Having pain even psa is low - Advanced Prostate...

Advanced Prostate Cancer

22,262 members27,955 posts

Having pain even psa is low

worrywaffle profile image
10 Replies

Hello!

I'm here for my dad, its almost his 1 year since he diagnosed with stage 4 prostate cancer mets to bones( several spots).

Start zytiga abiraterone in 4 Nov 2020, condition have been stable and psa been low in last few months. In july his psa is <0.03, but today he having more serious pain at his back and pelvis area is this normal? He didn't want us to worry, keep telling that his belly is bloated hence it pressed on the nerve so it hurts him and once the bloating goes away it will be fine. Should i bring him to the hospital?

thanks in advanced

Written by
worrywaffle profile image
worrywaffle
To view profiles and participate in discussions please or .
Read more about...
10 Replies
tango65 profile image
tango65

Back pain is usually caused by degenerative processes which usually become more prominent with ADT and anti androgens. It is not an emergency. Consult with your doctor about a MRI study to determine the cause of the pain.

worrywaffle profile image
worrywaffle in reply totango65

Thank you, the doctor arranged a bone density scan and result be out on the 21 sept, i will talk to the doctor about it thank you so much

tango65 profile image
tango65 in reply toworrywaffle

The dexa is a study to determine bone density only . I doubt bloating can pinch nerves in the back and cause pain. The MRI is the scan of choice to detect degenerative processes which could be pinching or compressing nerves and causing pain, If there were metastases they could be detected by the MRI study,

worrywaffle profile image
worrywaffle in reply totango65

He did a MRI Scan last year when he was diagnosed pca. we were told we were lucky the cancer wasn't pressing on this nerve. He have lesser pain today, should i request another MRI Scan since it have been a year. Thank you very much for your input.

tango65 profile image
tango65 in reply toworrywaffle

He could have a repeated MRI since he is having pain in his back. They should study the cause of the pain.

Tall_Allen profile image
Tall_Allen

Because his original PSA was 116, it would be unusual for bone metastases to cause pain with his PSA so low.

worrywaffle profile image
worrywaffle in reply toTall_Allen

The pain was sudden it happened in the morning, and he is all good for the rest of the day. Could it be just he is bloated and pinching the nerve?

33Ford profile image
33Ford

Who knows without an MRI, but I have had back issues off and on for most of my adult life. When it gets really bad I have to end up getting an epidural injection. This is how they discovered my PCa, I was having back issues after helping my parents move. The testing for the back issues also turned up the cancer.

j-o-h-n profile image
j-o-h-n

Take him to a good hospital.....

Good Luck, Good Health and Good Humor.

j-o-h-n Sunday 09/12/2021 11:14 PM DST

katartizo61 profile image
katartizo61

I am a Chiropractor diag with stage 4 Geason 9/10 late May 2021. Same Zytiga and prednisone treatment. Do experience back pains. As a myofasial Chiro I have found and do Piriformis tennis ball massages daily. In addition I have my abdominal fascia "massaged, manipulated" both a big help. Fish oil, turmeric and other natural occurring anti-infams help as well. Massages are not contra-indicated

Not what you're looking for?

You may also like...

Question about PSA Nadir

Hi everyone, My father has been on Zytiga and Lupron since May 2018 and his PSA has slowly dropped...
Dani2861 profile image

Low PSA and positive biopsy

I have a close friend who has lost about 20 pounds in the past year and I was worried about him and...
Charlean profile image

PSA and UTI

Hi Everyone, My father was recently hospitalized with a UTI and Sepsis. He finished his 10 day...
Dani2861 profile image

Psa

Hubby's psa shot up from 154 to 279 in four weeks he has had lots of treatment including chemo we...
Chrisnarth profile image

PSA dropping but pain

My husband has been Lupron, casodex and finished upfront Docetaxel( 6 cycles finished in October)....
Blair77 profile image

Moderation team

Bethishere profile image
BethishereAdministrator
Number6 profile image
Number6Administrator
Darryl profile image
DarrylPartner

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.