I'm newly diagnosed with locally advanced prostate cancer and started my bicalutamide last week. I've been a slave to constipation for years, diagnosed by my doctor as slow transit constipation as a result of my MS (which I've had for 37 years and am fortunate to not be badly affected - no walking difficulties, fatigue from time to time and general lack of stamina).
The doctor has me on Lactulose to help, recently increased at my request from10mg twice a day to 20 knowing that one of effects of the hormone treatment can be getting stuffed up.
I'm drinking plenty (around 2.4 litres a day) and eat an apple and pear each day, but am still having difficulty with hard stools. It's frustrating. I'm wondering what others do and if you have any tips. I think I'm going to try some powder from Japan that I've found really good in the past. It's a mild laxative with natural ingredients. I've tried to only take when necessary because it gives me the most foul smelling wind. I could kill from 40 paces!
Any thoughts or insights much appreciated.
Phil
