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Medical Forum / Diseases and Disorders / Prostate Cancer / October 2006

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Night time toilet trots

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limey - 17 Oct 2006 19:08 GMT
Some weeks ago, I mentioned that my husband's biopsy samples had shown a
score of 9 for 11 samples and 10 for one.   He had a bone scan, which showed
cancer everywhere.   This was followed by his first shot of Lupron.

Yesterday, he had a cystoscopy which showed (thank the Lord) a completely
clear bladder.

He has to get up anywhere from 4 to 6 times a night to urinate and the
interrupted sleep is making him very fatigued.   Is there any remedy for the
frequent night time pit stops?   TIA

Dora
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limey113@yahoo.com

From Bob - 17 Oct 2006 21:27 GMT
I limit fluids after 6 P.M., and keep a plastic urinal on the night
table.
I.P. Freely - 17 Oct 2006 21:57 GMT
> I limit fluids after 6 P.M., and keep a plastic urinal on the night
> table.

Cut or pull the internal spout out of the neck of a BIG laundry
detergent jug. Hard to miss while sleepy.

I.P.
I.P. Freely - 17 Oct 2006 21:57 GMT
> Some weeks ago, I mentioned that my husband's biopsy samples had shown a
> score of 9 for 11 samples and 10 for one.   He had a bone scan, which showed
[quoted text clipped - 6 lines]
> interrupted sleep is making him very fatigued.   Is there any remedy for the
> frequent night time pit stops?   TIA

Others will mention the various medical approaches, but if they don't
work, here's what I've done for many years to mitigate the effect of
getting up in the middle of the night:

1. Don't turn on any lights. Light, even through closed eyelids,
triggers brain activity and chemicals that wakes us up. We keep those
little fluorescent discs plugged into sockets to light the way just
enough to avoid stepping on the dog.

2. Sit to pee in the middle of the night. Standing requires that I
actually wake up, pay attention, and engage my brain in all sorts of
activities such as seeing, aiming, balancing, focusing my eyes, etc.

3. If there's any chilly floor between bed and loo, put a rug on it to
avoid the shock.

4. Heed the whole list of sleep protocols, aka sleep hygiene, including:
A. Cool room. The first thing we do when moving into a new home is
install a wall AC in our bedroom to keep it chilly (humans sleep best
with temps in the 60s; I prefer 60 degrees with a fan in my face; YMMV).
B. Dark room. We usually add heavy drapes/curtains, but our current home
 offered a better remedy: we sleep underground. NO outside light gets
in, night or day. Curtains and closed doors should keep your husband's
nighttime path dark, too. The view from our upstairs bedroom is great,
but we prefer the darkness downstairs.
C. Quiet room. Heavy drapes, shut up noisy neighborhood dogs, electronic
noise masker ($20 at Walmart), earplugs, etc. Sleeping underground as we
do, we'd never know it if the garbage truck broadsided a propane truck
out front.
D. CPAP if he (or you) have apnea.
E. Drink and eat nothing for at least three hours prior to bedtime.
F. Take the phone out of the bedroom. No phone call is worth my sleep.
G. Make sure the bed is really comfortable. We LOVE a good, quality
egg-crate pad on top of our mattress. And we built a giant bed decades
ago so we can choose between closeness and wide separation for better
sleep.

Sleep interruptions do mess with our sleep patterns and thus physical
and mental restoration, but getting back to sleep quickly at least FEELS
much better. On a good night, my two trips to the bathroom cost me less
than five minutes of sleep, combined.

I.P.
Claude - 18 Oct 2006 00:05 GMT
"I.P. Freely" <fuhgheddaboutit@noway.nohow> wrote in message
news:hqbZg.270$qv1.98@

> 2. Sit to pee in the middle of the night. Standing requires that I
> actually wake up, pay attention, and engage my brain in all sorts of
> activities such as seeing, aiming, balancing, focusing my eyes, etc.

