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Prostate Cancer Questions

Asked for male, 76 years old from new delhi
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My dad is dealing with prostate cancer and metastatic i.e. Spread to bones. He is heart and diabetic patient as well. He had undergone surgery to remove testicles almost year back. Psa test shown low reading - 0.140 after surgery but start increasing gradually since then. Now psa stands at 18 and just had 2nd pet scan. Doctor compared both pet scans (6 months gap) before and after surgery and did not alarm anything new. No bone pain as such currently. Based on doctor prescription he stated zoledronic acid injection on monthly basis. 2 injections so far. He currently takes bicalutamide (50 mg) along with other calcium and vitamin d supplement here are the 2 major issues I need help1. After zoledronic acid injection. He got light fever for a week and nausea. His psa score was very low after surgery but gradually increasing in recent months now 18. He is taking bicalutamide (50 mg) (1 tablet daily) since november 2022. What are treatment options to treat the rising psa. I can share the pet scan and other reports. I am looking for a senior doctor opinion and follow up appointment. No homeopathic doctors please.

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MBBS, MD, CCEPC, FISSP, OBS, NFPM

Oncologist•Delhi
Cancer staging needs to do first. Different treatments / approaches are available for different stages. Psa will stop increasing only if we are able to treat the cancer or stop the cancer growth. Zoledronic acid & bicalutamide have limited role. Pet scans. Other reports & most imp patient s clinical condition will decide further treatment.
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Bachelor of Ayurveda, Medicine and Surge...read more

Sexologist•Pune
Yes

More masturbation isn't good for health and future sexual life.

Do meditation, and avoid overthinking of sex and about opposite gender.

If there is nightfalls then it's ok.

Do concentrate on study, good physical and mental health.

Do kegale exercises for muscle tone which you will get on YouTube.

Eat healthy food avoid junk food.

Eat more ghee and drink milk regularly.
40 people found this helpful
Asked for female, 23 years old from Allahabad
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DNB - Nuclear Medicine, FEBNM (Europe), ...read more

Nuclear Medicine Physician•Delhi
Please discuss with your doctor regarding possibility of lutetium psma therapy. It may help with pain control and disease control.
10 people found this helpful
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Ms. Counselling & Psychology, BHMS

Homeopathy Doctor•Hyderabad
NO NOTHING TO WORRY ABOUT IT NOW JUST REDUCE THE FREQUENCY OF MASTRUBATION AND IT WILL BE ALRIGHT AND MASTRUBATION ALONE DOESNT CAUSE YOU CANCER
21 people found this helpful
Asked for male, 74 years old from Pune
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I am 74, laparoscopic radical prostatectomy with bilateral dissection done in june 2013. Gleason score 3+7=7.pamorelin la 11 25 mg taken thrice. Psa was reduced to 0.008. Received radiation total dose of 6660cgy in 37 fractions nov 13 to jan 2014. Bone scan was negative. No followup last 8 years. Now psa is 85. Psma pet scan march 8th 2022, shows carcinoma prostate. Psma avid mesorectal pelvic and retroperitoneal nodes appear metastatic likely disease recurrence. Procedure done on 17th march 22. cystoscopy urethral dilation and bilateral sub capsular orchiectomy. Diagnosis distal bulwark urethral stricture, known carcinoma of prostrate. Tabi tab 50 mg for 60 days. Kindly clear my doubts doctor. 1. What are the chances of cancer cells moving out of prostrate to other parts of body through blood? Removal of both testicles done, whether it would stop further growth of cancer? Doctor opines, chemo and radio therapy not necessary. Tabi is effective after orchiectomy? What will kill the existing cancer cells? Whether ayurvedic medicine works? Kindly suggest effective treatment. I remain grateful to you. G v subba rao.

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Bachelor of Ayurveda, Medicine and Surge...read more

Ayurvedic Doctor•Zirakpur
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Tabi works by blocking the effects of male hormones such as testosterone.
Ayurvedic medicine help immunoenhancing effect against proliferative tendency of cancer cells. Here herbs n minerals and other things work at different degrees. The degree of effectiveness depends on body type and body response. If you go for higher things like calcined vaikrant, diamond processed with certain herbs, herbal decoctions etc, there have been definite advantages found in many cases. But since I am not acad...more
61 people found this helpful
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Bachelor of Ayurveda, Medicine and Surge...read more

Ayurvedic Doctor•Zirakpur
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Research findings. A study found lower vitamin d levels in people with prostate cancer. The study also found that prostate cancer was more severe in people with the lowest vitamin d levels and found a correlation between low vitamin d and higher levels of inflammation in people with prostate cancer. If you can send me vit d report and psa report I may suggest ayurvedic remedy if reqd.
4 people found this helpful
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MBBS, Basic Life Support (B.L.S), Advanc...read more

General Physician•Delhi
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I am sorry to hear about your concern but will be happy to assist you
the three most common prostate problems are inflammation (prostatitis), enlarged prostate (bph, or benign prostatic hyperplasia), and prostate cancer. One change does not lead to another. For example, having prostatitis or an enlarged prostate does not increase your risk of prostate cancer.
Let's connect over a call so that we can discuss your concern in details and make a suitable treatment plan for you.
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MCh [Urology & Kidney Transplant]

Urologist•Noida
Hi lybrate-user. What was the gleason score on prostate biopsy and what was his psa at begining, if psa is consistently at this level you can continue calutide. Though, we used to prescribe calutide 50 mg once a day after orchidectomy. Did he have metastatic prostate cancer?
# calutide is like a friend which turns into enemy later on. So, calutide is stopped if psa starts rising again. You do not need to stop calutide at present. Calutide initially works against cancer and then works with ca...more
Asked for male, 74 years old from Ahmedabad
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BHMS

Homeopathy Doctor•Hooghly
U shouldn't have any doubt on a qualified doctor, he is the expert for this, so you should follow his instructions and must take medicine he has given, if you have any problem after taking medicine then n there contact with him n inform him.
39 people found this helpful
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