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#70347 02-22-2008 12:25 PM
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Today I had my PEG fitted. I had it at about 11am and took painkillers pretty much straight afterwards but they didn't make any difference. I was in so much pain by about 3pm we phoned the Hospital and they said to go to my Doctor and get stronger painkillers...so I did. I took them over 3 hours ago and the pain just seems to be getting worse. It feels like I've been kicked in the stomach/ribs, I expected to have some pain but not this much!! I can't even stand up straight because it feels like something stopping me from doing so. Every time I move (even slightly) it just hurts so badly.
Did anyone else experience this much pain? How long does the pain last? Any tips for easing off the pain? (even a little bit!)
Thank you


Hayley, 19.
Diagnosed at 18 with cancer of the larynx (T4n2) on 20.11.07
Taxotere, cisplatin and 5FU x 3, carboplatin x 7 and 35 radiotherapy treatments
Found out I am in remission on 21.08.08

www.kickingcancersarse.blogspot.com
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Hi Hayley- My husband has a PEG. He remembers it being very painful at first. Just make sure you are not pulling on it in any way. He realized that when he taped it down, it was pulling when he straightened up. He has had it for about 5 months now and it is pain free at this point. His was inserted surgically into his stomach and not down the throat because he had just had his jawbone replaced. I don't if this helps, but hang in there and I'll be sending positive thoughts your way. Sue


cg to husband, 48 Stage 1V head and neck SCC. First surgery 9/07. Radiation and several rounds of chemo followed. Mets to chest and lungs. "Life isn't about waiting for the storm to pass, it's about learning to dance in the rain." Went home to God on February 22, 2009.
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I was in so much pain from the darn PEG! Like you, I was not expecting it at all. Most people dont seem to have a problem with PEG. It was the only time during treatment that I needed narcotics. Yes, I felt like I was kicked by a horse for about a week. It was too tight and they would not loosen it until a week went by. Actually what ended up working best for the pain was 800mg of ibuprofun, rather than the oxycodone. My nurse practitioner recommended I try it as some patients do better with it. It worked for me.
So for me the pain lasted little more than a week. My nurse also thought because I was thin to begin with, it was more painful for me than for others. You are on the small side as well, aren't you? Not sure why being small makes it more painful. Just take it easy for a few days, Hayley, and the pain will get better! Take care, Teresa


Left tonsil SCC, HPV+. T2N0M0. Tonsillectomy 3-07, bilateral radiation, cisplatin 3x, Tx completed 6-06. Clear PET 4-01-2008.
Thyroidectomy 5-9-08, resulting in permanent surgically-induced hypoparathyroidism and adrenal problems. Bummer.
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Buzz was in such pain that I took him to the emergency room the day after PEG insertion...doctor checked it, did a scan to confirm proper placement and stated 'some people experience more pain than others following this procedure'. The severe pain lessened over the next few days.
Hang in there Hayley, and know that we are all here for you if we can help in any way. I pray that your pain will go away soon.

Lois


CG to 77 y/o hubby;SCC Alveolar Ridge; Wake Forest Baptist Hosp surgery: 07/19/07; bi mod radical resection/jaw replacement;
T2 N2-B M0 Stage IV-A
28 IMRT +
6 Paclitaxel/Carboplatin
Getting stronger every day!
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Took 3-4 days for the pain to go away. It will heal, so hang in there.


Tom Alexander
SCC Stage IV BOT, completed 35 Tx TOMO & 7 Tx chemo Taxol + Carboplatin 12/04/07. No surgery.
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Haley I have been there and understand what you are going through. I felt that the pain was worse from the PEG after it was inserted than I felt after my neck dissection. My pain lasted 6 days. On that 6th day I was on my way to the Emergency room because it was so bad. The doctor asked me to wait 1 more day, I did and the pain was completely gone! Its a little uncomforatble when I sleep at night because I am a side sleeper, but I somehow get through it. It will be a godsend when you need to use it when your rad treatments are in full force.I know that its hard to imagine now but you will understand in a couple of weeks. There wasn't any pain meds that eased the pain for me. It will be a tough week for you but the pain will end. Feel free to PM me with ANY questions you have. My PEG was inserted 12/31/07 and all the doctors told me was that I would have slight discomfort. They were WRONG. Stay strong and you will get through this I promise.


