After a promising start and what looked like to be a good recovery, late last wednesday night I saw blood in my urine. During the rest of the evening I went another 5 times seeing blood 3 of the 5 times. After consulting with the oncology nurses and the oncologist, I was admitted back into hospital on Thursday for tests and scans to determine the cause.
On admittance the nurses did a bladder ultrasound which indicated that my bladder had about 800ml which is a very high level which means a possible blockage in the bladder. The nurses have seen people with around 3 litres of fuid - thats got to hurt. To help drain the fluid, a catheter was inserted the results of which should have been instant fluid to the bag and pain relief. Unfortunately this was not the case. The colour of the urine was black and confused the nurses and oncologist.
Plan of action was:
1. A full ultrasound scan of the abdomen
2. during the evening was to hook up a bag of saline to my port and see if I was dehydrated by pumping through the saline.
During the evening the results of the ultrasound came back indicating that the entire abdomen region was full of fluid and that pockets of this fluid was putting pressure on the bladder not allowing it to fill up once emptied. So instead of a blockage in the bladder it was now indicating a blockage before the bladder. The action plan remains the same which is to leave the catheter in place and try and identify where the blockage was.
It has turned out to be an extraordinarily painful evening for me. Because the bladder was empty I was getting what I thought were signals for the bladder to be emptied. So to go to toilet resulted in nothing but pain
Some fluid did manage to get through sufficiently relieving the bladder and the pain and allowing my bowels to function. The idea is to leave the saline in place in the hope that the increase flow continues and then hopefully returns to normal.
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