Fatigue 7 months after HDR

The tendonitis and GI issues alone could cause the fatigue. I've had both. The pain of tendonitis can be very draining to the body. Are you taking anything for the tendonitis?

Fatigued due to radiation normally goes away short after the radiation stops.

Getting more tests is the right thing to do.

You might try more exercise - at least walk a bit more.

Andrew

GI doc had me go on a FODMAP diet which has helped only a small bit with those issues. No dairy but eggs are OK.

I've always taken the dogs on a mile or so walk every morning and have - when feeling OK - taken them on a second mile walk later in the day or used an elliptical walker.

It's an interesting topic.

I had my last Zoladex injection in October 2014 so the major effect should have finished in January 2015. I know there is an extensive lingering time, and I still have no libido and am still getting intermittent hot flushes but nowhere near as bad as previously.

But the thing I have noticed most is that my energy levels have lifted considerably.

I didn't feel constant fatigue while on ADT but found it would come in waves lasting 2 or 3 weeks. Have not had that for a couple of months now. For me the fatigue was the worst of the SE's, so glad that has gone.

I am now eagerly awaiting the return of libido, and hoping it doesn't coincide with a rise in PSA.

Hope you can resolve this because nothing is as debillitating as fatigue.

Chas

Just had my upper GI endoscopy as well as a colonoscopy.

The lower was fine (1 small polyp) but it looks like I have a large hiatal hernia (part of stomach is pushed above diaphragm if I understand it correctly.) and possibly Barrett's. Aside from the polyp she also took biopsies of my esophagus, stomach and small intestine.

My GI told me that the hernia is most likely the cause of my GI problems and is scheduling a barium swallow test in order to determine how bad it is and what type of surgery to correct it.

The good news is that since this is the most likely cause I don't have to stay on the FODMAP diet anymore as it wasn't helping...small victory, but I'll take it.

The bad news is that there isn't much that can be done until after the tests and likely surgery so it is likely to be at least a few more months from now between scheduling, insurance approvals, etc.

Tde: So sorry to hear you had to endure that kind of pain. Pain is a factor in fatigue. Both should diminish in time. I am going to assume you are drinking plenty of liquids and getting as much exercise as the Docs will allow you to do under the circumstances. Also assuming you were taking two Flomax tablets per day.

I certainly hope and pray that the additional medication will open the floodgates and put off the resection.

As for your early PSA spike, I can't help but thinking the ordeal you have had to endure played a role. That said time may just relieve all this unwanted stress in your life. Hang in there and keep us posted.

Eligard should have quit April 30th or so (last 6 mo hit was Oct 2014), but still no T or PSA. As of Aug 1 I am 2 years out from ~80 Gy of EBRT, still have fatigue, still have to take a 1 hour nap every afternoon, still have colonic radiation cramps. Am hoping that when the T comes back up (if) and I get a little further down the line from the radiation I will regain my energy. I have returned to my regular 50 mile a week running program as of last Feb. That helps.