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Old 11-01-2007, 12:51 PM   #1
Verna
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Nose bleeds

I've had nothing but problems with nose bleeds ever since I had chemo. I've had my nose culterized twice and now the nose/ears/throat doc wants me to get CT of my sinuses. My onc said it is due to the chemo.

This has become such a problem because it bleeds when I do a hard workout, and it is very embarrassing when you have blood running out of your nose.

Has anyone else have this problem?

Thanks,
Verna
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stage IV, diagnosed Nov.11,2005
mets to spine,hips,pelvic,femur
4 a/c
mastectomy Feb.14,2006
4 taxol
mets to liver
5 weeks radiation
Herceptin/Zometa
reconstruction Feb.14,2007 (DEIP)
Tykerb/Xeloda
TDM1 study
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Old 11-01-2007, 01:05 PM   #2
Sheila
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Verna
I am having these problems right now...but I think it is more from the Taxol as I also have gum bleeding....but bad, all of a sudden I look in the mirror and look like Dracula....not pretty! I am trying ocean mist nasal saline drops for moisture....we'll see.
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Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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Old 11-01-2007, 02:46 PM   #3
Vanessa
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I had a lot of problems with nosebleeds when I was on Taxotere/carboplatin/herceptin. I had a small problem with nosebleeds on abraxane, but nothing like being on TCH.
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Old 11-01-2007, 03:48 PM   #4
penelope
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me, me, me.....I am not stage IV but I seem to have them alot. I am two years out from chemo. What causes them????
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Old 11-01-2007, 04:23 PM   #5
Lolly
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I'm having the same problem, ever since starting Taxotere with Herceptin/Xeloda...I forgot to ask my onc about it this week, but will bring it up next week with my chemo nurses.
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Herceptin has served as the "Backbone" of my treatment strategy for over 6 years, giving me great quality of life. In 2005, I was privileged to participate in the University of Washington/Seattle HER2 Vaccine Trial.
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Old 11-01-2007, 05:50 PM   #6
Mary Anne in TX
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My nose bleeds stopped as soon as I stopped the Taxol, carboplatin and herceptin (well, I didn't stop H). It was always an adventure. I had to carry a kleenex everywhere, ready alert!
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Diag. 12/05 at age 60
Stage II, Grade 3, 4.5 cm primary tumor
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Her2 by FISH 7.7 amplified
vascular invasion
Ki67 20% borderline
Jan - March '06 Taxotere/Adriamycin X 3 to try to shrink tumor - it grew
April '06 Rt Modified Radical Mas, 7 of 9 nodes positive
April - Aug. '06 Herceptin/Taxol/Carboplatin X 8 (dose dense)
Sept - Dec. '06 Navelbine/Herceptin x 8 (dose dense)
Radiation & Herceptin Jan. 22 - March 1, 2007
Finished Herceptin Dec. 10 '08! One extra year.
Port removed August, 2012.
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Old 11-01-2007, 06:11 PM   #7
chrisy
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Verna, I had that problem while on Taxol (T/C/H). And to a lesser extent now on Avastin. I think it is definitely the chemo. But you should give yourself a pat on the back for doing "hard workout"!

One thing I did that helped is use a saline gel called Ayre. I applied it with a Qtip into each nostril. Sorry, that sounds gross but then again, so is a bloody nose.

Hope that helps. Also, it did stop after dropping the T/C and maintaining on Herceptin - so when you get a chemo holiday you should see improvement.
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June 2002 extensive hi grade DCIS (pre-cancer-stage 0, clean sentinal node) Mastectomy/implant - no chemo, rads. "cured?"
9/2004 Diag: Stage IV extensive liver mets (!) ER/PR- Her2+++
10/04-3/05 Weekly Taxol/Carboplatin/Herceptin , complete response!
04/05 - 4/07 Herception every 3 wks, Continue NED
04/07 - recurrence to liver - 2 spots, starting tykerb/avastin trial
06/07 8/07 10/07 Scans show stable, continue on Tykerb/Avastin
01/08 Progression in liver
02/08 Begin (TDM1) trial
08/08 NED! It's Working! Continue on TDM1
02/09 Continue NED
02/10 Continue NED. 5/10 9/10 Scans NED 10/10 Scans NED
12/10 Scans not clear....4/11 Scans suggest progression 6/11 progression confirmed in liver
07/11 - 11/11 Herceptin/Xeloda -not working:(
12/11 Begin MM302 Phase I trial - bust:(
03/12 3rd times the charm? AKT trial

