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Seem to fatigue very easily

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Posted 4/23/2012 10:32 PM (GMT 0)
about 13 weeks post brachytherapy, and notice that I seem to fatigue very easily. Also taking x2 .4 mg generic Flomax daily. I get winded alot more easily working in the yard, or flat exhausted from our 4/12 hr days work schedule. Is this from the radiation or the medication ?, or both ? I've also noticed when I can make it to the gym, just have no endurance whatsoever.
Posted 4/23/2012 11:04 PM (GMT 0)
It would be a pretty typically expected problem with any type of radiation, it's severity will vary immensely from guy to guy. Sometimes, radaition related fatigue will actually get worse after completion. Hopefully, it will fade over time, and you should get most of your pre-radiation energy back.

Good luck,

David
Posted 4/23/2012 11:26 PM (GMT 0)
You have me permission to blame the radiation. I had beam radiation and by the last week I could barely move. It's been a couple of months for me and it's just been in the last couple of weeks that I feel like I've got any energy coming back. It's been a slow road but it does get better.
Posted 4/23/2012 11:37 PM (GMT 0)
You might want to blame it on your meds if you are taking a drug called "FINASTERIDE"....that's what I am on and it is a "killer" when it comes to fatigue and loss of stamina. I hope and pray that my uro/surgeon is going to take me OFF IT this week. Don;'t give up, you will get your strength back but it might take a while!
Posted 4/23/2012 11:41 PM (GMT 0)
Thanks for replies...

ICECAT, not taking the finasteride. But , I would like to wean down to just 1x .4 mg capsule of the Flomax/Tamulosin daily. Last time I tried cutting down a few weeks earlier, things didn't go so well in the urinary issues department. My flow rate cut down to almost non-existant.
Posted 4/24/2012 12:36 AM (GMT 0)
Since palladium has much shorter half life that iodine, the radiation used is much stronger. That may lead to stronger side effect like fatigue. I had I 125 implant with very little fatigue following treatment. Again SE varies widely from person to person. Good thing is that it would go away soon.
Posted 4/24/2012 12:41 AM (GMT 0)
It could be the med as well. Alpha blockers can cause blood pressure drops with postural changes. It took me a few months to get used to it. Now, I do not notice any difference. Either way, I believe the feelings will pass.

I would suspect your urinary symptoms will start improving soon due to Pallidium's short half-life.

I am 8 weeks out mild urinary symptoms. Unfortunately, I also have mild discomfort during defecation (due to IMRT). Hopefully, this will go away soon.

Paul
Posted 4/24/2012 2:31 AM (GMT 0)
If you keep having diminished flow problems, there's always a chance you could have a stricture forming either in your urehtra or near your bladder neck. If there's any doubts, or if you feel its getting worse, contact your urologist. He/she may need to go up you with a scope ,and take a look around, and see if you might need a dialation to get the flow going.

david
Posted 4/24/2012 7:40 AM (GMT 0)
I also had lots of fatigue issues after SRT. My doc says it is not uncommon to have them for more than a year.
What I do notice is that there is a kind of wall (like marathon runners get etc). I new that exercise was good for me, so I'd go for a walk, but after about half a mile I'd feel like truning round and going home, or sitting on a bench or a low wall. however if I kept going then after another half mile the fatigue was less and I was able to carry on.
Alf
Posted 4/24/2012 12:03 PM (GMT 0)
I had some fatigue the first few months. I would take a 15 minute cat nap in my car twice a day and took it easy at night. I just had a physical last week and my doctor was asking about fatigue. I had forgotten about it until he made me think about it. I can tell you that at about 9 months out, I have no fatigue what so ever. I joined the YMCA a month ago and have been working out 5 days a week. I feel the best I've felt in a long time. BTW, I do still take Flowmax, although at this point I think I could stop it or cut down, but I do not get any fatigue from it.
Posted 4/24/2012 12:40 PM (GMT 0)
powellst:

-the fatique can also be a combo of physical as well as psychological - reaction to your recent events and treatment - mental fatique is real too...

-may I suggest maintaining your gym routine but decrease the weights used but increase the amount of reps gradually ....
ie. instead of 3 sets of 50# 10 times - start with 1 set of 30# - 10 times -then 15 etc .. up to 30 ( you set a firm number goal) - so your focus is on style and form - Mike Mentzer had a routine in which he focused on lower weights and higher reps.

-note: this is a patient-to-patient forum and we are not doctors - just sharing life experiences.

-wishing you improved endurance, health -mental and physical - and low numbers ( keep in mind it takes a while for your numbers to "go for the low"... number bounces can occur...)

take care,
hugs,
Bronson
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