husband's extreme fatigue and pain

 Hi everyone: Rob had his Zometa Jan.9/08 and normally doesn't see the side affects, achy, tired etc. for a couple of days. This time he had pain, aching, and tired within a couple of hours of his treatment. Since then he is extremely tired, pale, achy, sometimes pain and twice he has had an ache or pain flow throughout his whole body but in different locations and not all at one time. Ex: last couple of nights he starts to ache or hurt in the upper part of his body, arms, shoulders, chest with no pain or ache in the lower extremities. Than it suddenly switches to his lower part of the body from the waist down to his feet and the upper part stops hurting. This lasts for an hour or two before it subsides and disappears. Does anyone know what can cause this? He isn't all that hungry either. Just absoluetly fatigued. Feels like his muscles are tired and achy also. Can Zometa do this?  I also read and article on Hypercalcemia of malignancy which means that there is too much calcium in the blood. This can occur with bone metastases, due to excessive bone loss. Symptoms include nausea (which he has had on occasion lately and vomiting once) loss of appetite, depression, and fatigue. Just this happening is getting him really down.  His hips aren't doing as well as we hoped after his last radiation either. Can anyone recommend a good video to buy on self visualization so he can try some self healing, as well as a good video on learning relaxation techniques and how to destress himself so he can learn how to not get so extremely stressed over everything that happens or might happen. Even the smallest insignificant normal things get him stressed and his imagination goes beyond. My daughter called me and asked us to stop over and pick up something without telling us what it was. Rob started thinking of all negative things instead of looking at this as maybe a pleasant surprise and simply waiting until we got there to see what it was.  He always thinks the worst or negative and works himself into a state of stress that causes his pain to start when he didn't have any. From there it escalates. Even he now sees that he needs to find a way to handle stress better and learn not to get so involved in things that he can't do anything about. Just hard to change habits. Thanks for your help guys and gals. Hope everyone is doing okay. Keep up the fight. You're in my prayers.  lifeline

C'mon Lifeline - I shouldn't have to tell you that you should have called the prescribing doc as soon as he felt the side effects.

As far as the depression goes, I'm obviously not a doctor, but it's just as obvious to me that your husband should be on anti-depressants. I'm on Effexor, and have been for a long time, even before my PCa diagnosis. During my radiation treatments I got REALLY depressed and they increased my dosage of the Effexor. That fixed that problem. It's hard to imagine anyone with cancer not being depressed. Some of us are fortunate enough to be able to deal with it without meds, but for the rest of us, pills are the answer. Just be aware that it might take a while to find the right dosage of the right med - trial and error.

Best wishes.

-Les

Dear Lifeline....         Thinking of you & Rob at this moment              ~  and just wanted to let you know                    Keeping you close in thoughts and prayers!                            Hugs from Lee & Buddy

Since I went to therapist when I had breast cancer, I have wanted my husband to go to my therapist also. He claims he is not depressed, but he has changed. Why don't men talk about things? I also get depressed and am a little angry with him simply because I had wanted him to go the doctor for a number of years and he wouldn't. Now that he is in this position, I just wish I could get him to get some help from drugs or otherwise. Why are our men so stubborn?
Hang in there lifeline, I will be in touch with you soon. Prayers are with you and your husband. Sandy

Hi: thanks everyone for your quick response. Since the last post Rob has had a few partial good days, but these last 3 days are not good and we are so confused.  The ache in his muscles, (i keep asking him is it pain or ache, is it in the bones) he insists it's muscle ache, won't go away unless he takes a hot bath. One day after coming out of the tub he said that he didn't even feel like he was sick. He sounded like his old self. Unfortunately, this only lasted about 10 min. then things went downhill again. I don't get this. Anyone know anything about this. Where Tyenol 3 or 4's worked to help the ache, they no longer work nor does Advil or his Morphine. Sometimes like this morning, he could hardly walk, the muscles don't seem to want to support him. Does anyone know what could be happening. Is it possible that his spinal cord is being affected and is  he getting close to being paralyzed? I know i'm hopefully panicking for no reason. this whole thing started after his last radiation in Dec. when he had a heavy dose for his hips and pelvic and Zometa the same day, then Zometa 3 wks. later. I read info. that after a long time on Zometa and rad. some men can have a reaction to these, dibilitating muscle and joint ache and pain for awhile and have to be taken off Zometa for awhile. Is there anyone out there whose husband has advanced pc. similar to mine who may have gone through the same? We sure could use to know that there is a light however dim coming. I'm wandering, is he reaching the end.  I have printed out so much info. to ask the chemo dr. when we meet with him this coming Tues. I don't think we will have time to discuss everything with him and i feel i'm getting bogged down with info. He isn't losing weight and most times is eating really well.  Can the cancer do the above or is there really hope that it could just be the radiation and Zometa. We are both really needing more hope.  thanks lifeline