I have lost so much weight I can now hardly drag myself upstairs - what is going on?

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I am getting confused here about how to get over this treatment.  It has been one challenge after another from the start, and it just won't let me go!  Because I also have a rare, incurable, but normally well managed blood cancer; which is managed by me taking 8 'elephant sized' chemotherapy pills daily (not available in any other form), it was decided to fit a PEG before starting Radiotherapy, as without the chemo, my blood cancer was deemed highly likely to cause rapid and excess reaction to throat disturbance, causing exacerbated swallow and other problems from the start (which proved to be correct).   

However, immediately following fitting of the PEG, it got infected badly, putting me in hospital with cellulitis, pneumonia, and sepsis 3 days later via A&E.  During the time post fitting, then later on the wards, no one monitored my eating, and I lost 10 kg in 10 days even before starting radiology due to not eating.  Then came radiology, and while I managed to eat for a week, picking up a couple of kilos.  Then, because my start was delayed to a Wednesday due to being in hospital, it was decided to double fractionate me on the second Friday.  This closed my throat tight as a drum, and whilst I had a PEG, no one had organised any food.  So again 4 days no food.  Now I am about 14kg down.  

Got some Ensure Plus (life savers) and started PEG-ging.  Gained a kilo or so.  Now week 6 finally of radiotherapy plus 2 off treatment.  All usual throat issues, but I had survived it.  However, I can hardly walk, and climbing stairs needs both hands on the bannister.  Good news, voice coming back, swallow improving, but no taste or smell.. however, that would be OK as a recovery stage if I could move.

I was put on lots of drugs to 'help with things' - but I am not sure how many are helpers and how many are hinderers.  I am on 15mg Dexamethasone, and have been since very start of treatment; to go with this I need 10mg Flucanazole to stop the 'instant thrush', so that's daily as well.  I also am taking some soluble chemo replacement for my blood cancer, and of course, plenty of Oramorph as well, so I am permanently a bit spaced out.

But i have no strength - it's gone, and I cannot seem to find how to get it back.

Is there any help available for recovering physical strength.  I have gone from a pretty fit 66 year old to someone who feels like they are 96 in 12 weeks.  

If anyone has any ideas about how I can get some help with my physical recovery, I would be very appreciative.

  • Hi sorry to hear you’ve had a rough journey. It could be radiation fatigue as well as loss of muscle mass you’re experiencing.I was advised to have 2500 calories every day and 85 gram of protein To start  with i got most via 6 ensures a day. Then gradually increased food. And reduced ensures.Be ause  of the rapid weight loss you will likely have lost muscle mass which makes sense if you’re struggling. When you are ready start gentle exercise if only a walk round the garden the slowly increase the distance.
      Radiation fatigue all i can say is listen to your body if you need a nap don’t fight it. Hope this helps.

    Hope this helps my blog below details how I coped  with recovery.p you may get some tips. 
    Hazel 

    Hazel aka RadioactiveRaz 

    My blog is www.radioactiveraz.wordpress.com  HPV 16+ tonsil cancer Now  6 years  post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help

    2 videos I’ve been involved with raising awareness of HNC and HPV cancers 

    https://www.instagram.com/merckhealthcare/reel/DBs8Y0niJ8N/

  • Hi. It’s a pity that your clinicians have let things slide so badly. You obviously have a lot of muscle wastage which won’t help the fatigue that radiotherapy causes anyway. I think you need to get professional help from your team. Contact your CNS and tell them that as a matter of urgency you are fading away. You need some rehab. 
    To contextualise this I was very feeble at the same stage as you and it was a case of resting but forcing myself to get out and about a little more each day but I don’t have your comorbidities. 
    Best of  luck with this. Pathetic as it sounds it does get better, just don’t expect too much too quickly. 

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

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  • Could you get an urgent referral to a dietician as getting enough nutrition is vital. I lost 10 k.g during my first radiotherapy so for some that does happen but managed to eventually regain most of it over time. I was also very weak for some time after treatment and I did not have chemo which adds to the complexity of your situation.  

    The thought of even walking to the end of the street was initially too much but I did eventually start walking small distances and over time managed to build on that. I am now able to walk as far as I want to but it did take quite a while as I had no energy and my muscles were very weak. I remember holding onto my husband’s arm as I tried to walk around a shopping centre and not making it too far. I was also very scared of falling over which I had never been before. I too at that stage was a fit 59 year old and had never experienced anything like it before.

    I still have to drink nutritional supplements to get enough calories in my diet but they definitely make a difference.

    It does take time but you will get there.

    Lyn

    xx

    Sophie66

  • Hi there.  I can echo lyns message.  I had to hold onto my husbands arm for a long time after treatment as I too was frightened of falling.  I didn’t loose any weight but I did feel very weak for many weeks.  I could hardly manage a bath and wash my hair.  I think the painkillers made me feel worse as well.  I am nearly 10 months post snd have lots of energy now, but my strength is not completely returned as yet. I am 62 and fit snd slim before I was diagnosed. You must have lots of protein. I had a tasteless organic protein powder that I dissolved into anything.  I still do.  I had in mint tea this morning.  It does seem so so slow at the start.  Hang on in there.  Best wishes. 
    lizzie

  • Hi Hazel, thank you so much for your response.  This is certainly a tougher journey than I expected or hoped for.  I do so appreciate hearing from people who have been there.  It feels a lonely fight at times.  Andrew

  • Hi Dani, and thanks also for your continued support.  It really dos feel pathetic at times, and lonely, and getting this weak was not what I expected.  Can't even climb stairs... I was a fit person 3 months ago!  Many thanks again, Andrew

  • Thanks Lyn, and it's great that you have the same theme.  Maybe there's hope for me yet.. I am just not used to being a frail person!  Indeed I am hating it.  However, it seems perseverance is the key, so here I go again!  Thanks, Andrew

  • Hi Lizzie,  I am with you. I have fallen trying to cross the road the other day, caused a proper pot mess of traffic.  I cannot balance, and climbing the stairs is a major adventure.  Oh well - one day maybe.  I am now just hoping that all this is worth it, and it has cured my cancer (next PET due late September, when hopefully I will find I am clear!  Thanks again Lizzie.  Kind regards, Andrew

  • Hi Andrew just rant in her one if us will have been there at some point. It does get easier honestly, plus remember it’s worth it at the end our cancers are eminently curable,treatments rough but end results are worth it. 
    Hazel 

    Hazel aka RadioactiveRaz 

    My blog is www.radioactiveraz.wordpress.com  HPV 16+ tonsil cancer Now  6 years  post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help

    2 videos I’ve been involved with raising awareness of HNC and HPV cancers 

    https://www.instagram.com/merckhealthcare/reel/DBs8Y0niJ8N/

  • Keep going Andrew.  It does get better. 
    lizzie