What about the enema you have to give yourself before the biopsy?

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mariateresa
Regular Member


Date Joined Jun 2007
Total Posts : 95
   Posted 6/26/2007 11:01 PM (GMT -6)   
Hi,

I am the wife who posted "Help, my husband is avoiding following up on the abnormal PSA and DRE". I'll get back to that in a second, but since my husband doesn't share his feelings with me, I am having to guess about certain things. Maybe my husband is worried about the enema he has to give himself before the biopsy. I've never had an enema, let alone give myself one. Can any of you respond to this issue?

Also, my husband is completely angry with me and not speaking to me because I shared with him everything I have been learning about prostate cancer and what I have learned from your posts. I even offered to call the urologist to find out why the biopsy hasn't been scheduled and he became completely angry and is not speaking to me. I don't dare call on my own. All I can think about is that I'm going to be a 44 year old widow. I have horrible thoughts of having to care for a sick and dying man because he wouldn't follow up. His behavior completely confounds me.

Anyway, please provide feedback on having to self-administer an enema.

Thanks and hugs to all of you wonderful folks!

MariaTeresa

Jayadub
Regular Member


Date Joined May 2007
Total Posts : 89
   Posted 6/26/2007 11:38 PM (GMT -6)   

Denial is a very powerful emotional response to some things we just do not feel we should have to deal with. Another member here, pcdave has talked several times about his "watchful waiting" for his PCa being self-imposed due to his inability to go have the biopsy. I understand those feelings, having experienced them myself and having basically waited for 2 years longer than I should have before having my biopsy done. Guess what I found afterwards? It wasn't as bad as I thought it would be and I do have PCa. So denial of the PSA results didn't work. The cancer is there and probably had been for several years.

To answer the enema question. I had never had one before and certainly had never self-administered one. It was kind of ackward, kneeling on the floor, butt in the air, face on the floor doing it mostly by feel, kinda hard to see in that position tongue . The instructions say to not worry about injecting all of the solution, but I got most of it in. Stayed on the floor for a couple of minutes, then got up and waited maybe 5 or more minutes till I didn't want to hold it anymore and sat down on the toilet. Gravity did the rest. After I was done, I thought, well I guess that wasn't so bad. I just had to go through the biopsy. I am however balking at the 3 enemas the Dr. wants me to administer in order to have a sigmoidoscopy. I've already told them I won't be doing THAT till I return from Loma Linda and being treated for the PCa.

Your husband should be glad that you are concerned and he probably is. You really should not be worried for the short term though about his health or the possibility he may have PCa. You are wasting energy that would be better spent working to help him understand that you are doing this out of love and compassion and that he needs to act in his own best interest, take control of his health and have the biopsy. Take care and feel free to ask more questions.

 

John


54 years old

PSA 5.6 on 3/20/07

DRE: Negative

Biopsy on 4/20/07 

Results 4/25/07:

3 out of 12 cores positive, 2 on the right lobe with 5% adenocarcinoma Gleason 3+3, 1 on the left lobe 10% adenocarcinoma Gleason 3+4, overall Gleason graded 7 Cancer T1C. 2nd Pathology opinion concurs.

No scans recommended as seminal vesicle and lymph involvement is shown on nomograph as less than 1-2%. All physicians have agreed with this.

Dr. recommended Da Vinci Laproscopic RP, asked for 2nd opinion. Seattle Cancer Care recommended same. Asked for Radiation referral. Recommended IMRT. Scheduled Surgery for July 9th, 2007. Had 2nd thoughts about surgery and IMRT due to potential side effects. After web research discovered Proton Beam Therapy and called Loma Linda. Now scheduled for final consult with Dr. Luu on 7/5/07, our 27th anniversary.


maldugs
Veteran Member


Date Joined Jun 2007
Total Posts : 665
   Posted 6/27/2007 3:08 AM (GMT -6)   

Hi, I am due to have a biopsy next Monday (2nd July) I am not sure if they do things differently here in OZ, but I have been instructed to take 2 Durolax tablets (supplied by Dr) 2 hours after dinner on the night before, he says "they will do the trick" hehe.....no enama

If u don't mind me saying, I view your husbands approach to this situation as being rather strange.

Regards Mal.

