“You should drink more”

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geezer99
Veteran Member


Date Joined Apr 2009
Total Posts : 990
   Posted 1/7/2010 3:22 PM (GMT -7)   
“You should drink more”
This was the advice that my dentist gave me this morning at my regular check-up (no cavities) I was starting to think about picking up a 5th of tequila on the way back to the office but the doctor went on. “Your tongue and gums show slight signs of dehydration so you need to drink more water.” He said that this was especially important as one gets older.

I got to thinking about it and I realized that in the fight against incontinence I had become more careful about my water intake. I used to always fill a bottle at the water cooler and keep it on my desk, but have dropped that habit. I also think twice about having some water (or otherwise) before a meeting. So it may be that for overall health reasons we should not always make getting down to the lowest number of pads per day our highest priority. It may be healthier to leak a bit more.

This is not my favorite conclusion, but I offer it for your consideration.
Age at diagnosis 66, PSA 5.5
Biopsy 12/08 12 cores, 8 positive
Gleason 3+4=7
CAT scan, Bone scan 1/09 both negative.

Robotic surgery 03/03/09 Catheter Out 03/08/09
Pathology: Lymph nodes & Seminal vesicles negative
Margins positive, Capsular penetration extensive Gleason 4+3=7
6 weeks: 1 pad/day, 1 pad/night -- mostly dry at night.
10 weeks: no pad at night -- slight leakage day/1 pad.
3 mo. PSA 0.0 - now light pads
6 mo. PSA 0.00 -- 1 light pad/day

Post Edited (geezer99) : 1/7/2010 3:32:46 PM (GMT-7)


mikey1955
Veteran Member


Date Joined Dec 2008
Total Posts : 672
   Posted 1/7/2010 3:51 PM (GMT -7)   

I drink a fair bit of water over the course of a day and...have to pee 10X more...or so it seems sometimes, since surgery. I have no IC but a greater urgency since surgery which is getting much better. I try and plan my activities around fluid intake. If I have a meeting, I stop fluid intake an hour before. Bladder pretty much cleared by meeting time, for me. I have maybe 2 coffees a day, rarely a soda and maybe some green tea at night. A 1/5 of tequila sounds good for this Saturday, though. But, I'd be...

  


-Nov/Dec 07, March 08 and Dec 08: Severe perineum pain . Septra/Bactrim for 8 months for diagnosed prostatitis.
-PSA start of 2008: 5.3..... PSA June of 2008: 7.3
-14 DRE all benign or nothing felt
-TRUS Biopsy Nov 08: 5 of 8 cores positive GS 3+3 or 6. 30-65%. Perineural invasion.
-General Health: pretty good, 5' 10", 180 lbs, slim.
-Open RP surgery: May 09 both nerve bundles spared. Bilateral lymph node dissection performed. Discharged 48 hours after surgery.
-Post Surgery Pathology: pT3a N0 MX, extraprostatic extension (EPE), stage III prostate cancer, lymph nodes clear, seminal vesicles clear, Gleason upraded to 3+4 GS 7. EPE within surgical margins. Other than prostate and EPE, all tissue removed negative for cancer involvement.
-Bladder control within 48 hours of catheter removal
-ED ongoing but improving significantly with Trimix at 7 months post-op. Oral ED meds didn't do much.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25341
   Posted 1/7/2010 4:13 PM (GMT -7)   
For more than 20 years, I probably only drink water and water alone. I never drink tea, coffee, or fruit juices. Sometimes I drink diet caffine free sodas. My neck/throat radiation years ago left me with perm damage to the saliva glands, so I have endless thirst. I dont need much to quench it, just a quick sip. I figured all my water drinking keeps my kidneys/bladder in good shape. Its the one part of my diet that I keep out unwanted calories. Now if I could only wean more away from sweets.
Age: 57, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12
Latest: 7/9 met 2 rad. oncl, 7/9 cath #6 - blockage, 8/9 2nd corr surgery, 8/9 cath #7 out 38 days, 9/9 - met 3rd rad. oncl., mapped  9/9, 10/1 - 3rd corr. surgery - SP cath/hard dialation, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, 12/7 - Cath #10 in place


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 1/7/2010 4:14 PM (GMT -7)   
I've always heard that Alum tightens thngs up. Maybe if we started drinking Alum water ........ just kidding.

You are right, we do defer from drinking when we know that we will have to be separated from the head too long, or that peeing won't be convenient.

Goodlife
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injections


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3726
   Posted 1/7/2010 4:29 PM (GMT -7)   
Oh Geezer
You knew I'd jump in here.
I have experimented with a wide range of fluid intakes. I've flooded myself with 2200ml per day, and desiccated myself with 200ml per day. I now compromise. I will drink a full 8 oz 250 ml for breakfast and expect to be near a toilet 1 hour later. It hits that quickly. Lunch and dinner are similar. But before bed (the only time I am continent) I will drink a 10 oz, 300ml, glass just before sliding between the sheets. I will wake up at 4 am and proudly deposit about 300ml where it belongs.
Daily, 450 ml of pee ends up in a pad, so I estimate about 600 is going down the toilet -minus the 5-10ml that sprays on the floor.
If I consume less than this I get dehydration headaches so it is clear my body is telling me not to do it.
How much are you drinking? Less than 1000ml per day?
Jeff
(As a data point for you, I consume about 2400 calories per day. I don't know if there is a direct relationship between calories and water intake.)
DX Age 56. First routine PSA test on April 8th: 17.8. Start 2 weeks of Cipro to rule out protatitis.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next?
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea. I know.)
. 9/27 2 months: Still 3 pads per day.
11/14 4 months: Still 3 pads per day. 420ml/day, 91 um leak.
12/11 5 months: Still 3 pads per day. 400-450ml/day Experimenting with Nyquil for 10 days: Can sleep through the night but withdrawal is bad. Stopped 12/20.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04 undetectable.


