What Should Patients Do If They Think They Are Suffering From Fatigue
Those who are not sure whether they are suffering from fatigue should compare their current condition with their condition before treatment: Fatigue as a side effect of therapy is likely when patients suddenly feel less dynamic and energetic than before treatment. Prostate cancer is a slow-progressing disease, so it is unlikely that you will feel weaker only because of the disease after your appointment with the doctor or when you start treatment.
Relatives and other caregivers can also provide support here. They should be attentive and actively approach the patient about changes. “You used to do this or that – why don’t you do that anymore?” This may make it clearer to the patient that there is a need for action.
In any case, patients should definitely talk to their doctor if they suffer from exhaustion no matter how pronounced it is. The doctor must know that the patient is not doing well with the treatment only then can he/she look for suitable therapy alternatives.
How Do I Know If I Have Fatigue Or Tiredness
Some signs of fatigue are:
- Feeling like you have no energy
- Sleeping more than you normally do
- Not wanting to or being able to do your normal daily activities
- Paying less attention to the way you look
- Feeling tired even after you sleep
- Having trouble thinking or concentrating
- Having trouble finding words and speaking
If you have any of these signs talk to your doctor or health care team. There can be physical causes for your fatigue, like an infection or pain that they can help you manage. It is important that you talk to your doctor or health care team about any side effects you may have during or after your treatment. Your health care team can help treat these problems.
Stress Mental And Emotional Changes
Having cancer can cause stress, sleeping problems, moodiness, and depression. Stress by itself can cause emotional, mental, and physical fatigue.
Both cancer itself and stress can cause dysregulation of cortisol. Increased levels of cortisol put your body in a high-alert state. This burns a lot of energy and can lead to mental and emotional changes and sleeping problems which all lead to fatigue.
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Why An Institutional Cookbook
The importance of local food sources in maintaining food security throughout international tariffs and pandemics has recently been highlighted, even magnified. Direct producer to consumer sales have ensured that fresh, safe, healthy protein continues to make it onto the plates of many households. However, the most vulnerable people- the homeless, low-income families, and seniors- have faced worsening food insecurity with no access or means to afford direct food sources. At the front lines of food insecurity are institutional meal services- struggling to connect masses of the food insecure to healthy, fresh, local foods. Our hope is to offer this cookbook free of charge to institutional kitchens to help bridge that gap through increased awareness of local seafood and fishermen, guidance from professionals like you for the acquisition, safe handling and preparation of local seafood, and strengthened connections within our community.
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Supporting Someone With Fatigue
Supporting a partner, friend or family member with fatigue can be very difficult. There are things that might help.
- Ask your loved one what he feels able to do and support him to do those things.
- Ask what he doesnt feel able to do and look into ways you or other people could help with those things.
- Ask if your loved one would like you to go to hospital appointments with him.
- Learn more about fatigue so you understand what your loved one is going through.
- Look into ways to deal with any feelings you might have about your loved ones fatigue, like feeling frustrated or upset.
- Make sure you get enough rest so that you have enough energy to support him.
- Ask friends and family for help.
- Talk to your doctor for support.
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What Are The Signs & Symptoms Of Prostate Cancer
Prostate cancer symptoms do not usually manifest themselves in the early stages of the disease. Less than five percent of men with prostate cancer show early urinary symptoms. The condition has usually progressed to later stages when prostate cancer symptoms do arise.
Some men may experience symptoms that can indicate the presence of prostate cancer. Others may find out during a routine check-up, a blood test, or a rectal exam with their doctor. Because the symptoms of prostate cancer are similar to other symptoms patients, will need to go through further testing to determine whether they actually have prostate cancer.
How Does Cancer Cause Fatigue
, cancer is the uncontrolled growth of abnormal cells in the body. That growth requires energy, and cancer absorbs energy that would normally travel to the rest of the body.
Its uncommon to notice this energy drain, however, unless the cancer has metastasized to organs such as the liver, where it may affect metabolism, or the bone marrow.
When cancer invades the bone marrow, it affects the production of blood cells. White blood cells help fight infection. Red blood cells contain hemoglobin and carry oxygen to and from organs and tissues throughout the body, providing energy and removing waste from cells. Cancer may cause a reduction in the production of red blood cells, resulting in anemia, which causes fatigue.
Inflammation caused by cancer may be another key contributor to cancer-related fatigue. When your body is fighting a disease, it releases chemicals like cytokines to trigger the immune response, but these chemicals may also cause fatigue.
In patients with advanced cancer, the disease may produce cachexins, which reduce your appetite and may result in cachexia, a serious cancer-related condition that causes substantial weight loss and muscle wasting.