I bet this is what a lot of us do at night.  I do, and the male urological
PA said it's what he does.
However, I find that I can't empty my bladder as completely at night this
way than when I am standing and getting help from gravity.  Better yet when
I walk around and then try.  I have to get up 2-4 times a night because of
low holding capacity and fear of wetting the bed, and I have to decide
whether to risk waking up more or getting more out of my bladder.
glassman - 18 Oct 2006 00:11 GMT
> Some weeks ago, I mentioned that my husband's biopsy samples had shown a
> score of 9 for 11 samples and 10 for one.   He had a bone scan, which
[quoted text clipped - 8 lines]
>
> Dora

   This is a case for your urologist. Many meds to try that may fix this.

Signature

JK Sinrod
www.SinrodStudios.com
www.MyConeyIslandMemories.com

Steve Kramer - 18 Oct 2006 23:17 GMT
> Some weeks ago, I mentioned that my husband's biopsy samples had shown a
> score of 9 for 11 samples and 10 for one.   He had a bone scan, which
> showed cancer everywhere.   This was followed by his first shot of Lupron.

I'll let someone else answer about pit stops, but I was wondering how
Henry's PSA is.  I recall it was 66+.  Did the Lupron knock it down some?

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA  .1  .1  .1  .27  .37  .75
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05, 5/05, 10/05,
2/06, 6/06
PSA  .07 .05 .06 .09 .08 .132 .145
Casodex added daily 07/06
Non Illegitimi Carborundum

limey - 19 Oct 2006 17:17 GMT
>> Some weeks ago, I mentioned that my husband's biopsy samples had shown a
>> score of 9 for 11 samples and 10 for one.   He had a bone scan, which
[quoted text clipped - 3 lines]
> I'll let someone else answer about pit stops, but I was wondering how
> Henry's PSA is.  I recall it was 66+.  Did the Lupron knock it down some?

You have a great memory, Steve.  The urologist wants a PSA test next week,
to see what's going on.  So far, he's in quite a bit of pain in various
places, so is on pain pills.  The night-time frequency is getting him down.
Many thanks for asking.

Dora
Beverley - 19 Oct 2006 14:24 GMT
Ask the doc about Flomax, Hytrin (both by Rx) or maybe one of the other new
meds such as Detrol. I'm sure there is something out there that might help.
Even if they can just knock it down to a couple of night trips to the
bathroom that would help. He should not have to be getting up that many
times a night.

My husband is still on meds 4 1/2 years after Tx for PC. He takes alfuzosin
(Uroxatral) which has worked very well for him. He's used Hytrin and Flomax.
Recently the doc switched him to Uroxatral and it has been wonderful. Now he
gets up, usually only once, and that is about 2 hours after he has gone to
bed, the rest of the time he sleeps like a baby. Sometimes on Hytrin he'd
dribble his way to the bathroom at night yet he never had a problem during
the day.

All of these meds are apt to lower his blood pressure.
Bev (P&E)

> Some weeks ago, I mentioned that my husband's biopsy samples had shown a
> score of 9 for 11 samples and 10 for one.   He had a bone scan, which showed
[quoted text clipped - 8 lines]
>
> Dora
limey - 19 Oct 2006 17:29 GMT
Very useful information, Bev - thanks.  Henry has taken Flomax (which had to
be discontinued because of adverse effects) and is presently taking Avodart,
which doesn't seem to have any effect.   These were prescribed earlier by
our internist.   Strange, the urologist offered no comment on Monday when
Henry had the cystoscopy and brought up the problem.

We'll check out the other meds you mention.  You're a big help!

Dora

> Ask the doc about Flomax, Hytrin (both by Rx) or maybe one of the other
> new
[quoted text clipped - 17 lines]
> All of these meds are apt to lower his blood pressure.
> Bev (P&E)
glassman - 23 Oct 2006 20:21 GMT
> Very useful information, Bev - thanks.  Henry has taken Flomax (which had
> to be discontinued because of adverse effects) and is presently taking
[quoted text clipped - 3 lines]
>
> Dora

 Despite what some think, docs aren't gods or perfect. Be pushy and ask for
help. If the meds don't work, pick up the phone and keep switching until you
find one that does. Or better yet... find a better Uro. Good luck!

Signature

JK Sinrod
www.SinrodStudios.com
www.MyConeyIslandMemories.com

 
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