Diagnosed with mucoepidermoid carcinoma right side base of tongue. Removed growth from tongue as well as modified neck dissection with mandible split on 12/11/07 with 12 nodes removed. 2 cancerous. Scheduled to start Rx 2/12/08.Finished 3/24/08 30 treatments. no chemo
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I had pretty severe pain the first couple of days--yes, even standing up was tough and sitting up from a lying down position was really hard. And I said the same thing you did--I felt like I'd been kicked by a horse. For me it went away pretty fast. The first two days were bad but I remember feeling OK sitting up and standing by the fourth day--it still hurt if I laughed or moved in other ways that used stomach muscles. By the second week I had no pain at all. Hang in there Hayley!


SCC(T2N0M0) part.glossectomy & neck dissect 2/9/05 & 2/25/05.33 IMRT(66 Gy),2 Cisplatin ended 06/03/05.Stage I breast cancer treated 2/05-11/05.Surgery to remove esophageal stricture 07/06, still having dilatations to keep esophagus open.Dysphagia. "When you're going through hell, keep going"
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Hi Hayley! smile

I am so sorry to hear about the pain from the PEG. My Dad was in the same boat as you and it took a few days. Hang in there sweetie.

I have been following your blog... posted on there awhile back. Hope you are feeling well, aside from this latest PEG issue.


Dad: Age 65 Heavy smoker/drinker. Biopsy-No surgery. Cancer base of tongue/throat. "Invasive Squamous Carcinoma RRT" --Beginning 1/9/08: IMRT treatments (5X/wk),chemo pills (4/day) and Chemo IV (once/wk) PEG tube inserted 1/25/08. Treatments ended 2/26/08

JUNE 30, 2008 Officially CANCER FREE!!!
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Thank you everybody for your replies. Really appreciate them! This morning I woke up and I'm still very sore but not as much as yesterday, I can nearly stand up straight now. I guess I'll just have to be patient and let it heal and deal with the pain, it'll be worth it if I do end up needing it! Thanks again.


Hayley, 19.
Diagnosed at 18 with cancer of the larynx (T4n2) on 20.11.07
Taxotere, cisplatin and 5FU x 3, carboplatin x 7 and 35 radiotherapy treatments
Found out I am in remission on 21.08.08

www.kickingcancersarse.blogspot.com
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Hi Hayley how are you doing? i remember those days, i was in so much pain with my peg tube when i first had it fitted that i cried to have it taken out, of course my hubby wouldnt let me (meanie) but it does get better i forget most of the time that i have my tube i have even gotten up to go the loo while i have feeding on and pulled my trolly accross the floor thats how comfortable it gets..hope your feeling ok

debz


Age 40 Diagnosed with stage 4 SCC tongue, sept 07 started 35 radiation treatments and 3 chemo Had my first follow up PET - got the all clear 17th April 2008.
26th Had my PEG tube removed...eating almost everything. Was hard but learned to eat without saliva, it's so good to chew and swallow food!
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Hi Haley, how are you feeling? I hope the pain has subsided by now. Check in soon and let us know how you are doing.


Diagnosed with mucoepidermoid carcinoma right side base of tongue. Removed growth from tongue as well as modified neck dissection with mandible split on 12/11/07 with 12 nodes removed. 2 cancerous. Scheduled to start Rx 2/12/08.Finished 3/24/08 30 treatments. no chemo
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wish I'd seen this when you posted it...I had the same thing happen...pain was so bad I went to the ER...here is what was wrong...gas!...apparently when they placed the tube, I was pumped full of air, or something like that...I was never real clear on that...they didn't make sure I was "deflated" before i woke up...so, it was a major gas attack...not the "pew" stuff, just air...hope this helps anyone else that has this happen to them

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Mine was too tight to for the first few days. I felt like a butterfly in a showcase complete with stake! After it was loosened it was ok.

Hang in there.

Markus


Partial glossectomy (25%) anterior tongue. 4/6/07/. IMRT start @5/24/07 (3x) Erbitux start/end@ 5/24/07. IMRT wider field (30x) start 6/5/07. Weekly cisplatin (2x30mg/m2), then weekly carbo- (5x180mg/m2). End of Tx 19 July 07.
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Hayley:
not sure if you saw my post about my Father in law with Esophogeal and Gastric Cancer. Now, further dignosed in his liver as well.
He designed a peg tube belt because of problems he had with his feeding tube during daily activities. We are in the process of getting the belt in the products list for this site but if you want to check out the belt and beneifts of it, go to www.thepegbelt.com
It dramatically changed his life while he had the feeding tube in.
Please keep me posted and best of luck.


