### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My friend has had a prostatectomy, and is now currently developed advanced cancer.  He refuses to continue on trying to get treatment for it.  T he Dr.s suggest LUPERON SHOTS.  He doesnt want to lose his masculinity.  He feels like life has not dealt him a good hand so he feels like he wants to die.  What are the symptoms he will be experiencing before he passes away???  I tried to convince him to go and get other options, he still refuses.  Now hes been experiencing abdominal pains (he says Diverticulitis flare-up), joint pains, lower back pains, knee and shoulder pains.  Im his BEST FRIEND and wants to know whats to be expected of other symptoms that hes going to pour on me as I sit and wait.  Really sad and I hope its a FAST DYING PROCESS than dragging on for years.  Its terrible to wish any death on anyone, but this will be agonizing.

### output:

Thanks for your question on Chat Doctor. I can understand your friends situation and problem. Prostate cancer is known to spread in bones, liver, lung, brain etc. So possible future complications are bone pain, fractures, cough, hemoptysis (blood in sputum), breathlessness, jaundice, abdominal distention etc. And his behavioral changes like depression, feeling of death etc. are known as malignancy associated psychosis. Cancer is having huge impact on patient s psychology. Since cancer is incurable with all the available treatment, patient can easily go in depression and psychosis. Your friend is also having the same symptoms. So better to consult psychiatrist and get done counseling sessions. He needs psychotherapy and discussion on end of life issues. This will be of great help to him. Hope I have solved your query. Wishing good health to your friend. Thanks.