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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Getting Very Bad Sweats On Head And Neck. Have Prostate Cancer. Is This The Reason?

My husband is getting very bad sweats. He gets so wet especially on the head & neck. He is a diabetic on insulin 3 times a day after they subside he gets very cold. This happens mainly in the evenings & night.. He also has prostate cancer & has a monthly injections called Degarelix & Xgeva - one is for the bone cancer (he also has). He is also on Anandron tabs 1 per day. He has been having this treatment for approx 5-6 months. Could any of this now be causing these sweats?
Mon, 6 May 2013
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Urologist 's  Response
Hi,



Your husband is currently being treated with what is known as complete androgen blockade for his prostate cancer which has also spread to his bones(metastatic).



please be re-assured that he does not have bone cancer in addition as you presume.



He is having what are typically known as hot flashes(flushes) which women in their peri-menopausal state often experience.



These symptoms are often encountered in patients on this form of treatment. they typically tend to be sudden, brief episodes lasting for a few seconds to few minutes.



These symptoms are not harmful except catching the patient off-guard.



Since they are characteristically self limiting, understanding these symptoms bring in a lot of confidence to the patient most often. over a period of time, patients tend to ignore these symptoms.



If he however is not comfortable handling these symptoms or if the symptoms are severe (as noted in rare cases), he could be treated with drugs like venlafaxine, medroxyprogesterone or clonidine under close supervision from your doctors.



Most patients do well without any medications.



Life style changes like regular exercises (brisk walking), gentle spine and joint reinforcing exercises and consumption of high fiber diet along with meditation also contribute not only to reduction of his present symptoms but also help in controlling his diabetes and keep his cancer at bay longer.



Consult your doctor once to gain more confidence on his symptoms. i am sure your doctor will also ensure that he s not having low sugars causing these symptoms either.



Best Wishes



Srivatsa
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Urologist Dr. G.Srinivasan's  Response
Welcome to the forum.
It is most likely due to autonomic neuropathy related to diabetes and very unlikely to be due to cancer.
Best regards
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Getting Very Bad Sweats On Head And Neck. Have Prostate Cancer. Is This The Reason?

Hi, Your husband is currently being treated with what is known as complete androgen blockade for his prostate cancer which has also spread to his bones(metastatic). please be re-assured that he does not have bone cancer in addition as you presume. He is having what are typically known as hot flashes(flushes) which women in their peri-menopausal state often experience. These symptoms are often encountered in patients on this form of treatment. they typically tend to be sudden, brief episodes lasting for a few seconds to few minutes. These symptoms are not harmful except catching the patient off-guard. Since they are characteristically self limiting, understanding these symptoms bring in a lot of confidence to the patient most often. over a period of time, patients tend to ignore these symptoms. If he however is not comfortable handling these symptoms or if the symptoms are severe (as noted in rare cases), he could be treated with drugs like venlafaxine, medroxyprogesterone or clonidine under close supervision from your doctors. Most patients do well without any medications. Life style changes like regular exercises (brisk walking), gentle spine and joint reinforcing exercises and consumption of high fiber diet along with meditation also contribute not only to reduction of his present symptoms but also help in controlling his diabetes and keep his cancer at bay longer. Consult your doctor once to gain more confidence on his symptoms. i am sure your doctor will also ensure that he s not having low sugars causing these symptoms either. Best Wishes Srivatsa