Another day, and another trip to the ER. For another lousy cyst! A hemorrhagic cyst, to be exact.
I’ve have 4 cysts burst now. Man, this one was a doozie. At 3 pm last Friday I was on the phone with my Mom and putting a whole chicken in the oven when the sharp pain began. Something told me I shouldn’t wait very long to take 800 mg of Ibuprofen, so I didn’t. Soon I found myself on the sofa, lying on my side, curled up in pain. I looked at the clock. 30 minutes had gone by, and the pain was much worse. I hung up with my Mom. The kids were going nuts, and Rachel kept trying to climb up on me, making matters worse. I couldn’t even get to my computer to set up a video for them. I decided I needed to send an SOS to my husband at work. “Can you please come home? I’m in so much pain.” The tone in my voice must have gotten his attention because he immediately said “Sure babe. Give me two minutes and I”ll be out the door.”
I’m glad he was able to rush home, because by the time he walked in the door (15 mins later) he had two toddlers running a muck (Rachel was brushing her teeth with his toothbrush and trying to put on my chapstick) and a wife who was unable to move.
I was supposed to head into work in a couple of hours. I had my hubby bring me one tylenol, and took it. He also heated up my rice sock, which made matter worse (it’s helped previously). Although I thought I was probably experiencing a cyst bursting, the pain was higher up and the pain seemed more intense. I thought I just needed to give it more time, and I’d be fine. My sister called from Papua New Guinea and talked and prayed with me while I mostly cried. But I was thankful for the distraction.
By 5 pm, the pain was not subsiding so I told my husband we had better head to the ER. He called his Mom, who thankfully came right over to watch the kids. I knew I wouldn’t be able to walk, so my husband carried me to the car. The pain was unrelenting and intense. It felt like my the inside of my abdomen was being cut up with knives.
We got to the ER and my heart rate was very elevated and my BP was a bit low. I discovered (later) that they were worried I was going into shock. They didn’t have any beds so I agonized in the portable chair in the hallway for a while. The ER doc came to see me. I told him my abdomen hurt everywhere, from top to bottom. I mentioned my history of bursting cysts in the past, and my stage 4 endometriosis. I was also pretty disoriented, probably from breathing too fast. When the ER doc asked me if I was a doctor, I said “Yeah, I’m a doctor. Wait, no!” I shook my head. “I’m a nurse!” Feeling extremely sheepish, I said “I don’t what I am…” My husband and the ER doc were laughing pretty hard about that. A room became available right after my conversation and I was so relieved to be out of that chair and into the ER bed. The pain was still constant but at least I could lay down.
My Mom arrived and I was happy to have her present so that my husband could feel he could leave for at some point to grab some dinner.
I soon had an IV and labs sent off. Morphine was infused. I stopped writhing in pain and was able to breathe more normally. The pain became dull, and at this point I was able to isolate it to just below my diaphragm and on the lower right side of my abdomen, I was whisked off to ultrasound, then came back and had to drink 32 nasty ounces of contrast for the CT. The Dr did a pelvic exam, which was extremely painful.
Then I went off for the CT scan. At the CT they also injected contrast into my IV so that they could get a good look at both my organs and GI track.
Finally, a little after 10 pm, the CT results were back I was told that I had a hemorrhagic cyst, about 6 cm. It had burst, with blood going into my peritoneal cavity (hence all the pain in my upper abdomen). The cyst was on the left ovary, but supposedly it’s very common to feel pain on the other side, because ovaries can move a lot when there’s a heavy cyst on them. I don’t need surgery (praise the Lord!) and it should be reabsorbed over time. The only caveat is that it could still cause the ovary to twist on itself, so if I have a lot of pain again, I’m to go to the ER right away.
I came home very nauseated and had a bit of trouble sleeping because my abdomen felt very sore and yucky. Thankfully they gave me Zofran so I took one and it boggled my mind that it worked within a few minutes!
My belly continues to feel sore and full. I read it could take a number of weeks before the blood and cyst get reabsorbed. I hope it happens quickly!
I’m thankful that I’ve had five great pain-free months before Friday. And I’m glad the cyst wasn’t another endometrioma and that I don’t need surgery! Hemorrhagic cysts are a drag and (rarely) can be life threatening, but I’m just relieved it doesn’t mean that the endometriosis is progressing.