Todd
father in law- stage 4 Esophageal and Gastric Cancer- was heavy smoker
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Hi Todd,
I have only just seen this post...wish I'd of seen it earlier as I would of got one.
I have no had my PEG removed, thank you though smile
Hayley


Hayley, 19.
Diagnosed at 18 with cancer of the larynx (T4n2) on 20.11.07
Taxotere, cisplatin and 5FU x 3, carboplatin x 7 and 35 radiotherapy treatments
Found out I am in remission on 21.08.08

www.kickingcancersarse.blogspot.com
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Hi Hayley,

I feel ya' sister! I am right where you were in February. I got my PEG put in last Thursday and it hurts more now than it did then. I'm sucking down ibuprofen, but sitting, standing and lying down are agony. Tomorrow I have an appointment to have it loosened, and I'm praying that like Markus, the pain will subside. I'm on the heavy side and its really, really tight.

(No need to comment, I just needed to vent!)

-Margaret


Stage IV SCC lt lateral tongue, surgery 5/19/08 (partial gloss/upper neck dissection left side/radial free flap reconstruction) IMRT w/weekly Cisplatin & Erbitux 6/30/08, PEG 1 6/12/08 - out 7/14 (in abdominal wall, not stomach), PEG 2 7/23/08 - out 11/20/08, Tx done 8/18/08
Second SCC tumor, Stage 1, rt mobile tongue, removed 10/18/2016, right neck dissection 12/9/2016
Third SCC tumor, diagnosed, 4/19/2108, rt submandibular mass, HPV-, IMRT w/ weekly Cisplatin, 5/9 - 6/25/2018, PEG 3 5/31/2018
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Margaret, I'm sorry you're going through such pain with the PEG. Hopefully having it loosened will help a lot. Some of it may just be the pain from inserting it through stomach muscle--although in my experience, that got better after 3-4 days.

Nelie


SCC(T2N0M0) part.glossectomy & neck dissect 2/9/05 & 2/25/05.33 IMRT(66 Gy),2 Cisplatin ended 06/03/05.Stage I breast cancer treated 2/05-11/05.Surgery to remove esophageal stricture 07/06, still having dilatations to keep esophagus open.Dysphagia. "When you're going through hell, keep going"
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Nelie,

This is the third abdominal surgery I've had, and I can't believe how much it hurts! I had laproscopic surgery to remove my gall bladder and a laproscopy to remove on ovarian mass and I recovered very quickly from both of those. I certainly didn't expect this to be worse.

Thank you, by the way, for all of your posts. I enjoy your grace and generosity.

-Margaret


Stage IV SCC lt lateral tongue, surgery 5/19/08 (partial gloss/upper neck dissection left side/radial free flap reconstruction) IMRT w/weekly Cisplatin & Erbitux 6/30/08, PEG 1 6/12/08 - out 7/14 (in abdominal wall, not stomach), PEG 2 7/23/08 - out 11/20/08, Tx done 8/18/08
Second SCC tumor, Stage 1, rt mobile tongue, removed 10/18/2016, right neck dissection 12/9/2016
Third SCC tumor, diagnosed, 4/19/2108, rt submandibular mass, HPV-, IMRT w/ weekly Cisplatin, 5/9 - 6/25/2018, PEG 3 5/31/2018
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When I had a PEG, I took a neck holder for Flash memory, that had a disconnect so I could easily free the PEG, and used it to support the PEG under my clothes -- No tape and the PEG hung free.

I also found out that I could adjust where the PEG tube fit inside, so I could make the flow better for sitting or standing, by pull-push and a little twist on the tube -- There was definitely a wide spot on the inside end of the tube so it wouldn't pull out of the grommet.


Age 67 1/2
Ventral Tongue SCC T2N0M0G1 10/05
Anterior Tongue SCC T2N0M0G2 6/08
Base of Tongue SCC T2N0M0G2 12/08
Three partial glossectomy (10/05,11/05,6/08), PEG, 37 XRT 66.6 Gy 1/06
Neck dissection, trach, PEG & forearm free flap (6/08)
Total glossectomy, trach, PEG & thigh free flap (12/08)
On August 21, 2010 at 9:20 am, Pete went off to play with the ratties in the sky.
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My husband has had a peg since April. He had no problems with pain or discomfort, but I find this interesting. Some of the stitches around the peg started to come loose causing him discomfort and the skin was becoming irritated due to the loose stitches. This surgery was done in Pittsburgh. I did not want to travel to Pittsburgh so I called a surgeon here in New Castle PA to restitch the broken stitches. The doctor took one look at my husband and yanked out all the remaining stitches. I looked at him like "what are you doing"? He said he's never put in stitches when doing the PEG surgery and thought the doctor who performed the surgery shouldn't have either. I was just curious if anyone else has stitches.


