IGRT Bowel Prep

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SubicSquid
Regular Member


Date Joined Oct 2009
Total Posts : 252
   Posted 5/17/2010 1:05 PM (GMT -6)   
I start IGRT on May 24.  My Radiology Oncologist had me start "bowel prep" this week, which will continue thru the treatment.  It consists of 6 psyllium caps every day, three Gas-X tabs (one with each meal), plus two tablespoons of milk of magnesia before bed.  I am cheap and purchased the Equate brand milk of magnesia at Walmart.  It has to be the most disgusting tasting stuff I have ever had (even worse than the crap you drink for colonoscopy prep).  Does anybody know of a decent tasting milk of magnesia product that you can ingest without feeling like puking?  Otherwise, it will be a long eight weeks.  Thanks, Squid.
*Age 63, PSA July 2009 5.66
*Diagnosed July 2009, Biopsy: 2 of 12 cores positive, Gleason 3 + 5 = 8
*MRI and Bone Scan Negative.
*open Surgery October 22, 2009
*Prostate, both nerve bundles, seminal vessels, and lymph nodes removed during surgery.
*Post surgery Biopsy, Gleason 4 + 3; 2 positive margins
*Still slightly incontinant after 3 months - 1 pad per day (light). Dry at night. 1-2 trips to toilet.
*ED - Yes (will start Levitra possibly in January)
*30 day PSA (ultra-sensitive) .07
*90 day PSA (standard) <0.15
*01/10 - bladder neck stricture. opened during cysto exam. Cath #2 in for 5 days.
*IMRT/IGRT delayed until April pending 180 day PSA result
*03/01 - bladder neck stricture. Dilated during cysto exam. Cath #3 in place.
*03/11 - Bladder neck surgery. Cath #4 in place.
*03/15 - Cath #4 out. Great urine stream. Unfortunately, incontinence back to post surgery level.
*04/14 - Six month PSA - .21.
*04/28 - Will start IGRT week of 5/24.


JB71
Regular Member


Date Joined Nov 2009
Total Posts : 206
   Posted 5/17/2010 1:15 PM (GMT -6)   
Squid. . . . Did they tell you why you are taking
all that #*&%?. I noticed your profile says you are an 'investigator' and I would be doing that before I would swallow that #*&%?
I didn't take anything but was given a list of stuff to eat and what not to eat. Told the Doc. that they had the catagories mixed up because all the good eats are on the NOT list.

Jerry in Canada.
.


don826
Veteran Member


Date Joined May 2008
Total Posts : 1010
   Posted 5/17/2010 1:26 PM (GMT -6)   
Hi Squid,

Same questiong as Jerry. The only thing I had to do was drink about a pint of water 30 minutes prior to the treatment. No special diet either. Just told not to eat things that produced a lot of gas.

Good luck with the treatment.

Don
Diagnosed 04/10/08 Age 58 at the time
Gleason 4 + 3
DRE palpable tumor on left side
100% of 12 cores positive for PCa range 35% to 85%
Bone scan clear and chest x ray clear
CT scan shows potential lymph node involvement in pelvic region
Started Casodex on May 2 and stopped on June 1, 2008
Lupron injection on May 15 and every four months for next two years
Started IMRT/IGRT on July 10, 2008. 45 treatments scheduled
First 25 to be full pelvic for a total dose of 45 Gray to lymph nodes.
Last 20 to prostate only. Total dose to prostate 81 Gray.
Completed IMRT/IGRT 09/11/08.
PSA 02/08 21.5 at diagnosis
PSA 07/08 .82 after 8 wks of hormones
PSA 10/08 .642 one month after completion of IMRT, 6 months hormone
PSA 03/09 .38 six months post radiation and nine months into hormones
PSA 06/09 .36 or .30 depending on who did the test
PSA 09/09 .33 one year after IMRT and 16 months into hormone
PSA 03/10 .32 18 months after IMRT Still on hormones


142
Forum Moderator


Date Joined Jan 2010
Total Posts : 7087
   Posted 5/17/2010 1:29 PM (GMT -6)   
Squid,

I had no instructions of this sort. My routine is to take a mild stool softener and drink a good bit of water later in the evening, to be sure I have reasonably soft stools - the only reason I can see for all that would be if you had a history of constipation (that would be a really bad thing to have happen while doing the IGRT), or if they suspect you would.

The risk is the same as my 'roids - if one bleeds, or worse if you develop a rectal fissure after a hard stool, it will probably not heal until well after the RT is finished, and could set you up for some nasty infections.

