Questions To Ask The Doctor
- What treatment do you think is best for me?
- Whats the goal of this treatment? Do you think it could cure the cancer?
- Will treatment include surgery? If so, who will do the surgery?
- What will the surgery be like?
- Will I need other types of treatment, too?
- Whats the goal of these treatments?
- What side effects could I have from these treatments?
- What can I do about side effects that I might have?
- Is there a clinical trial that might be right for me?
- What about special vitamins or diets that friends tell me about? How will I know if they are safe?
- How soon do I need to start treatment?
- What should I do to be ready for treatment?
- Is there anything I can do to help the treatment work better?
- Whats the next step?
What Are The Symptoms Of Prostate Cancer
If you have any symptoms that worry you, be sure to see your doctor right away. They may be caused by conditions other than prostate cancer.
Different people have different symptoms for prostate cancer. Some men do not have symptoms at all.
If you have any of the following symptoms, be sure to see your doctor right away
- Difficulty starting urination.
- Weak or interrupted flow of urine.
- Urinating often, especially at night.
- Trouble emptying the bladder completely.
- Pain or burning during urination.
- Pain in the back, hips, or pelvis that doesnt go away.
Keep in mind that these symptoms may be caused by conditions other than prostate cancer.
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Questions About Fatigue To Ask Your Doctor Or Nurse
You may find it helpful to keep a note of any questions you have to take to your next appointment.
- Is my prostate cancer treatment likely to cause fatigue?
- How long might my fatigue last?
- What can I do to improve or manage my fatigue?
- What physical activity is suitable for me?
- Is there a local support group for men with prostate cancer-related fatigue?
- How can I access a local exercise programme?
- What other support is available to me?
- Who can I speak to for advice about work?
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Pain As Symptom Of Prostate Cancer
Approximately 70% to 85% of patients with advanced prostate cancer have associated clinically apparent bone metastases, while another 20% to 25% have metastatic liver lesions, explain the authors of the study Pain Management in Patients With Advanced Prostate Cancer.In addition to pelvic pain associated with primary tumor extension, these metastatic lesions cause pain that ranges from mild to very severe and may require extensive, highly individualized pain management. Pain is perhaps the one aspect of cancer that patients fear most, and effective pain control is a critical issue for patients and often a challenge for clinicians.
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Provincetown Seafood Cookbook Paperback
This is a New England seafood cookbook written by Provincetowns best-known chef. It collects classic recipes, folk history, and original drawings of the author. Recipes include Cape Cod Gumbo, Provincetown Paella, Portuguese Clam Chowder, Lobster Fra Diavolo, and Zarzuela, among others.
Many of the recipes focus on clams, mussels, the storied Wellfleet oysters, snails, and familiar Cape Cod fishes but theres a list of fresh and frozen substitutes so that anyone can use the recipes anywhere in the country. This book will also teach you the right way to eat broiled crab and the safe way to open oysters.
Readers enjoyed the book for its colorful look at Provincetown history and culture. One found its menu planning section useful. Another said that the food tips and advice are spot-on. Those who tried the recipes said that it turned out well. Recommended for experienced cooks, lovers of Provincetown cuisine and fans of Chef Howard Mitcham.
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Metastatic Spinal Cord Compression
Metastatic spinal cord compression happens when cancer cells that have spread from the prostate grow in or near to the spine, and press on the spinal cord. MSCC isnt common, but you need to be aware of the risk if your prostate cancer has spread to your bones or has a high risk of spreading to your bones. The risk of MSCC is highest if the cancer has already spread to the spine. Speak to your doctor or nurse for more information about your risk.
MSCC can cause any of the following symptoms.
- Pain or soreness in your lower, middle or upper back or neck. The pain may be severe or get worse over time. It might get worse when you cough, sneeze, lift or strain, go to the toilet, or lie down. It might get worse when you are lying down. It may wake you at night or stop you from sleeping.
- A narrow band of pain around your abdomen or chest that can move towards your lower back, buttocks or legs.
- Pain that moves down your arms or legs.
- Weakness or loss of control of your arms or legs, or difficulty standing or walking. You might feel unsteady on your feet or feel as if your legs are giving way. Some people say they feel clumsy.
- Numbness or tingling in your legs, arms, fingers, toes, buttocks, stomach area or chest, that doesnt go away.
- Problems controlling your bladder or bowel. You might not be able to empty your bladder or bowel, or you might have no control over emptying them.
It is very important to seek medical advice immediately if you think you might have MSCC.
What Is The Best Treatment For Prostate Cancer
Depending on each case, treatment options for men with prostate cancer might include:
- Observation or Active Surveillance for Prostate Cancer.
- Surgery for Prostate Cancer.
- Radiation Therapy for Prostate Cancer.
- Cryotherapy for Prostate Cancer.
