Extreme fatigue and loss of appetite
Just joined today, excited to be part of this community and hoping for some support!
My Dad (75) has aggressive localized prostate cancer and has had two TURP surgeries. He is now under ADT (hormone therapy) regime with a three-monthly injection. We are now taking care of him at home and have hired a live-in carer.
However, even though he is not in pain, his overall condition has not improved even several weeks after his discharge from hospital. Other patients his age and treatment usually recover more quickly.
The most distressing part of his condition is his extreme fatigue (his own words). He literally can't get out of bed, and needs the nurse to help him use bathe and use the toilet. He is constantly lethargic and sleepy; standing, walking, even talking with people for more than a few minutes is almost impossibly tiring. He has trouble eating anything but small amounts of food. Dad is trying to maintain minimum nutrition levels, which at around 1500kcal/day should stave off any more weight loss - he has already lost 10kgs since his first operation. However, the inactivity is slowly eating away at his muscle mass.
For a former research scientist who has been fiercely independent his whole life, I imagine the loss of function and heavy dependence on others is also taking a heavy toll on his morale. I am trying to get him to agree to a psych exam to see if depresssion is a factor (he is reluctant).
Or, perhaps it's a cortisol deficiency caused by an adrenal abnormality, but his ADT drugs are not the type usually associated with this.
Do you have any suggestions to help us overcome the extreme fatigue, and point to possible treatments?