I use the real M. of M. when needed - the cheaper house brands are pretty bad.
The Gas-x I can see - one day I had a bit of a problem, and my markers moved in the middle of the session, which shut eveything down.
I don't know about psyllium.

This week will be half way for me -

English Alf
Veteran Member


Date Joined Oct 2009
Total Posts : 2218
   Posted 5/17/2010 1:34 PM (GMT -6)   
Squid,
I was just put on diet to get rid of things that would make gas (beans beer onions etc) and to start with two tablets of stuff like M of M each evening: Chew the tablets quickly and then swill the taste away with half a glass of water have a drink. (And after a week I was so loose the doc said I could stop the tablets.)
Alfred
Age at Dx 48 No Family history of Prostate Cancer
Married 25 years, and I cannot thank my wife enough for her support.
April 2009: PSA 8.6 DRE: negative. Tumour in 2 out of 12 cores. Gleason 3+3.
RALP (nerve-sparing) at AVL-NKI Hospital Amsterdam on 29th July 2009. Stay 1 night.
Partial erections on while catheter still in. Catheter out on 6th Aug 2009.
Dry at night after catheter came out
Post-op Gleason 3+4. Tumour mainly in left near neck of bladder.
Left Seminal Vesicle invaded, (=T3b!)
no perineraul invasion, no vascular invasion. clear margins,
Erection 100% on 15th Aug 2009, but lots of leaking
Stopped wearing pads on 21st Sept 2009
Pre-op style intercourse on 24th Oct 2009 !! No use of tablets, jabs, VED etc.
Nov 17th 2009 PSA = 0.1
Mar 17th 2010 PSA = 0.4!!! referred to radiation therapist
April 13th 2010 CT scan.
April 28th 2010 Started Radiation Therapy (66Gy - 33 sessions)


SubicSquid
Regular Member


Date Joined Oct 2009
Total Posts : 252
   Posted 5/17/2010 1:48 PM (GMT -6)   
Doc said all this stuff is to make sure bowel is clear before daily procedure. Also, got diet to eliminate gas. Also will have to drink bottle of water prior to each session. Did say that if stools got runny, milk of magnesia could be stopped. I guess each doc/clinic has their own way of doing things. The IGRT equipment he will be using is the latest with built in CT scan. Was told that if bowels were not empty, could result in enema prior to treatment. I think I would rather comply with his instructions. Squid.
*Age 63, PSA July 2009 5.66
*Diagnosed July 2009, Biopsy: 2 of 12 cores positive, Gleason 3 + 5 = 8
*MRI and Bone Scan Negative.
*open Surgery October 22, 2009
*Prostate, both nerve bundles, seminal vessels, and lymph nodes removed during surgery.
*Post surgery Biopsy, Gleason 4 + 3; 2 positive margins
*Still slightly incontinant after 3 months - 1 pad per day (light). Dry at night. 1-2 trips to toilet.
*ED - Yes (will start Levitra possibly in January)
*30 day PSA (ultra-sensitive) .07
*90 day PSA (standard) <0.15
*01/10 - bladder neck stricture. opened during cysto exam. Cath #2 in for 5 days.
*IMRT/IGRT delayed until April pending 180 day PSA result
*03/01 - bladder neck stricture. Dilated during cysto exam. Cath #3 in place.
*03/11 - Bladder neck surgery. Cath #4 in place.
*03/15 - Cath #4 out. Great urine stream. Unfortunately, incontinence back to post surgery level.
*04/14 - Six month PSA - .21.
*04/28 - Will start IGRT week of 5/24.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25393
   Posted 5/17/2010 2:04 PM (GMT -6)   
As you know, Squid, I was lucky in some ways (?), didn't have to do any prep prior to my SRT. The SP cath was surgically done 5 days before my first radiation treatment. As far as diet, my rad. oncologist advised me to eat whatever I craved or felt during the time, as she was more concerned in losing weight from nausea if it developed. I tended to crave protein all the time, which said was very normal.

Still too bad you have to go through the SRT, but looking at your numbers again, better to do it now, then to sit back and watch that recurrance number multiply. I will really be hoping you won't develop a new stricture problem in the middle of this. Looks like you are still flowing good 2 months after your corrective surgery. Hope that stays good for you.

David in SC
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, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, next one:  July
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 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12  same time, 2/8-Cath #11 out - 21 days, 3/2- Cath #12 out - 41 days, 3/2- Corr Surgery #5, 3/6 Cath #13 out - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 4/23 put in

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