hi-all
we are three weeks into chemo and rads. the sores have just started. He has severe trismus- taste alterations now so eating has truly become a matter of just a few bites here and there of soup, some foods he can tolerate. We are mostly dependent on PEG feedings. The issues has now become volume and tolerance. He just cannot tolerate much volume and belches, and now has vomited three times this week. Weight is dropping. He sometimes tolerates a slow drip bag feeding over a push feeding... Compazine has helped in the past two weeks but doesn't seem to holding him any longer. We will switch to Zofran more regularly-- and are getting a better hold of the constipation. he does get illoxi , emend and Zofran with chemo. The challenge and worry for me is getting these PEG feedings to equal the cals he needs- preventing the nausea/vomiting all the while trying to manage while he is fatigued and drained.
Goodness.... ginger hard candies seemed to help stave off some nausea for a while. but... not sure if we need round the clock antinausea meds... and not just taking them when he feels it. Today, he vomited and no nausea.. just belching and next thing you know, the whole PEG push feed was gone.

thank you .. if anyone has any thoughts or suggestions