- Hormone Therapy for Prostate Cancer.
- Chemotherapy for Prostate Cancer.
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How You Might Feel
When prostate cancer is advanced, it can no longer be cured. But treatment can control it for some time and help to relieve symptoms.
Finding out that your cancer cant be cured is distressing and can be a shock. Its common to feel uncertain and anxious. It’s normal not to be able to think about anything else.
Lots of information and support are available to you, your family and your friends. It can help to find out more about your cancer and the treatments you might have. Many people find that knowing more about their situation can make it easier to cope.
Talk to your doctor or nurse to understand:
- what your diagnosis means
What Other Factors Contribute To Fatigue
Several other factors could contribute to fatigue, including:
- Tumor cells compete for nutrients, often at the expense of the normal cells’ growth.
- Decreased nutrition from the side effects of treatments can also cause fatigue.
- Cancer treatments, specifically chemotherapy, can cause reduced blood counts, which may lead to anemia, a blood disorder that occurs when the blood cannot adequately transport oxygen through the body. When tissues don’t get enough oxygen, fatigue can result.
- Medicines used to treat side effects such as nausea, pain, depression, anxiety, and seizures can also cause fatigue.
- Research shows that chronic, severe pain increases fatigue.
- Stress can worsen feelings of fatigue. Stress can result from dealing with the disease and the “unknowns,” as well as from worrying about daily tasks or trying to meet others’ needs.
- Fatigue may result when you try to maintain your normal daily routines and activities during treatments. Modifying your schedule and activities can help conserve energy.
- Depression and fatigue often go hand-in-hand. It may not be clear which started first. One way to sort this out is to try to understand your depressed feelings and how they affect your life. If you are depressed all the time, were depressed before your cancer diagnosis, or are preoccupied with feeling worthless and useless, you may need treatment for depression.
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Lymphangiogenesis & Lymph Node Metastasis
During embryogenesis lymphatic vessels develop from blood vessels . Therefore, lymphangiogenesis and angiogenesis are stimulated by the same family of growth factor proteins. VEGF-A/VPF is the most potent growth factor for angiogenesis . Other VEGF family members, such as VEGF-C and VEGF-D, are potent lymphangiogenic factors . Flt-4, also known as VEGF receptor-3 , is the tyrosine kinase receptor for VEGF-C or -D in lymphatic endothelial cells. Upon activation, this receptor triggers signaling events to initiate the proliferation and migration of lymphatic endothelial cells . Neuropilin-2, a nontyrosine kinase receptor, is also expressed in lymphatic endothelial cells and acts as a coreceptor for VEGF-C during lymphangiogenesis . Both VEGF-C and -D are expressed by tumor cells and, therefore, promote lymphangiogenesis from the tumor-associated surrounding lymphatics . Importantly, cancer cells have also been shown to express neuropilin-2 and/or VEGFR-3, thus suggesting autocrine regulation of lymphangogenic growth factors . Our laboratory has reported one such autocrine regulation of VEGF-C and its receptor neuropilin-2 in prostate cancer this autocrine function promotes the survival of prostate cancer cells during oxidative stress and, thereby, is important for metastatic progression .
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How Can I Manage Fatigue
Lots of things can cause fatigue, so theres no one treatment that can get rid of it completely. But there are lots of things you can do to improve or manage your fatigue. Read the information below to find out how small changes to your life can make a big difference.
You can also visit our How to manage fatigue guide or speak to our Specialist Nurses.
Talk to your doctor or nurse
Its important to talk to your healthcare team if you think you have fatigue. They can help you understand what might be making your fatigue worse and help you find ways to manage your fatigue. They can also check for any other health problems that might be causing your fatigue or making it worse.
Physical activity can help to improve fatigue. Read more about physical activity to improve fatigue.
Plan ahead and take things slowly
You might not have enough energy to do everything you used to do. But if you plan ahead, you can try to do the things that are most important to you.
Keeping a diary can help you plan your activities. .
The five Ps
Some men find thinking about the five Ps helpful when planning their time.
Get help with emotional problems
Ask for help
It can be difficult to ask for help when youre used to being independent. But partners, family members and friends will usually want to help. Think about which activities you want to do for yourself, and which ones someone else could do for you.
Make time to relax
Eat and drink well
Improve your sleep
During the day
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Prostate Cancer And Your Sex Life: What You Should Know
While sex might not be the first thing in your mind when you are diagnosed with prostate cancer, it is something that you need to know about especially if you lead a sexually active life. You might feel awkward talking about your sex life with your doctor but it is important to do so.
You need to ask your doctor about the treatment that you will be receiving and how it will affect your sex life. You can ask questions such as the safety measures that you can take, which sex positions you should avoid, whether you can have sex with your partner daily, etc.
