Sjogrens, Fibromyalgia + DCIS

[MKMWare]

9/2011 Hers2 negative  DCIS Grade 1 Stage 1 (4cm)  Lumpectomy Presently undergoing radiation therapy Day 10 of 30 then to follow with 5 yr oral course tamifoxen

Hx 56 yr with hysterectomy  r/t placenta acreata in 77.  Have ovaries intact not told in menopause or verified with recent lab test. Annual labs WNL

Severe chronic dry eye, moderate dry mouth and dry itchy skin. Hotflashes (of on) since 08
Off / on mild moderate  joint pain and stiffness in  38 of 40 joints  with  idiopathic pheriperal neuropathy UE LE  05 present with 2 point differential

I have found no articles mentioning differentating side effects radiation therapy with  Sjogrens and fibromyalgia  Recent increase fatigue (radiation tx?) with increase sporadic low back siatic pain, muscle pain and joint stiffness UE LE (flare of Sjogrens and Fibromyalgia?) No temp usually sub grade with just flu like s/s. Current flu imunizations Nov 4

Also have been unsuccesful  what to look for in radation treatment besides radiation side effects of  itching, rash, redness, unusual bumps, skin peling or pigmemtation changes or breast pain.

Specialist puzzled and do not want to discuss are possibly unsure of a response or whom to direct  back to- PCP or
rheum.

Minimalist with meds didn't like way body felt in aggresive tx 08 to10 with Previous drug therapies  Buspar COX inhibitors lidocaine patches plaquinel, ecovax  restasis.

11 Presently manage  with NSAIDS OTC capsasin and absorbine JR- Restasis, Refresh drops, and other CAM therapies TENS yoga, meditation,  biofeedback, myfacial massage  dry needling accupuncture, chiropractor and aqua therapy  reluctantly 2011  reintroduction of neurontin (less 90 days) and Cymbalta (less 90 days)  Recent fall. Functional ADL just with moderate difficulty  weather conditions worse especially wet damp cold also  sudden barametric pressure changes
Annual xrays  labs wnl  

[MKMWare]

Thanks

[japdip]

Certainly the fatigue would be a side effect of the Radiation therapy along with the skin issues you mention IF they should occur in the area of exposure to Rads. Your Oncologist (Radiation or General) would be the very best person to consult regarding any and all changes that might occur due to any of your cancer treatment. Your other issues of course would be best discussed with whatever Specialist was managing your case prior to your diagnosis of BC.  Regards ....