
MrsEricBana · 22/02/2021 23:14

I can't help I'm afraid but just to say that sounds very difficult for you. Keep on pushing for answers. I hope you get to the bottom of it soon and he's on the mend Flowers

PrawnMeringue · 22/02/2021 23:28

No history of cystic fibrosis in my or my ex husband's family. My son has CF.