Husband 2/3 tongue removed March 2008. Free flap. . Stage IV. Radiation and 3 chemo's (cisplatin,taxol & erbitux). .Pet scan Aug 08 showed mets to lungs .Oct 08, recurrence. - In the arms of Jesus, July 15, 2009
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My husband's PEG tube was initially sutured but these were removed in a week's time. If the sutures are left in they will become irritated and infected. On subsequent tube replacements no sutures were used. Daily cleansing around the tube with saline and a dry dressing applied was all the care required.


Caregiver to husband Dx. Stage 4 SCC of gingiva with 3 nodes pos. Partial mandiblectomy with bone graft from iliac crest Dec. 2006. IMRT x30, Cisplatin x3. Completed Tx. March 15, 2007. Osteonecrosis & removal of graft & plate Oct. 2007. Recurrence of SCC Dec. 2007. Deceased Jan. 17, 2008.
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No stitches here! Both of my PEGs were held in initially just by being cinched up tightly and then after a week of healing, loosened. There is a bumper inside the stomach, or a balloon, that keeps it in place.


Stage IV SCC lt lateral tongue, surgery 5/19/08 (partial gloss/upper neck dissection left side/radial free flap reconstruction) IMRT w/weekly Cisplatin & Erbitux 6/30/08, PEG 1 6/12/08 - out 7/14 (in abdominal wall, not stomach), PEG 2 7/23/08 - out 11/20/08, Tx done 8/18/08
Second SCC tumor, Stage 1, rt mobile tongue, removed 10/18/2016, right neck dissection 12/9/2016
Third SCC tumor, diagnosed, 4/19/2108, rt submandibular mass, HPV-, IMRT w/ weekly Cisplatin, 5/9 - 6/25/2018, PEG 3 5/31/2018
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Yes, my second PEG came with a sturdy plastic rectangle around it and the PEG-placer put several sutures in to hold it in place.

On my first followup visit to the nurse practitioner (a member of Dr Haakenslash's team, who follows me through the entire process, allowing the Docs to do the major blood 'n guts stuf), she removed the sutures saying that they got infected so often that she didn't bother to wait any more.

My first PEG in 2005 had no sutures.


Age 67 1/2
Ventral Tongue SCC T2N0M0G1 10/05
Anterior Tongue SCC T2N0M0G2 6/08
Base of Tongue SCC T2N0M0G2 12/08
Three partial glossectomy (10/05,11/05,6/08), PEG, 37 XRT 66.6 Gy 1/06
Neck dissection, trach, PEG & forearm free flap (6/08)
Total glossectomy, trach, PEG & thigh free flap (12/08)
On August 21, 2010 at 9:20 am, Pete went off to play with the ratties in the sky.
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No sutures used on Bill's PEG. Just a round button (small, about the size of a nickle) that held it in place. While it was healing we used sterile saline solution and a gauze pad to clean around the button. After healing, his shower water mostly did the trick but I would clean under it with the gauze.

Deb


Deb..caregiver to husband, age 63 at diagnosis, former smoker who quit in 1997.
DIAGNOSIS: 6/26/07 SCC right tonsil/BOT T4N0M0
TREATMENT START: 8/9/07 cisplatin/taxol X 7..IMRT twice daily X 31.5.
TREATMENT END: 10/1/07
PEG OUT: 1/08
PORT OUT: 4/09
FOLLOWUP: Now only annual exams. ALL CLEAR!

Passed away 1/7/17 RIP Bill
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I had stitches on both sides of my PEG because I had two small incisions about a quarter of an inch from the main incision from when they put it in, but they were not actually stitched to the PEG. I had my PEG put in using Xray and they didn't go through my mouth for anything. My stitches dissolved or something after a couple of weeks. I have the balloon on the inside of my stomach holding it in and a round bumper on the outside.


Stephanie, 23, SCC on the right side of my tongue, surgery on 5-19-08, over half my tongue removed, free flap constructed from my forearm, bilateral neck dissection, one positive node. Radiation (32) and chemo (carboplatin) started on 6-16-08. Recurrence 4/09 in lungs.

**** Stephanie passed away 12.15.09.... RIP our dear friend****


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