Is death from prostate cancer painful?

Doctor's Response. Prostate cancer can be painful once it's reached the later stages and no treatment options remain.

emedicinehealth.com - Is It Painful to Die from Prostate Cancer? - eMedicineHealth

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I was just diagnosed with prostate cancer . It’s in the relatively early stages, and I still may beat this thing. But I’d be a fool if I didn’t plan for the worst. If my treatments fail and I have to say goodbye, I hope at least I can be comfortable. Is it painful to die from prostate cancer ?

Doctor’s Response

Prostate cancer can be painful once it’s reached the later stages and no treatment options remain. However, not everyone with advanced prostate cancer will experience pain symptoms.

As prostate cancer progresses, symptoms may include:

Pain

Broken bones

Fluid retention (lymphedema)

Extreme fatigue

Urinary or bowel problems

Metastatic spinal cord compression (MSCC) – can cause paralysis

If you are in pain, tell your doctor so they can figure out ways to help you manage your pain. Hospice care, more generally known as palliative care, can help make you more comfortable through your final days. The hospice will evaluate the ill person's medical condition, making note of symptoms including pain and all forms of suffering reported by the patient and family. The person's wishes about death are taken into consideration with a document called an advance directive or living will. The hospice also will evaluate the spiritual status of both the ill person and the family, any financial problems that may prevent appropriate treatment, and any other issues the person or the family might have.

The hospice will care for the whole family as a unit.

A nurse will assess the ill person's condition and keep in close touch with the doctor. Other key staff members may be unique for each case. The nurse also will keep in touch with the treating physician and the hospice medical director about any symptoms of pain, nausea, constipation, depression, or other medical conditions. Often the ill person's symptoms can be improved significantly even though the basic illness cannot be cured. A social worker will assess any issues affecting the ability of the ill person's family to deal with the illness or with any other social problems arising during the illness. Clergy will help the family deal with spiritual issues around death and dying. If necessary, a nutritionist will help the family deal with the fact that the person's appetite gets worse at the end of life. At times, the patient no longer likes the taste of foods that he or she previously loved. The nutritionist may help the family find other foods or recipes that the patient can enjoy. A grief counselor will evaluate the family for any abnormal problems with the grieving process. Grieving often starts before the patient actually dies. The counselor will monitor the grief process for about 13 months after the person dies. This is also called bereavement counseling. Some hospices also can provide art or music therapy.

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What is stage five prostate cancer?

Grade group - There are five grades of prostate cancer. Stage 1, which is low grade and slower growing, through Stage 5, which is high grade and rapidly growing. The grade is related to the Gleason score determined during the biopsy.

rockymountaincancercenters.com - Prostate Cancer Staging - Rocky Mountain Cancer Centers

Prostate cancer is staged in a slightly different way than some other types of cancer. While it considers the tumor size, lymph node involvement and whether it's spread to other areas of the body, there are two additional factors used to determine prostate cancer stage: Grade group - There are five grades of prostate cancer. Stage 1, which is low grade and slower growing, through Stage 5, which is high grade and rapidly growing. The grade is related to the Gleason score determined during the biopsy.

Grade 1: Gleason score of 6 or less

Gleason score of 6 or less Grade 2: Gleason score of 3+4=7

Gleason score of 3+4=7 Grade 3: Gleason score of 4+3=7

Gleason score of 4+3=7 Grade 4: Gleason score of 8

Gleason score of 8 Grade 5: Gleason score of 9 or 10

PSA levels - In stages 1 through 3, the oncologist will consider whether the PSA test result was above 10 but below 20 (medium), or above 20 (high). At Stage 4 prostate cancer, the PSA level doesn't have as much of an impact on the treatment path that will be recommended because it has moved outside of the prostate.

Learn about prostate cancer treatments

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