Your RO is right- avoid taking drugs/fiber/laxatives that increase bowel motility. Bowel motility will increase the number of beams that miss their target and hit healthy tissue. Your RO will contour the beams and leave a small margin at the rectum - that will do more than anything you can do to spare your rectum. He has rectal dose constraints he follows. Rectal injury is not a major lasting side effect of primary radiation using modern technology.
No- do not take cranberry juice. It stimulates the kidneys and may make urinary symptoms worse. Just water - no caffeine, alcohol, or fruit juices. And restrict fluids at night. No supplements. Exercise!
That’s a great drop in Psa . Fatigue as RT went on and afterwards became an issue for me . Walk even when you feel like sleeping . Get some oxygen flowing each day . My first shot of firmagon brought my Psa down to undetech along with 8 weeks imrt . The combo was effective for me and put me into remission with my first scans after treatment .. May you have this same luck . Good luck proceeding in healing yourself .
I also started double adt prior to RT . This can work well for you as well.,( using adt first ) that firmagon is in my view the best ...It brought my Psa down with the first shot as well ... Hang in there Karmaji ...
You are doing so well and not giving the gentle methods the time needed to clean up these mets. Radiation is a sledgehammer (which has its place) but only in the West is it usual to not wait for things like ADT to do their work over a period of months so radiation becomes unnecessary. Sometimes it is an advantage to not have enough money to pay for "extras". Good luck to you on your journey.
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