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#101761 08-18-2009 04:16 PM
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marma Offline OP
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OK, so my FIL finished all his treatments last year end of october. A few months after this he has developed dry mouth...and now he is unable to eat dry food without sipping water. It doesn't seem to be improving.
I know this is due to his IMRT which partially involved his parotids (salivary glands).

WHat I would like clarification on, since I have received a mixture of answers abou this topic, is whether we can expect him to improve since it has now been about ten months since he completed his IMRT and he has not improved at all.

I will note for passersby that his taste returned completely after a few months.

I know you guys have personal experiences to share, and those are very welcomed, but I would also love any statistical data or articles that give me a general idea of what my FIL's odds are.

Info about my FIL: He has been tumor free since his treatment and I have him on 1/2 cup dried goji berry and 5 grams of spirulina daily and a supplemental and anti-oxidant nutritional therapy. His next PET is spet 8th.

Thanks guys, and hugs to all.


FIL completed treatment 10/08. CG to father in Law in india who had SCC oral tongue T2N2M0. FIL underwent surgery, neck dissection, IMRT, and erbitux without losing weight or getting nauseated. Completed October 2008. SO far so good.
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I finished tx's 11-4-2008 and my saliva production is pretty good. Some mornings are dryer then others but I can't complain considering one gland was removed. I did take saliva meds for months though.



7-16-08 age 37@Dx, T3N0M0 SCC 4.778cm tumor, left side of oral tongue, non smoker, casual drinker, I am the 4th in my family to have H&N cancer
8-13-08 left neck dissection and 40% of tongue removed, submandibular salivary gland & 14 nodes clean, no chemo, IMRTx35
11-4-08 Recovering & feeling better
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From what other members have reported, saliva can continue to improve up to 2 years post radiation treatment. Mine was returned at about 4 months post tx with continued improved ment til about 18 months post tx. There are also a few different types of medications that he can take to help with saliva. Im sorry but I do not know the names of these emdicines.


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
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I believe one of those medicines that is supposed to help with dry mouth is Salagen (Pilocarpine Hydrochloride), but people in my support group who have used it have complained that it make them sweat excessively.

In the support group, Acupuncture seems to be the treatment of choice.


Don
TXN2bM0 Stage IVa SCC-Occult Primary
FNA 6/6/08-SCC in node<2cm
PET/CT 6/19/08-SCC in 2nd node<1cm
HiRes CT 6/21/08
Exploratory,Tonsillectomy(benign),Right SND 6/23/08
PEG 7/3/08-11/6/08
35 TomoTherapy 7/16/08-9/04/08 No Chemo
Clear PET/CT 11/15/08, 5/15/09, 5/28/10, 7/8/11

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My nutritionist and I were discussing this topic yesterday. She said she has seen several oral cancer patients helped with saliva by doing acupuncture.


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
-65 lbs in 2 mo, no caregvr
Clear PET 1/08
4/4/08 recur L chk Stag I
surg 4/16/08 clr marg
215 HBO dives
3/09 teeth out, trismus
7/2/09 recur, Stg IV
8/24/09 trach, ND, mandiblctmy
3wks medicly inducd coma
2 mo xtended hospital stay, ICU & burn unit
PICC line IV antibx 8 mo
10/4/10, 2/14/11 reconst surg
OC 3x in 3 years
very happy to be alive smile
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Posts: 8,311
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Remember that each of us can have greater or lesser damage done to our salivary glands during Tx as our radiation fields and intensity can be vastly different. With that said we do see patients having improvements in both taste and saliva issues up until about the 2 yr mark post Tx. My biggest improvement came in my 15th month post Tx and I also think I saw another slight improvement at the 24 month mark. Today I estimate I'm at 90% pre Tx levels in both categories.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
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I finished tx in January 08. My issues with drymouth have improved significantly but it took around 9 to 12 months to see that real jump. I still need some kind of liquid close by to get the food down ( particularly dryer foods like chicken, etc. ) but I don't carry a water bottle around like I used to. Good luck!


Bill . . . SCC - originated in right tonsil, drifted into neck ( 28 lymph nodes removed - one positive ). Radical neck dissection in September 07, completed 34 radiation tx on January 4, 2008. Used Peg. Non smoker, 61, good shape, no previous health issues. Second year PET scan - "all clear".
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My husaband still suffers after 2 yrs since radiation therapy, 33 treatments, surgery on base of tongue, stage 1, tonsil and lymph nodes all left side removal. His taste is always rotten, and a build up in the back of his throat. Any new suggestions, he's tried everything, he is miserable most of the time, forces himself to eat food. He had lost 70 lbs, after all that. Lives with his water bottle, saliva pills, and sprays etc. HELP THanks gramee


Gramee
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marma Offline OP
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Gramee,

That sounds very difficult. I know there are some medications like Salagen, but best post a thread in the general forum since this is kind of old. Also, to make sure my FIL didn't lose too much weight, when my MIL cooked for him we'd add a lot of extra oil to everything. A LOT of oil. I tracked his caloric intake on thedailyplate.com to make sure he was meeting requirements and adjusted his canola oil instake on that basis.

Remember: fat is a nutrient and very good way to get extra calories. My FIL didn't like drinking ensure too much so this worked well for him. Put oil in his soup and make him take a powedered multivitamin supplement with a strong non-acidic fruit juice such as pomegranate..

Keep trying new things; I don't think he should accept this plight just yet!

And do post this on as a new thread to make sure everyone reads it.


FIL completed treatment 10/08. CG to father in Law in india who had SCC oral tongue T2N2M0. FIL underwent surgery, neck dissection, IMRT, and erbitux without losing weight or getting nauseated. Completed October 2008. SO far so good.
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The taste is bad for a lot of us as is the drymouth. Do you buy him biotene mouth wash and toothpaste to keep his mouth fresh? I lost my teeth but brush regularly my remains of the tongue and all of my mouth that doesn't hurt from it.. It doesn't moisten it , but makes the taste more bearable.


Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April.
--- Passed away 5/14/14, will be greatly missed by everyone here
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