Dear all
Following radical Prostatectomy for T3 Gleason 7 in 2021, we found out that my dear husband (aged 49)’s cancer has come back, so salvage RT to whole pelvis (prostate bed and nodes) is treatment plan.
we thought that - compared with surgery - RT would be quite straightforward. Just lie on the bed and let the radiologist zap the cancer (we thought). How wrong we were!
I’m sure RT is straightforward in other parts of the body but what we’ve learned so far (week2) is just how much the patient has to do to ‘prepare’ everyday to be in the ‘right condition’ for successful treatment of pelvic region. In short, the radiographers want my dear husband to turn up to hospital at 08.30 every day with a **completely empty bowel** and full bladder. This is not easy!
We are currently in week 2 (of 7 week RT) and really struggling with getting his bowels to ‘comply’!
For 25 years we have normally eaten a ***high fibre*** ‘superfood’ diet full of leafy veg, nuts, legumes, lentils, brown rice, fruit and oats.
When he started RT last week the nurses presented him with a Low Residue/ LOW fibre diet sheet - basically white bread, white rice, white pasta etc. I’m other words… food that is guaranteed to give you constipation if you are not used to it and have been used to lots of fibre for years.
As a consequence my poor husband has been getting up at 5am trying everything imaginable to empty his bowels, but still no joy! The nurses have instructed him to take peppermint oil before each meal, dulcolax and suppositories in morning. He’s been trying sit ups, strong coffee first thing, but every day we arrive at hospital (they give him and enema) and still there is too much either solid matter or wind in bowel
has anyone else had such a difficult time with constipation at start of RT and how did you resolve it!? Any tips?!
we have heard it gets easier!!! And as treatment progresses it is more likely the challenge will be diarrhoea and loose bowel rather than the current log jam!
Many thanks in advance
devoted wife
‘wiggers’
Wiggers, Brian,
It's now exactly 2 years since my radiation therapy. Luckily I live 10 minutes from the hospital so I could take the enema at the hospital.
I did have the odd "dud" one, that didn't work, but the longer your radiation goes on, the harder it is to keep the water in.
I had a bit of constipation but the enemas blasted it out. Luckily I was never bothered by diahhorea. I've never heard of anyone else who had it while going through the radiation treatment.
Beware of fatigue. After 2 weeks the fatigue got a hold of me.
Now, 2 years later I am still not back to normal. Being screwed over by work doesn't help.
Hope the rest of your sessions go smoothly.
Steve (SteveCam)
Hi Steve
I had horrendous diarrhoea, for a day, when I decided to ignore the dietary advice by the RT team. All was good when I switched back to the recommended diet. Agreed, the fatigue is bad, and seems to go on and on! Didn't help that I was diagnosed with anemia. I'm going to query with my CNS as I think I read somewhere the RT can cause it.
Regards
Stuart
Stuart, it must all depend on everybody's different circumstances.
I remember at the time you mentioned the diet, but they weren't really that bothered with a diet for me. Just keep off the caffeine.
Steve (SteveCam)
My radiotherapy team don't offer any dietary advice and I've largely continued with my normal diet for my treatments. I've not had any issues so far with my rectum.
So if your normal diet promotes regular bowel movements and you don't suffer from wind I might be inclined to continue with it.
I think timing of meals can be a factor and I eat breakfast and lunch as my main meals and don't have much in the evenings. My RT appointments are all morning and I usually empty my bowels first thing then have a micro enema 2 hours before the appointment.
This has worked so far for me. Occasionally I also take lactulose (15ml) if I feel a little constipated before going to bed.
That's been my regime so far and it seems to be working.
Rob
Dear " Wiggers"
Sorry to hear this which almost exactly mirrors the situation I found myself in prior to my treatment. I was so stressed by it all and the diet caused me terrible constipation. Every day before RT Therapy I would get up at six drink 500ml of water and go for a walk. Bizarrely it worked for me but was nonetheless stressful.
As others have said the enema at the hospital will otherwise resolve the situation.
Greener
Hi Greener.
Thanks for your kind tips.
My dear husband finished his treatment last week. Big relief!
He is fatigued and lots of urgent dashes. But he feels glad that he can slowly return to our usual diet and doesn’t need to attend hospital every day. It feels like a great liberation.
thanks to you all including Brian and others for all your kind tips and support in this process.
good luck with all your individual journeys.
devoted wife
wiggers
Good Morning Wiggers
That's great news the Radiotherapy has been completed. It's a strange old world when you go from visiting the hospital everyday to - well not a lot!!
Fatigue will go with exercise, the urgent dashes you need to keep an eye on and if they don't improve he needs to be having a word with his GP/CNS.
I wish you both well on the rest of your journey.
Best wishes - Brian.
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