Tony Crispino
Veteran Member


Date Joined Dec 2006
Total Posts : 8122
   Posted 1/7/2010 4:46 PM (GMT -7)   
As was said in the movie Airplane...

I sure picked the wrong time to quit drinking...

Tony
Prostate Cancer Forum Co-Moderator


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3726
   Posted 1/7/2010 5:25 PM (GMT -7)   
I just found a water nutrition calculator on about.com
http://nutrition.about.com/library/blwatercalculator.htm
I entered in my stats and came up with 1800 ml, 59 oz, of water per day with 500ml of it coming from food.
Try your info and see how close you are.
Also I found a simple (unreliable?) test to check for dehydration. Pinch the back of your hand and let go. If it stays pinched you are dehydrated. If it fall flat you are ok.
Uh oh... Am I souding like an engineer again?
Jeff
DX Age 56. First routine PSA test on April 8th: 17.8. Start 2 weeks of Cipro to rule out protatitis.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next?
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea. I know.)
. 9/27 2 months: Still 3 pads per day.
11/14 4 months: Still 3 pads per day. 420ml/day, 91 um leak.
12/11 5 months: Still 3 pads per day. 400-450ml/day Experimenting with Nyquil for 10 days: Can sleep through the night but withdrawal is bad. Stopped 12/20.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04 undetectable.


goodlife
Veteran Member


Date Joined May 2009
Total Posts : 2691
   Posted 1/7/2010 5:29 PM (GMT -7)   
That same dehydration test can be performed on your antenna. If it stays flat, means you still have ED.

Goodlife
Age 58, PSA 4.47 Biopsy - 2/12 cores , Gleason 4 + 5 = 9
Da Vinci, Cleveland Clinic  4/14/09   Nerves spared, but carved up a little.
0/23 lymph nodes involved  pT3a NO MX
Catheter and 2 stints in ureters for 2 weeks .
Neg Margins, bladder neck negative
Living the Good Life, cancer free  6 week PSA  <.03
3 month PSA <.01 (different lab)
5 month PSA <.03 (undetectable)
6 Month PSA <.01
1 pad a day, no progress on ED.  Trimix injections


Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4792
   Posted 1/8/2010 4:34 AM (GMT -7)   
My best friend got halled to the ER after passing out at the office...After a battery of tests etc...Doc says hmmmmmmm. Five cups of coffee in the morning and a six pack of pepsi's before dinner time isn't healthy..it will cause dehydration..
 
It sure sounds like a LOT of FLUID being taken in doesn't it.....But the caffene causes you to pee pee way more often.
Age 54   - 5'11"   205lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Worried Guy
Veteran Member


Date Joined Jul 2009
Total Posts : 3726
   Posted 1/8/2010 5:07 AM (GMT -7)   
I'm going to stick with my 1000 to 1200ml of additional water per day and continue to measure my pads. We'll see what happens. Just for the record my average leak for the past 2 days is just below 290. I have been at the 400- 450 range for months. I can't explain what made such a big jump but I hope it continues.
Goodlife: I just checked my antenna for dehydration. It pointed down so maybe it's just indicating the location of ground water.
Jeff
DX Age 56. First routine PSA test on April 8th: 17.8. Start 2 weeks of Cipro to rule out protatitis.
May PSA: 22.6, 3 weeks later: PSA: 23.2.
Biopsy 6/10/09: 7/12 scores positive, Gleason 6=3+3. Bone scan and C/T scan negative.
RP DaVinci -7/21/2009 @ Univ of Roch Medical Center
Left nerve gone, right partial spared.
Catheter removed - 7/31/2009 Pathology report received:
Gleason 3+4=7, Tumor size: 2.5 x 1.8 cm, location: both lobes and apex.
Extraprostatic extension present; Perineural invasion: present, extensive.
No Malignancy in Seminal Vesicle, vasa deferentia, lymph nodes 0/13
Prostate mass 56 grams. Pathologic Stage: pT3aN0MX
Post Surgery Status:
Potency - 12/11 5 months, Still no activity, zip. Using pump daily since 11/11. No effect with 20 mg of Cialis or 100 mg of Viagra. Shots next?
Incontinence - 8/20 4 full pads per day
.. 9/7 3-4 full pads per day (I'm going to try cutting down on fluids. Bad idea. I know.)
. 9/27 2 months: Still 3 pads per day.
11/14 4 months: Still 3 pads per day. 420ml/day, 91 um leak.
12/11 5 months: Still 3 pads per day. 400-450ml/day Experimenting with Nyquil for 10 days: Can sleep through the night but withdrawal is bad. Stopped 12/20.
Post Surgery PSA - 9/3 6 weeks - 0.05; 10/13 3 months - 0.04 undetectable.

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