 


aus
Regular Member


Date Joined Sep 2006
Total Posts : 211
   Posted 6/27/2007 7:12 AM (GMT -6)   
Your husband might view life in a different way to some.
He does not intend to leave us in the near future, but in any event, he will no doubt appreciate your gift of time and support for a good quality of life.
(ie: do not worry overly about biopsies and eminas in the meantime)

mvesr
Veteran Member


Date Joined Apr 2007
Total Posts : 823
   Posted 6/27/2007 9:28 AM (GMT -6)   
The enema is no big deal. These are not just for prostate cancer biopsy. If you have any other gastro procedure you are going to have to clear your colon. It will clear you out and make you feel better. I had to have the lower GI just two weeks before my prostate surgery, and I was worried about having another type of cancer and will never forget the Dr. asking me IF I had colon cancer in my family. My response was no, and I don't have prostate cancer in my family either. The colonoscopy was not a big deal and nothing was found. I was trying to lost weight for my prostate surgery anyway.

Mika-mvesr

lifeguyd
Veteran Member


Date Joined Jul 2006
Total Posts : 584
   Posted 6/27/2007 5:00 PM (GMT -6)   

 

Oh No...The indignities of diagnosis. 

This will be a difficult time for you and your husband.  He will be angry at the possibility of cancer. Angry at the doctor. Angry at you. angry at himself.  Angry at all the stupid things he has to put himself through to find if he does or does not have cancer. mad  Maybe even angry at the dog.

I had some previous experience (colon cancer tests) with enemas, laxatives, fasts and tests. "God, I hope no one can see me...." If there is a  positive biopsy for PCa another set of Xrays, scans ,tests, blood, urine, poop.. are required. Poked, prodded and humiliated....oh what fun ! sad

The best thing that will happen is a negative biopsy and no prostate cancer.  Hope for the best tongue .

You can do it....both of you can do it.  Don't forget to let your LOVE SHOW for each other.  if the love  is there you will survive. yeah


 
Biopsy 10/16/06
T2A,  PSA 4.7
Gleason 4+4=8 right side
adrenocarcinoma of prostate
DaVinci Surgery 01/16/07
Post op report,confirms Gleason4+4=8
no extra extension/invasion identified
age 65
Back on the golf course...
90 day PSA  less than 0.01 (undetectable)
 
 


Cedar Chopper
Regular Member


Date Joined Mar 2007
Total Posts : 432
   Posted 6/27/2007 5:39 PM (GMT -6)   

Maria Teresa,

Armchair counselling  - about the stages of fear, denial, anger, etc. - aside, 
(e.g., Getting rid of cancer early when you are younger is better than fighting more cancer later when you have more mileage.....yada-yada-yada...)

Here are some ideas concerning an enema.  I have had major surgery many times and this is what I have learned to do as a prep to surgery.  While the biopsy is much less invasive and there are no anesthesia/nausea complications to avoid, there are reasons to follow the same procedure as a clear bowel will facilitate the procedure.

24 to 36 hours before the enema, I switch to a mostly liquid diet.  Gatorade, Broth, Milk, maybe a few crackers. This is a full day before recommended.  I exercise a lot to encourage natural bowel movements during this time.  Then, when you give yourself the enema, it is more cleansing and less of just an induced bowel movement.

It is much easier if someone else gives you the enema.  If it is self-administered, get two (They come in twin-packs.) and give yourself an extra 30 minutes in case you miss on the first try or have difficulty.  The boxes say they are pre-lubed.  HAH!  Use more.

Gottes Geistesblitz mit Ihnen!

CCedar!

P.S.  Someone  once suggested we always greet each other with a Holy kiss...
        A little song lyric for you two love birds:
 
Give me, one kiss to build a dream on, and my imagination will build upon that kiss. 
Sweetheart I ask no more than this, a kiss to build a dream on.
 
Give me one kiss before you leave me and my imagination will feed my hungry heart.
Sweetheart, one thing before we part, a kiss to build a dream on.
 
When I'm alone with my fancy, I'll dream of you, weavin romances, makin' believe they're true....
Give me, one kiss to build a dream on.....


~~*~~*~~*~~*~~*~~*~~*~~*~~*~~*
2 Years of PSA between 4 and 5.5
Biopsy 23DEC06 
Only 5 percent cancer in one of 8 samples.
Gleeson 3+3=6
Radical Prostatectomy 16FEB07 at age 54.
1+" tumor - touching inside edge of gland.
Confined:)
***************
Texas Hill Country
FRESH Produce Department Manager
Have you had your 5 colors today?

Post Edited (Cedar Chopper) : 6/27/2007 4:47:58 PM (GMT-6)

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