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Fatigue Is The Most Common Side Effect Of Cancer Treatment
Cancer treatments such as chemotherapy, radiation therapy, hormone therapy, bone marrow transplantation, and immunotherapy can cause fatigue. Fatigue is also a common symptom of some types of cancer. People with cancer describe fatigue as feeling tired, weak,worn-out, heavy, slow, or that they have no energy or get-up-and-go. Fatigue in people with cancer may be called cancer fatigue, cancer-related fatigue, and cancer treatment-related fatigue.
Discusses How Radiotherapy Affected His Energy Levels
The other aspect, I like to run and I’ve been running for about 50 years I suppose, even longer now 55. In the first place I was able to run very regularly. I was very fit before starting the treatment and I was able to run all the way through the treatment, but I found towards the end that I was becoming very tired. I found tiredness coming in and a little bit of ennui, lethargy, I was beginning to be not be as on the ball perhaps as I would normally be. Well enough to drive, well enough to do all sorts of things you know it wasn’t major or anything like that but I was beginning to find running a little bit more difficult. And in fact I cut my mileage down towards the, I suppose the last 5 or 6 weeks of treatment, sorry the last 3 or 4 weeks of treatment I had to cut training down. After treatment I was still left with the problem.Having had a word with the GP about it, how long would you expect the tiredness and the physical change to take place after radiotherapy and he said ‘Well 3 to 6 months’ but its taken me a lot longer to get back. But then also I suppose I’m now 66 and there’s an aging process too so it might not be due completely to the treatment. But the fact I had to cut down at that stage, it’s taken may be longer to get back into form, due partly to age, not necessarily due to the treatment. But having said that all normal things, after 3, 6 months I was fairly well okay again to do most things.
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Can Sleep Be Improved To Reduce Cancer Fatigue
Sleep is an important part of wellness. Good sleep can improve your mental and physical health. Several factors contribute to how well you sleep, and there are things you can do to improve your sleep, including:
- Doing relaxation exercises, meditation or relaxation yoga before going to sleep.
- Avoiding long afternoon naps.
- Going to bed only when sleepy. Use your bedroom only for sleep and sexual activities.
- Setting a consistent time to lie down and get up.
- Avoiding caffeine and stimulating activities in the evening.
- Establishing a relaxing pre-sleep routine.
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It Is Not Clear How Cancer Treatments Cause Fatigue
It is unclear how cancer treatments such as surgery, chemotherapy, and radiation therapy cause fatigue.
When cancer treatment begins, many patients are already tired from medical tests, surgery, and the emotional stress of coping with the cancer diagnosis. Fatigue may get worse during treatment.
Different cancer treatments have different effects on a patient’s energy level. The type and schedule of treatments can affect the amount of fatigue caused by cancer treatment. Some patients have more fatigue after cancer treatments than others do.
Fatigue related to surgery
Fatigue is often a side effect of surgery, but patients usually feel better with time. However, fatigue related to surgery can be worse when the surgery is combined with other cancer treatments.
Fatigue caused by chemotherapy
Patients treated with chemotherapy usually feel the most fatigue in the days right after each treatment. Then the fatigue decreases until the next treatment. Some studies have shown that patients have the most severe fatigue about mid-way through all the cycles of chemotherapy. Fatigue decreases after chemotherapy is finished, but patients may not feel back to normal until a month or more after the last treatment.
Fatigue during chemotherapy may be increased by the following:
- Lack of sleep caused by some anticancer drugs.
Fatigue caused by radiation therapy
Fatigue caused by hormone therapy
Fatigue caused by immunotherapy
Can Stress Management Help With Cancer Fatigue
Managing stress can play an important role in combating fatigue. Here are some ways you can manage stress:
- Adjust your expectations. For example, if you have a list of 10 things you want to accomplish today, pare it down to two and leave the rest for other days. A sense of accomplishment goes a long way to reducing stress.
- Help others to understand and support you. Family and friends can be helpful if they can “put themselves in your shoes” and understand what cancer fatigue means for you. Cancer support groups can be a source of support as well. Other people with cancer truly understand what you are going through.
- Relaxation techniques including guided meditation, deep breathing or visualization can help reduce stress and minimize cancer fatigue.
- Divert your attention. Activities that divert your attention away from fatigue can also be helpful. Activities that require little physical energy but demand attention include knitting, reading or listening to music.
If your stress feels overwhelming, talk to your healthcare provider. They are there to help.
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The Top 7 Signs Of Advanced Prostate Cancer
In the early stages, you may not notice any symptoms related to prostate cancer. This is why screenings are important. Symptoms can sometimes be noticed for the first time when the cancer advances.
