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Medical Forum / Diseases and Disorders / Prostate Cancer / April 2007

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radiation and fatigue

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determined - 30 Mar 2007 20:49 GMT
My dad is going through radiation treatment for mild prostate cancer.  He is
55 yrs old.  He is only in his first week, and is already experiencing
debilitation fatigue.  Is there treatment for the fatigue?  How long will
this last?  My dad is so active, it's killing him to stay in bed!

Thank you for any info,
Betsy
Heather - 30 Mar 2007 22:05 GMT
Have him speak to either the radiation oncologist or whichever
oncologist is in charge of his treatment.  He should not be so
*debilitated* that he has to stay in bed after only one week.  Fatigue
usually doesn't hit till near the end of the treatments.

Heather
> My dad is going through radiation treatment for mild prostate cancer.
> He is
[quoted text clipped - 5 lines]
> Thank you for any info,
> Betsy
BH - 30 Mar 2007 22:32 GMT
>My dad is going through radiation treatment for mild prostate cancer.  He is
>55 yrs old.  He is only in his first week, and is already experiencing
[quoted text clipped - 3 lines]
>Thank you for any info,
>Betsy

Based on my personal experience, and what I've learned from others,
that degree of fatigue so early in the treatent is not what should be
expected.  At age 57, I didn't even notice fatigue until about the
third or fourth week and it increased from there; but, it was never
debilitating!  I continued to work and most of my coworkers never even
knew I was having rediation.  

A talk about this with the Doctor who is overseeing  the radiation
should happen very quickly.  

Good luck
Steve Kramer - 01 Apr 2007 02:13 GMT
> My dad is going through radiation treatment for mild prostate cancer.  He
> is
> 55 yrs old.  He is only in his first week, and is already experiencing
> debilitation fatigue.  Is there treatment for the fatigue?  How long will
> this last?  My dad is so active, it's killing him to stay in bed!

I have never heard of such a quick fatigue reaction.

When I had my radiation, I left work about 9 a.m. and I was back about 10:00
or 11:00 a.m.  I worked every day of the 35 radiation treatments.

Is this his initial treatment for PCa.  If so, he may wish to consider
stopping radiation and going for surgery.  THAT is something I cannot
answer.  It may be that he's already too far along.

My routine, besides working, was walking 3-5 miles a day, 3-5 times a week;
drinking gallons and gallons of water; and sleeping an extra hour
everynight.

Are you sure it's not depression?

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            PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32                       PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05
Non Illegitimi Carborundum

determined - 01 Apr 2007 05:48 GMT
>> My dad is going through radiation treatment for mild prostate cancer.  He
>> is
[quoted text clipped - 16 lines]
>
> Are you sure it's not depression?

After some prodding questions, I've come to the conclusion that he is not
eating well, not eating often enough, not getting enough sleep, and working
too hard!  He doesn't have the sense to feed himself, yesterday he didn't
eat a single meal until 2pm.  His food choices totally suck, but my dad's an
old farmer/truck driver who's dead set in his ways.  He's got all these
projects he wants to complete, and it would just about take hog-tying him to
the bed to keep him from overdoing it.  I think that he'll get tired enough
to hopefully wake up and start taking care of himself.
Steve Kramer - 01 Apr 2007 12:08 GMT
> After some prodding questions, I've come to the conclusion that he is not
> eating well, not eating often enough, not getting enough sleep, and
[quoted text clipped - 5 lines]
> he'll get tired enough to hopefully wake up and start taking care of
> himself.

Well, maybe a little science lesson is due, if  you think he will sit for
it.

The body has about     100 Trillion cells.  Millions of these, if not
hundreds of millions, die off every day.  To make up for this, millions, if
not hundreds of millions, a replicated every day by healthy cells to replace
those that have died off.  This takes a lot of energy, as you can imagine.

When they shoot particles through your father's body, the intent is to kill
the cells in its path.  So, the keep aiming at the prostate and send the
particles through six (more or less) paths.  All the radiation is FOCUSED on
the prostate, but the cells in the way are killed too.  Maybe another
million or more, I don't know.  So, now, his body is working harder to
replicate the healthy cells that were destroyed in the process.

Maybe, if he understands his body is doing double-duty even when he is in a
wait state, he will calm 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            PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32                       PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05
Non Illegitimi Carborundum

kh - 01 Apr 2007 02:54 GMT
> My dad is going through radiation treatment for mild prostate cancer.  He is
> 55 yrs old.  He is only in his first week, and is already experiencing
[quoted text clipped - 3 lines]
> Thank you for any info,
> Betsy

I was about his age at treatment and noticed that I was sleeping a
little more at the 4th week and that I also started getting up at
night to pee.  This is something I never did in the past.

This does not sound normal for radiation.

-kh
 
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