Severe weakness and imbalance

[Annie1373]

Hi ,Thanks for your answers. My dad has advanced prostate cancer with current psa of 37 and metastasis to bones .he was diagnosed on May 10th 2018, he didn’t respond well and the treatment changed to Cabazitaxel and Abiraterone.... the treatment stopped due to its severe side effects.Its now 3 months that he hasn’t under any treatment and his psa rised from 19.8 to 37 in these 3 months and Alkaline phosphatase has been reduced to normal . He doesn’t have bone pain but he has strange weakness and sometimes imbalance,His ct scan didn’t show anything...I don’t know maybe because he is addicted to Tramadol.Now he has been trying to withdraw for two days but his imbalance,weakness and dyspnea has been exacerbated ... I don’t know why he is like that ... do you have any experience?

[Hidden]

First I am sorry that he is doing poorly and feeling as lousy as he must feel. The problem is that these symptoms could be caused by so many things, some treatable and some not. This article [cancernetwork.com/cancer-ma...] may help you; I hope it does not alarm or discourage you. Certainly you want to look at treatable causes of his symptoms. I would ask about a brain MRI to be sure he does not have metastatic disease as the cause of his imbalance. I would want to be sure that he is maintaining his nutrition even though his appetite may be poor. Being dependent on Tramadol is not the worst thing in the world. Side effects of withdrawal overlap what he is having but do not explain the dyspnea [addictioncenter.com/opiates...]. Does he walk -- even a little -- every day? The imbalance could be due to muscle wasting. Walking would help. I hope you will keep us informed of what is happening. Good luck.

[NPfisherman]

From review of your profile--at one point, he was not eating for 2 weeks....that could make him weak....tramadol is a drug that can cause falls in the elderly...he also has dyspnea--my concern is that with his debilitation and weakness, that pneumonia could be the problem. Is he coughing? It is possible to get pneumonia with being debilitated--increased risk of aspiration...Also of concern is dehydration... You may wish to call his PCP's office and ask for a CBC with diff--blood count, CMP--metabolic panel, and perhaps--a urinalysis to check for an infection--This will cover most of the bases I think...

All the best,

Fish

[Shooter1]

Had all his problems, but mine were excess toxicity to Xtandi. Cut dose and recovered. Tramadol and I don't get along at all.

[j-o-h-n]

I walk like a drunken sailor and have to watch my balance. When I turn suddenly I spin around like a ballerina. i'm doing ADT waltz. Check his middle ear but it's got to be the meds. I'm not a doctor just a humorist.

Good Luck, Good Luck and Good Health.

j-o-h-n Thursday 03/14/2019 8:37 PM DST