Advanced prostate cancer, also called metastatic cancer, means the cancer has spread to other areas of your body beyond your prostate gland. The most common areas for prostate cancer to spread are your bladder, rectum, and bones. It can also spread to your lymph nodes, liver, lungs, and other body tissues.
Whether youve just been diagnosed or youre in treatment, its also important to know the signs of advanced cancer. Cancer can behave differently depending on your genetics, so not every person will experience the same symptoms in the same way.
Read on to learn more about the seven top symptoms of advanced prostate cancer and how to spot them.
What Causes Cancer Fatigue
This page adheres to our medical and editorial policy and guidelines.
Cancer and its treatment often cause fatigue, known as cancer-related fatigue. Between 80 percent to 100 percent of cancer patients report experiencing fatigue, according to the American Cancer Society.
If you havent been diagnosed with cancer and youre experiencing unexplained, persistent tiredness or lack of energy, you may be wondering if your fatigue could be a symptom of cancer.
While fatigue is a common symptom of cancer, cancer rarely causes fatigue alone. Fatigue is often multifactorial, meaning more than one contributing factor may be involved, and none of them may be cancer.
No matter its cause, fatigue is one of the toughest symptoms to deal with. When patients are struggling with fatigue in their daily life, they want to feel better, and theyre looking for someone to help them. As a medical oncologist at Cancer Treatment Centers of America® , I work every day to help patients enjoy a better quality of life while we fight their cancer.
In this article, Ill cover some common factors that may contribute to cancer-related fatigue. This article examines:
The main focus of this article is on patients whove already received a cancer diagnosis. But first, lets briefly explore fatigue as a symptom of undiagnosed cancer.
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Considers That Hormone Injections Have Caused Him To Feel Lethargic
Have the hormone injections had other side effects?I don’t know, I think so in that I, now I can’t think of the word, you’d know the word, I’m ever so lazy, I don’t want to do anything, if it weren’t for my wife I wouldn’t even get up in the morning, I’m too bone idleDo you think that might be the side effects of the injections?Yes I do, I do, because I used to be someone, I carried on teaching and this is a boast, not full time but when I was 72, and enjoying it. Now I can’t remember Ohm’s Law, I could no more teach than fly. But this terrible, I mean when you’ve gone I must get on and finish digging over that little bit outside, I’m dreading it.The digging?Just forking it over, planting a few wall flowers over, doing anything is a chore, I don’t enjoy it, I used to love it. I mean I used to get up early in the morning, work solidly until I dropped into bed, I have led a very active life, very active, even with my new hip and so on. I could, I felt I’d never stop work.And this is all you think as a result of the injections?I think so but I don’t know. I said to my GP ‘What is my trouble, old age, psychological or the cancer?’ and he said ‘Yes’.
Cellular Immunity Latent Viral Reactivation And Fatigue
Cancer treatments can cause pronounced and prolonged alterations in the cellular immune system, , which may underlie alterations in inflammatory activity and associated symptoms of fatigue. Our group has documented alterations in T cell populations and myeloid dendritic cells in breast cancer survivors with persistent fatigue that are correlated with inflammatory processes, . Other groups have shown more global changes in the cellular immune system in relation to fatigue, including elevations in leukocyte numbers among fatigued breast cancer survivors, , though these effects have not been consistently replicated. One of the few longitudinal studies in this area found that elevated leukocyte counts in the post-treatment period predicted persistent fatigue over a 2â3 year follow-up in breast cancer survivors.
Another potential explanation for elevated inflammatory processes and fatigue in cancer patients is reactivation of latent herpesviruses, . A recent study conducted with breast cancer patients prior to treatment found that elevated cytomegalovirus antibody titers were associated with a greater likelihood of being fatigued, as well as higher levels of CRP. Cancer treatments such as chemotherapy promote viral reactivation and associated increases in inflammatory markers which may have long-term implications for immune regulation and recovery as well as fatigue and other behavioral symptoms.
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Anxiety And Depression Are The Most Common Psychological Causes Of Fatigue In People With Cancer
The emotional stress of cancer can cause physical problems, including fatigue. It’s common for you to have changes in moods and attitudes. You may feel anxiety and fear before and after a cancer diagnosis. These feelings may cause fatigue. The effect of the disease on your physical, mental, social, and financial well-being can increase emotional distress.
About 15% to 25% ofpeople with cancer get depressed, which may increase fatigue caused by physical factors. Patients who have depression before starting treatment are more likely to have depression during and after treatment. The following are signs of depression:
- Lack of energy and mental alertness.
- Loss of interest in life.
- Problems thinking.
- Feeling a loss of hope.
Patients who have a history of stressful experiences in childhood, such as abuse and neglect, may have increased fatigue. See the PDQ summaries on Adjustment to Cancer: Anxiety and Distress and Depression for more information.