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Medical Forum / Diseases and Disorders / Prostate Cancer / November 2004Seeding and Fatigure
Hi: I was seeded on (90 Iodine) Nov 2, and all went OK for a while. During Thanksgiving week, however a number of things started to happen: a. I have been leaking somewhat - enough to wet underpants; b. Even Taking Flowmax I have been up at least once in the night (I was down to sleeping through the night last week); c. I am tired -- fatigued -- lassitude. Did anyone else experience this kind of issue at this point in the seeding. I am not complaining, but if this isn't usual I should get hold of someone. My Urologist is on vacation, and I am taking many meds for various problems, and am wondering if I am encountering some sort of conflict. Best John Baker Although in general I had very few problems, I do remember being quite fatigued by the whole nine yards at the time, but that eased off after a couple of weeks. As to being up in the night urinating, one or two times was normal for me both before and after the procedure (and is today). I did take Flowmax, and never had a leakage problem. Cheers, John Hanley Brachytherapy: October, 1999 98 I-125 Seeds Age at treatment: 62 Pretreatment PSA: 7.5 Gleason: 3+3 = 6 Most recent PSA: 0.2 -------------------------------------------------- > Hi: > [quoted text clipped - 19 lines] > > John Baker > I was seeded on (90 Iodine) Nov 2, and all went OK for a while. During Thanksgiving week, > however a number of things started to happen: [quoted text clipped - 8 lines] > vacation, and I am taking many meds for various problems, and am wondering if I am > encountering some sort of conflict. Based upon John's description, the SE's do not seem unusual. They should pass in a relatively short time. I had IMRT, finishing about a month ago. Still have SE's, but manageable. The incontinence is both stress and urge. Stress upon putting pressure on the bladder by way of a cough or arising from a seated position, or such. Only a few drops, only occasionally. The urge incontinence is somewhat bothersome because I'm unable to hold it. Solution is not to let it go too long, and reduce intake of such diuretics as coffee. It will pass (no pun intended) {well, mebbe it was}. More info can be found at: Us Too! http://ustoo.com/ and Prostate Cancer Research Institute http://prostate-cancer.org/index.html as well as other such sites. Regards, Steve J __ "Never give in--never, never, never, never, in nothing great or small, large or petty, never give in except to convictions of honour and good sense. Never yield to force; never yield to the apparently overwhelming might of the enemy.'' --Sir Winston L. S. Churchill From Lange, et.al. in "PC for Dummies", side effects of seeds include temporary or permanent impotence, urinary problems, rectal bleeding, and diarrhea. Walsh adds a long list of rectal and urinary possibilities from nuisance to frightening with a WIDE range of probabilities, up to 72%. Fatigue is common. Some problems start right away, some later, and some are temporary, some permanent. No PCa treatment is a free lunch; we read half a dozen books, choose a treatment, ante up, and hope the level of cure exceeds the side effect cost. Only in some of the slightest or worst cases is a "right" solution clear. I.P. > Hi: > [quoted text clipped - 19 lines] > > John Baker Thanks guys for your comments. I should also add that, rather strangely, I have gained weight since I was seeded (about 8 pounds on 180 to 188). No increase or change in food intake, so I don't know what's going on there! Best John Baker Musta been some BIG seeds. I.P. > Thanks guys for your comments. > [quoted text clipped - 7 lines] > > John Baker > Thanks guys for your comments. > > I should also add that, rather strangely, I have gained weight since I was seeded (about 8 > pounds on 180 to 188). No increase or change in food intake, so I don't know what's going > on there! Might have been less exercise. The urinary problems you report don't seem too bad. Mine were worse. At the height of it I was getting up every hour during the night to pee a little trickle, then go back to bed. A few things that can make life easier: 1. Get lots of rest, more than you used to get. 2. Exercise. Don't overdo it, but don't let it lapse. Exercise will gradually build back your strength and energy level. 3. Keep a urinal by the bed. You can wake up, urinate, and go back to sleep with much less sleep disruption. It's not surprising to me that your symptoms are worse now than they were immediately after seeding. The radiation from the seeds is administered over a long period of time and the inflammation in the prostate that causes the urinary problems doesn't occur right away. However, the theory is that the body's response to radiation consists of inflammation, followed by adaptation. In other words, it may not get much worse, or maybe not any worse, than it is right now. It may be a month or even two or three before it starts to get better, but it definitely will get better. I had a different kind of seeding (HDR), but by about 3 months after the procedure the symptoms were pretty well gone and I was back to baseline. Good luck, Alan John, I had Pd103 seeds implanted in June, the side effects were similar, only with the timing a little different, probably due to the different isotope. I experienced frequent urination, urgency and retention, mostly at night that peaked at about 1 month and then gradually improved over the next month, I think it was better during the day because I was active. I may have had a little fatigue from the radiation, but being on Lupron causes that also. Now I make it through the night unless my liquid intake is high (Monday night football). I hope Alan is right about the weight gain, not I.P. Tom > > Thanks guys for your comments. > > [quoted text clipped - 36 lines] > > Alan > Hi: > [quoted text clipped - 11 lines] > various problems, and am wondering if I am encountering some sort of > conflict. I don't think you need worry too much, though I'm not an MD. I was seeded with I-125 on Nov 16 and although I've only leaked once so far (about 2 ml, then I woke up and used my voluntary sphincter to make it to the bathroom) I do get up 1 to 4 times a night, and I tire easily. I think that set of symptoms is pretty common -- as others have said, it's expected to be temporary, and moderate exercise should help. I felt better after walking a km or two, but around here it's been raining or snowing a lot lately :(  SignatureGreg Louis > I felt > better after walking a km or two, but around here it's been raining or > snowing a lot lately :( Oh, how I dread winter. I walk 3-5 miles a day, 3-5 days a week. When Winter comes, I'm reduced to doing that on a treadmill. I hate treadmills! Fortunately, God has blessed us with a mild winter so far. I can remember snow in mid-October during past years and we haven't had any snow to speak of this year yet. SignatureProstate Cancer Survivor (so far), not a doctor PSA 16 10/17/2000 @ 46 Biopsy 11/01/2000 G7 (3+4), T2c RRP 12/15/2000 G7 (3+4), T3bN0M0 PSA .1 .1 .1 .27 .37 .75 EBRT 05-07/2002 @ 47 PSA .34 .22 .15 .21 .32 Lupron (1 mo) 07/21/2003 @ 48 PSA .07 .05 .06 Lupron (3 mo) 8/03 (48), 12/03, 4/04 (49), 09/04 (50) non Illegitimi carborundum Snowshoes, or X-country skis. I.P. > Oh, how I dread winter. I walk 3-5 miles a day, 3-5 days a week. When > Winter comes, I'm reduced to doing that on a treadmill. I hate [quoted text clipped - 3 lines] > snow in mid-October during past years and we haven't had any snow to speak > of this year yet. |
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