Fatigue and SRT

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Veteran Member

Date Joined Nov 2009
Total Posts : 7270
   Posted 4/17/2011 12:11 PM (GMT -6)   
Just curious about the telltale fatigue that comes with radiation.
My image is that all of a sudden, you hit a brick wall.
Is that how it comes on, or do you just get a little tired and it increases gradually each day.

Regular Member

Date Joined Nov 2008
Total Posts : 299
   Posted 4/17/2011 12:18 PM (GMT -6)   

Mine didn't show up until the last week of 39 sessions. And it was like hitting a brick wall. I would be going fine and then just become exhausted. Would have to rest for 15 minutes or so, then I was good to go again.

It is still happening, even though my last session was on March 21. Now, it's mainly at night. I will get exhausted at 10:00 OR 10:30 pm, have to turn in. I used to stay up until midnight sometimes on the weekend.

It is getting less and less frequent.


Age 60, PSA 2007 4.1, PSA 2008 10.0
Diagnosed April 2008, Biopsy: 6 of 12 cores positive, Gleason 4 + 5 = 9
CT and Bone Scan negative, Open surgery at Shawnee Mission Medical Center May 21, 2008
Right side nerves spared, Radical prostatectomy and lymph node dissection
Cather removed on June 3rd, totally dry on July 9th, pT2c, lymph nodes negative
PSA Sept 28, 2008 0.00, PSA Jan 22, 2009 0.00, PSA June 29, 2009 0.00
PSA Sept 2009 0.00, PSA Dec 21, 2009 0.02, PSA March 29, 2010 0.03
ED Status- Currently using Trimix, Levitra daily for increased blood flow.
Noctural Erections have completely returned on a nightly basis, same hardness as before.
Stopped the injections except for "Fun" weekends. Really don't need them anymore.

Veteran Member

Date Joined Dec 2008
Total Posts : 3149
   Posted 4/17/2011 12:30 PM (GMT -6)   
Mel I think it varies alot as will all fun things in PCa we that get to endure. Some guys get hit harder or early or lesser. I had ADT3 for 5 months prior to radiations...so already might have had some Zombie blood in me then (unlike 'Tiger Blood' that Charlie Sheen apparently talks about-LOL). But knew later in the sessions that the fatigue was setting in (wasn't' Winning' the fatigue battle then). The good news is could tell it was letting up maybe with one month or so after the ending of radiations and got alot better. Then just the regular Zombie effects of ADT3 which can be more than you want to witness. You will get through this...I just hope your particular 'burning' issues are all temporary and minor and I am sure you do too. I did not experience that back in 2002.

Get ready for long term psa monitoring...I know you will love that...I got 9 years of that program.
Dx-2002 total urinary blockage from PCa emergency room, bPsa 46.6,
12/12 biopsies all 80-95% vol., Gleasons found 7,8,9's, scans appeared clear, ADT3 prior to Neutron & Photon radiations, DES since 2004-5.

Forum Moderator

Date Joined Jan 2010
Total Posts : 7084
   Posted 4/17/2011 11:09 PM (GMT -6)   
That was the subject of a discussion with my RO - she belives that the general fatigue is due to HT, so I should not have had it. But in talking to others, I get the general impression that the HT fatigue is different (you actually realize it is approaching before you fall over ??).
My IGRT fatigue was the "brick wall at 60mph" type. Wham.

English Alf
Veteran Member

Date Joined Oct 2009
Total Posts : 2218
   Posted 4/18/2011 2:50 AM (GMT -6)   
yes Mel a brick wall is about right, and I still get hit by the wall 10 months on from RT, however I can usually beat it with exercise.

For example:
After lunch I know I need a walk, but often felt like I can hardly get out of my chair to lock the windows let along go anywhere, but I do go out. After finding the first quarter mile or so really tiring I then find I have beaten it and can walk for about three miles without any real bother, and really only have to come home to find a bathroom.

And if I do end up going to bed early in the evening, then at least I know I've had some good exercise, whereas if I take a nap in the afternoon, then I often still end up going to bed early.

Not every day is the same either, which makes me feel like I have become some sort of manic-depressive: one day I have loads on energy and can do far more than normal, and on other days I hardly want to get out of bed. (But I suppose some of this could be down to having removed caffeine from my life too.)


mr bill
Veteran Member

Date Joined Sep 2010
Total Posts : 709
   Posted 4/18/2011 6:56 AM (GMT -6)   
Finished ART last week. I have experienced fatigue, especially since treatments have been completed. Not the brick wall, but a little tired. I feel I could control that instead of trying to do everything at once. Usually I just keep going like the Eveready bunny, but it may be difficult. We are leaving for a vacation in Mississippi, and I am sure my energy levels will improve when I "leave the Tundra."
Overall, very few side effects, but they were there. Little fatigue, little loose stool, some flushing, some discomfort when emptying bowels, and last but not least a warm feeling around ears and face (not hot) just warm.
Keep plugging away at those treatments, you are on the downhill slide.
Mr Bill
Please excuse mispells I cannot find my darn glasses.

Regular Member

Date Joined Sep 2006
Total Posts : 187
   Posted 4/18/2011 7:26 AM (GMT -6)   
I think everyone is a bit differen.....I flet fatigue about half way through....typically at night....I jus felt like I had lead weights tied to my legs....nohing terrible, but noticible....it cleared up about a month after treatment....

I exercised and drank a lot of water....Hope this helps.....
Sterd 82

Ken S
Regular Member

Date Joined Nov 2006
Total Posts : 120
   Posted 4/18/2011 8:02 AM (GMT -6)   

I think age may play a role, I was 54 (almost 55) when I had IMRT and I never experienced any fatigue at all.

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