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#121241 09-02-2010 04:55 PM
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Elianne Offline OP
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Gordon's mouth is dry most of the time, and we know about the various products that can be used to help alleviate some of the dryness.
What he would like to know is - how long did it take for people here to get some saliva production back, and roughly what percentage of the old "normal" did you get back?
We've had different answers from the doctors, but really, patients are better equipped to answer this question.
We know at the end of 2 years, his saliva and taste will be as good as they're ever going to get.
Many thanks, Anne


Anne - CG to Gordon (59), non-smoker/non-drinker. SCC, BOT, HPV 16+, stage 3. Jan./10 - radical neck dissection to remove 48 lymph nodes, 1 node pos. Apr. 23/10 - finished 35 rad. and 3 cisplatin. Jul. 22/10 - PET scan clear.
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Anne,

I still have reduced saliva production after more than 4 years post TX. Mine comes and goes during the day to where I have little problem. It goes dry when I get stressed over something most commonly. The big problem for me is at night while asleep. I wake up a couple of times during the night and my mouth will be totally dry to where I almost have to pry my tongue loose from the roof of my mouth. I keep water and a couple of different Biotene products next to the bed that I will use when getting back to bed. At least that lasts long enough for me to get back to sleep. There has been no change whatsoever for me for over 2 years now and I suspect it's as good as it will ever be.

Bill D.


Dx 4/27/06, SCC, BOT, Stage III/IV, Tx 5/25/06 through 7/12/06 - 33 IMRT and 4 chemo, radical right side neck dissection 9/20/06.
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I completed my Tx 4 years ago, see below. My saliva and taste seemed to return together and in spurts. I noticed my first improvement at 4 months post Tx and then again at 5 months. These were small improvements but welcomed as my RO's nurse had told me I would be fully recovered in 2 months time. Seriously she told me that. I really didn't notice any more improvement until my 15th month and that was my biggest change. I then noticed another slight improvement at 24 months and nothing since. I would guess that I'm about 90 to 95% back to normal.


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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My saliva has returned part time and I still have the dry mouth a lot. My mouth at times just pours saliva out and at others I need plenty of water or Biotene for a boost. I think at times, this slobbering is embarassing when in public with a handerchef in hand. Heck with the public tho as long as I am alive.


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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Elaine, the amount of salivia people get back is influenced by where their tumor was and what the radiation was focused on. I had my right side spared and would rate it at 90% of my old salivia output. My salivia started to return after about 3 months post radiation. Best wishes to your husband for a quick recovery smile


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 had a turning point at about four months. It was so subtle, all I really noticed is that I could eat a little bit better. I no longer had to take a drink of water to get every bite down. Since then, it has slowly (and I mean slowly) been improving. I have found it helps a lot to chew gum. Specifically, I get Spry gum from my dentist's office and when I'm chewing it I can almost remember what it was like before head and neck cancer treatment.


SCC BOT HPV+ diagnosed via neck bump and directed biopsy's January 2010. PEG in 2/2010. Finished 35 radiation treatments and 3 doses Cisplatin March 29, 2010. PEG out 6/2010.
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Anne, my experience has been similar to Sharon's, I'd say. Now I'm at about David's 15 months post-RT, and while the saliva is certainly a great deal better than it was, say, a year ago, it still has a long way to go. Naturally I realize it well might not improve any more. I can handle food as long as I drink water, and try to eat things that are moist. To hazard a guess I'd say I'm... hmm... 60-70% of pre-RT.

D2


David 2
SCC of occult origin 1/09 (age 55)| Stage III TXN1M0 | HPV 16+, non-smoker, moderate drinker | Modified radical neck dissection 3/09 | 31 days IMRT finished 6/09 | Hit 14 years all clear in 6/23 | Radiation Fibrosis Syndrome kicked in a few years after treatment and has been progressing since | Prostate cancer diagnosis 10/18
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I am six month's post treatment & still have great difficulty with dry mouth! My oncologist mentioned to me that it may never come back.However, I just carry my bottle with me wherever, & try not to dwell on it. Eating is much better even though I need to chase everything down with liquid. It will be a bonus if it return's even just a bit!


Stage 1V scc of toncil 12/1/09
Peg in 01/18/10
35 rads 3 cisplatin
tx ended 03/02/10
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I am almost 16 months post treatment. My saliva has definitely gotten better over the last 4 months. I can lick one envelope (but not two) which was totally out of the question for the first year. I can carry on a conversation of more that 5 words before reaching for the water bottle. And for me, the greatest change is the fact that I have grown accustom to this. I CAN LIVE WITH THIS. I can carry this water bottle everywhere. I can talk with clients and stop to sip water without feeling self conscious It isn't really a big deal. So, I guess what I am saying is - it does get better, but also - we come to a quiet acceptance of this new normal. Good luck on the journey.


DX 2/10/09; Stage 1 SCC side of tongue; Partial Gloss; PEG in 3/3/09; 3 Cisplatin; 35 IMRT; PEG out 7/17/09; Eating via mouth and walking 3 miles/day 4 wks after treatment end. 50 pound weight loss; Clear PET 09/09 and 09/10
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At two years, dry mouth isn't an issue.

I hate to say I'm back to normal because rarely I will wake up with dry mouth and the saliva might not start immediately flowing; but, most the time I can slobber and spit as well as I ever could (which is a lot!).



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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