Whatever questions you have, just ask your doctor to be on the safe side. If you are unable to do that then you might want to speak to your counsellor first and then to your doctor so you dont feel awkward.
Clinical Staging Options For Lymph Node Involvement
Several user-friendly but sometimes sophisticated tools based on initial clinical and pathological characteristics have been developed to predict the risk of nodal involvement in patients.1014 These tools are useful for predicting the probability of finding positive nodes in populations of patients, but they cannot determine if and where nodes are involved in an individual. As a result, the use of these tools has generated a lot of controversy not only because of significant differences in the observed vs. expected rates of pathological stage in the modern era of lymph-node dissection, but also because of concerns about their clinical relevance.
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Other Conditions That Can Cause Urinary Symptoms
- Benign prostatic hyperplasia BPH is when the prostate gland grows larger. BPH is common in middle-aged and elderly men because the prostate gland often gets bigger as you get older. BPH is not cancerous but it may cause prostate urinary symptoms.
- ProstatitisProstatitis means that the prostate gland has become inflamed. It can be caused by an infection in the prostate gland. It is not a form of prostate cancer. Symptoms can include pain in your testicles, pain when passing urine or an uncomfortable feeling when sitting down.
Natural Treatment Options For Prostate Pain
As prostate pain is associated with all three conditions like prostate cancer, benign prostatic hyperplasia and prostatitis so it is good to find some natural remedies for such prostate troubles. Although, medical science has developed several medications and treatment solutions for this condition but natural therapies are always the most trustworthy options. The major reason behind using home based remedies is that they do not lead to any side effect so person can stay safe.
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Are There Prostate Cancer Risk Factors To Consider
Cancer researchers have identified several factors that could increase a mans risk of developing prostate cancer. In considering whether any of these risk factors apply to you, remember that having one or more of them does not mean you will get the disease. However, you should be sure to get all the prostate cancer screenings your physician recommends. It is also important to know that men without these risk factors may also have prostate cancer.
How Common Is Prostate Cancer
About one in nine men will receive a prostate cancer diagnosis during his lifetime. Prostate cancer is second only to skin cancer as the most common cancer affecting males. Close to 200,000 American men receive a diagnosis of prostate cancer every year. There are many successful treatments and some men dont need treatment at all. Still, approximately 33,000 men die from the disease every year.
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Prostate Cancer Caregiver Podcast Series
We are proud to announce a new podcast series geared toward helping give support, hope and guidance to prostate cancer caregivers. The goal of this Prostate Cancer Caregiver Podcast Series is to help others connect with a diverse group of people who have felt the impact of prostate cancer in their lives and empower them on their journey.
Risk Of Other Health Problems
Evidence suggests that having hormone therapy might increase the chance of developing heart disease, stroke and type-2 diabetes. There is also some research that suggests having hormone therapy can increase your risk of getting blood clots and anaemia. But more research is needed to help us understand the links between these conditions.
Research shows that hormone therapy can cause:
- an increase in weight, particularly around the waist
- an increase in cholesterol levels
- changes in insulin.
Talk to your hospital doctor and GP about how often you should have general health checks. You may be weighed and have your blood pressure checked regularly. You may also have blood tests to check for diabetes and to measure your cholesterol levels. Your GP may suggest you have these checks about every six months. Or you can ask for them yourself at your GP surgery.
If you already have heart problems or diabetes, talk to your doctor before you start hormone therapy. They will work with you to manage these conditions.
While the risk of getting these conditions may be worrying, its important to remember that hormone therapy helps men to live longer by controlling the cancer.
What can help?
A healthy lifestyle can help reduce your risk of heart disease, stroke and type-2 diabetes. This includes:
- eating a healthy diet
Read more about diet and physical activity.
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Eating Problems And Weight Loss
Some men with advanced prostate cancer have problems eating, or dont feel very hungry. You might feel or be sick. These problems may be caused by your cancer or by your treatments. Being worried about things can also affect your appetite.
Problems eating or loss of appetite can lead to weight loss and can make you feel very tired and weak. Advanced prostate cancer can also cause weight loss by changing the way your body uses energy.
What can help?
If you feel sick because of your treatment, your doctor can give you anti-sickness drugs. Steroids can also increase your appetite and are sometimes given along with other treatments.
Try to eat small amounts often. If youre struggling to eat because of nausea , try to avoid strong smelling foods. Cold foods tend to smell less, or it may help if someone cooks for you. Try to eat when you feel less sick, even if its not your usual mealtime. Fatty and fried foods can make sickness worse. Drink plenty of water, but drink slowly and try not to drink too much before you eat.
Tell your doctor if you lose weight. They can refer you to a dietitian who can provide advice about high calorie foods and any supplements that might help. It can be upsetting for your family to see you losing weight, and they may also need support. Macmillan Cancer Support and provide support and information about eating problems in advanced cancer.