5/12 Scan shows reduction! 7/12 More reduction!!!!
8/12 Whoops...progression...trying for Perjeta/Herceptin (plus some more nasty chemo!)
9/12 Start Perjeta/Herceptin, chemo on hold due to infection/wound in leg, added on cycle 2 &3
11/12 Poops! progression in liver, Stop Perjeta/Taxo/Herc
11/12 Navelbine/Herce[ptin - try for a 3 cycles, no go.
2/13 Gemzar/Carbo/Herceptin - no go.
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Old 11-02-2007, 07:19 AM   #8
Verna
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Thanks everyone. We all have to deal with so much (not that the cancer beast is enough). It makes me feel alot better knowing this is some what of a normal after taking chemo.

Verna
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stage IV, diagnosed Nov.11,2005
mets to spine,hips,pelvic,femur
4 a/c
mastectomy Feb.14,2006
4 taxol
mets to liver
5 weeks radiation
Herceptin/Zometa
reconstruction Feb.14,2007 (DEIP)
Tykerb/Xeloda
TDM1 study
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Old 11-02-2007, 11:48 AM   #9
StephN
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Unhappy

Hi Verna -
Sorry about your problem, but it plagues many of us.

I have had some ongoing problems with nasal sinuses even being NED and off chemo for over 5 years.
After I finished chemos in 2002 I went to my ENT who cauterized my nasal passage on the right side (that did not hold long). There was a constant sore about the size of a pencil eraser that would not stay scabbed over and heal. He also ordered at CT of my sinuses to check for infection and anything else. CT did not show anything except the nasal sinus on right side had a larger cavity than the left.

I used not only the AYR gel that Chrisy mentioned, but antibiotic salve as well. Sometimes had to go around the house with a tissue twisted up that right side of my nose to stanch bleeding.

While on the taxanes (I had both) my nose would bleed just sitting quietly such as at the dinner table, which was rather unnerving and unpleasant. Did not take even the slightest activity to bring on the flow!
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MY STORY SO FAR ~~~~
Found suspicious lump 9/2000
Lumpectomy, then node dissection and port placement
Stage IIB, 8 pos nodes of 18, Grade 3, ER & PR -
Adriamycin 12 weekly, taxotere 4 rounds
36 rads - very little burning
3 mos after rads liver full of tumors, Stage IV Jan 2002, one spot on sternum
Weekly Taxol, Navelbine, Herceptin for 27 rounds to NED!
2003 & 2004 no active disease - 3 weekly Herceptin + Zometa
Jan 2005 two mets to brain - Gamma Knife on Jan 18
All clear until treated cerebellum spot showing activity on Jan 2006 brain MRI & brain PET
Brain surgery on Feb 9, 2006 - no cancer, 100% radiation necrosis - tumor was still dying
Continue as NED while on Herceptin & quarterly Zometa
Fall-2006 - off Zometa - watching one small brain spot (scar?)
2007 - spot/scar in brain stable - finished anticoagulation therapy for clot along my port-a-catheter - 3 angioplasties to unblock vena cava
2008 - Brain and body still NED! Port removed and scans in Dec.
Dec 2008 - stop Herceptin - Vaccine Trial at U of W begun in Oct. of 2011
STILL NED everywhere in Feb 2014 - on wing & prayer
7/14 - Started twice yearly Zometa for my bones
Jan. 2015 checkup still shows NED
2015 Neuropathy in feet - otherwise all OK - still NED.
Same news for 2016 and all of 2017.
Nov of 2017 - had small skin cancer removed from my face. Will have Zometa end of Jan. 2018.
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Old 11-02-2007, 02:36 PM   #10
Andrea Barnett Budin
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When I was on Taxotere I woke every morning w/a head full of mucous. I would blow my nose for literally a full half hr, using half a box of tissues -- to get all the mucous and BLOOD out. Severely dry mucous membranes, onc said. Used Ayr, Neosporin..

You would never catch me working out, so I can't relate to that. I didn't have nose bleeds during the day. JUST SEEING HOW *LUCKY* I WAS...

But the Taxotere did squash my multiple liver mets. And I had just about every possible side effect one could mention to boot. But, to me, it was worth it. HERE AM I! All these many yrs later NED. I just met someone who has been NDD (no discernable disease) since '98, after 5 yrs of fighting! ISN'T THAT FABULOUS?

So keep on keeping on, ladies... There is always hope. Marie -- are you listening????

