Father feeling very fatigued and in some pain.

[craziecanuck]

My dad was diagnosed in Aug 2022 and we have been pretty lucky with his condition. He has been on Lupron shots and Erleada and his last PSA test was at .03 in October which is good. My concern is the last week he’s been really tired and is starting to get some pain again. My question is can things change even though his PSA has been constantly decreasing?

[craziecanuck]

edit PSA steady at .3

[fireandice123]

Where is his pain?

[craziecanuck in reply to fireandice123]

Shoulder area.

[London441]

How is his mobility? Is he exercising? Walking even? How much time in bed on average?

[craziecanuck in reply to London441]

He needs to exercise more forsure. Just sleeping more than usual proabably normally for once.

[Doctorsceptic]

This may be due to PCa, but don’t assume it. He needs to have a decent clinical evaluation - ie review of his symptoms and have a physical examination and some initial well focussed tests. If the evidence points to PCa more advanced imaging eg bone scan, CT or PET.

As we get older (like me) we all accumulate diagnoses and one must always consider the possibility of alternative explanations.

[craziecanuck in reply to Doctorsceptic]

thank you that’s a great point.

[alysona828]

Describe the pain… aches? Or pain. It is hard with Lupron fatigue and muscle aches come as side effects.

[craziecanuck in reply to alysona828]

We have a small business and we’re putting in new equipment and he really over exerted him self for about a week. Perhaps he’s just feeling the effects now and needs some rest?