Hello  and thanks for posting

You ask if we can offer you advice about your current situation. It is difficult for us to answer questions like this as we are not involved in your clinical care. Your specialist team are better placed to advise you on this as they are familiar with all your medical details. If you have a specialist nurse involved in your care then perhaps they can provide you with further information. You often have to call and leave them a message and they will get back to you. 

There are many possible causes of fatigue, but the main causes are often due to cancer and its treatments. We have some information on our website about fatigue and tips on how to manage it such as doing a form of gentle exercise, getting enough rest and eating a good diet. Macmillan Cancer Support has some further information on fatigue.

Fatigue tends to improve over time for most people. It might be a good idea for you to keep a fatigue diary. This can help you keep a record of how you are feeling, and how your energy levels change and can show patterns of your fatigue. This can help you plan your day. It can also highlight which activities make you feel better or worse.

Sometimes there is a specific medical cause for which there might be a remedy such as anaemia, so do get some input about this from your healthcare team.

There are a number of different anti sickness medications that may help nausea and vomiting and sometimes it’s trial and error to get the right combination that will work. We do have some tips on our website about managing nausea which you might find helpful.

I’m not sure if you are being supported at home by a community palliative care team, often they are known as Macmillan nurses. They are experts in controlling cancer symptoms and can provide you with emotional support. If you don't have a palliative care team involved in your care you could ask your GP to refer you.  You might also find it helpful to read our information about the support that is available to people at home with advanced prostate cancer on our website.

I hope this is of some use. Please get back to us if you need any more information or support.  You may find it helpful to talk things through with one of the nurses on our helpline.  The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.

Kind regards,

Celene