WITH LOVE,
Andi


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'95 post-meno dx Invasive LOBULAR w/9cm tumor! YIKES + 2/21 nodes. Clear mammo 10 mnths earlier. Mastec/tram flap reconst/PORT/8 mnths chemo (4Adria/8CMF). Borderline ER/PR. Tamoxifen 2 yrs. Felt BLESSED. I could walk and talk, feed and bathe myself! I KNEW I would survive...

'98 -- multiple mets to liver. HER2+ 80%. ER/PR- Raging, highly aggressive tumors spreading fast. New PORT. 9 mnths Taxotere Fought fire w/fire! Pronounced in cautious remission 5/99. Taxotere weekly for 6 wks, 2 wks off -- for 9 mnths. TALK ABOUT GRUELING! (I believe they've altered that protocol since those days -- sure hope so!!)
+ good old Vit H wkly for 1st 3 yrs, then triple dosage ev 3 wks for 7 yrs more... The "easy" chemo, right?! Not a walk in the park, but not a freight train coming at 'ya either...

Added Herceptin Nov '98 (6 wks after FDA fast-tracked it for met bc). Stayed w/Vit H till July '08! Now I AM FREE! Humbly and eternally grateful for this life-saving drug! NED since '99 and planning on keeping it that way. To hell w/poor prognosis and nasty stats! STOPPED VIT H JULY '08...! REMAIN STABLE... Eternally grateful...Yes is a world & in this world of yes live (skillfully curled) all worlds ... (e e cummings) EVERY DAY I BEAT MY PREVIOUS RECORD FOR # OF CONSECUTIVE DAYS I'VE STAYED ALIVE. Smile KNOWING you too can be a miracle. Up to me and God now...
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Old 11-02-2007, 02:39 PM   #11
MAB1943
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yes I have nose bleeds constantly. I know what you mean, my nose is always running and that causes me NOT to know that it is bleeding until I put the tissue up to my nose and then nose bleed. I haven't done anything about it because it stops as quickly as it starts, but it sure is a mess. I am on Herceptin solo now so I believe it is from that not the chemo, although I did have nose bleeds on chemo too, while I was getting both taxol and Herceptin together.
Mary
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Old 11-02-2007, 04:42 PM   #12
weezie1053
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I too had nose bleeds while on Taxol. It stopped when I finished the chemo. No nose bleeds while on Herceptin. It sounds like it is the norm.

Louise
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Old 11-03-2007, 11:29 AM   #13
Andrea Barnett Budin
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Wink Moisturize Your Nostrils

Mary,

Please remind me. This brain can't seem to retain info like it used to. When did you finish Taxol? I had nose bleeds w/Taxotere as I mentioned above, but since stopping and being on Vit H (since '98) -- no nose bleeds. Are you using Ayr and/or Neosporin throughout the day? I found that helped...

Andi
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Andi BB
'95 post-meno dx Invasive LOBULAR w/9cm tumor! YIKES + 2/21 nodes. Clear mammo 10 mnths earlier. Mastec/tram flap reconst/PORT/8 mnths chemo (4Adria/8CMF). Borderline ER/PR. Tamoxifen 2 yrs. Felt BLESSED. I could walk and talk, feed and bathe myself! I KNEW I would survive...

'98 -- multiple mets to liver. HER2+ 80%. ER/PR- Raging, highly aggressive tumors spreading fast. New PORT. 9 mnths Taxotere Fought fire w/fire! Pronounced in cautious remission 5/99. Taxotere weekly for 6 wks, 2 wks off -- for 9 mnths. TALK ABOUT GRUELING! (I believe they've altered that protocol since those days -- sure hope so!!)
+ good old Vit H wkly for 1st 3 yrs, then triple dosage ev 3 wks for 7 yrs more... The "easy" chemo, right?! Not a walk in the park, but not a freight train coming at 'ya either...

Added Herceptin Nov '98 (6 wks after FDA fast-tracked it for met bc). Stayed w/Vit H till July '08! Now I AM FREE! Humbly and eternally grateful for this life-saving drug! NED since '99 and planning on keeping it that way. To hell w/poor prognosis and nasty stats! STOPPED VIT H JULY '08...! REMAIN STABLE... Eternally grateful...Yes is a world & in this world of yes live (skillfully curled) all worlds ... (e e cummings) EVERY DAY I BEAT MY PREVIOUS RECORD FOR # OF CONSECUTIVE DAYS I'VE STAYED ALIVE. Smile KNOWING you too can be a miracle. Up to me and God now...
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