Previous Thread
Next Thread
Print Thread
#99563 07-15-2009 09:09 PM
Joined: Aug 2008
Posts: 16
Member
OP Offline
Member

Joined: Aug 2008
Posts: 16
Supposedly due to radiation damage, I am aspirating everything. I've had to go to eating only the canned supplements (Osmolite) and crushing my pills so that everything goes through the PEG tube and nothing by mouth.
I have a speech therapist through the clinic who has given me exercises to do. They cause a lot of pain though and the progress is very slow.
Can anyone relate to this problem? I'm so discouraged. Thanx so much.


Nancy F 66 Tongue cancer T4 N1 M0 Completed 2 3 week sessions of chemo. Shrunk tumor 40%. Then Cisplatin only, 2 weeks on and 1 week off during 7 weeks of radiation.
scaredinVirginia #99566 07-15-2009 10:01 PM
Joined: Jul 2009
Posts: 7
Member
Offline
Member

Joined: Jul 2009
Posts: 7
I am sorry for what you are going through... I can't personally relate, but my father can. I have been his caretaker and I have watched him suffer for about a year and a half now. He has had a PEG tube since March 2008, and has not had anything by mouth since then. He is fried as well from the radation and still cannot swallow and he has not had radation in over a year. His cancer went into remission last year and he started working with a speech therapist, and it was helping... he could swallow here and there, but his barium test showed inconsistencies and he was aspirating, so the drs were worried about infection so they advised against him eating or drinking anything. Now the cancer is back and he is having more troubles, I hope that I am not discouraging you with your recovery but I just wanted to expain a bit... everyones different. My dad has had so much trouble with his PEG tube. He has gone through 7 tubes, because he was putting way to much down it for weight gain... he popped it a few times, clogged it.. it has just been a total mess. Be careful how much and what you put down it... I am very familar with all of this. I have watched my dad go through alot with his oral cancer. I hope I was of some help and didn't freak you out... I will be more than happy to answer any questions about it. My father's case is very simalar to yours, he is 68. I know what you are going through... hang in there. He is having a really hard time with his speech, do you have that problem?


DAD68yrs old
Diagnosed Feb16 08
PEGTube March08
3chemo/35 Radation Treatments
All Clear Nov08
Diagnosed April09
Base of Tounge and 3 Nodules in lungs
2Chemo tretments/ Stopped Chemo due to Bone Marrow loss
June09-Sept09 IMCA12 Experimental Study
Sept09 Erbitux 2wks. Stopped
No treatment
scaredinVirginia #99570 07-16-2009 12:49 AM
Joined: Mar 2008
Posts: 3,082
Patient Advocate (old timer, 2000 posts)
Offline
Patient Advocate (old timer, 2000 posts)

Joined: Mar 2008
Posts: 3,082
Nancy

the aspiration page on OCF is being revised. Here is a link to swallowing problems: Dysphagia Very good information and knowing the right terms helps talk to your therapist.
I failed my Barium Test in March and have been on the PEG now since then, with another Barium Test next week. My prothodontist is making me a palate drop - sort of like a retainer but made to fill in where my tongue no longer goes after the surgery- to help me swallow so I will have it tested to see if it helps. Plus I am starting on a second round of therapy and trying electrical stimulation - VitalStim which Georgetown Univeristy Hospital offers. It is so hard not to have had even a sip of water or a crumb of food all these months with no improvement in sight,
Be strong, and know that with 6142 members, thousands of us can relate to what you are going through. Life is very hard for us oral cancer survivors but we can make it
charm


65 yr Old Frack
Stage IV BOT T3N2M0 HPV 16+
2007:72GY IMRT(40) 8 ERBITUX No PEG
2008:CANCER BACK Salvage Surgery
25GY-CyberKnife(5) 3 Carboplatin
Apaghia /G button
2012: CANCER BACK -left tonsilar fossa
40GY-CyberKnife(5) 3 Carboplatin

Passed away 4-29-13
Charm2017 #99581 07-16-2009 08:05 AM
Joined: Sep 2008
Posts: 130
Senior Member (100+ posts)
Offline
Senior Member (100+ posts)

Joined: Sep 2008
Posts: 130
Nancy,
After my tx, I was starting to eat. It was slow and painful, but I was getting back into the swing of things. Then came March 2 and my ND. I have not be able to swallow since. Swallowing study and CT scan shows that my epiglottis shows signs of thickening with very little movement at all. I did not asperate but the "potential for asperation" is there.
All solid food gets stuck in the back of my throat. I have to muscle everything past the epigolttis. I can swallow water. My speech pathologist says there is nothing to be done but wait for the swelling to go down and excercise. My gag reflex is coming back, slowing. Babyfood gets stuck. I have been working on it since March. I have given up a dozen times. I get sad, frustrated, pissed, hopeful...I gave my ENT a copy of the studies, he did not order them, he called me the other day and has refered me to a GI. I started thinking "Whoopy, now someone will fix me" My speech pathologist popped that bubble telling me that she didn't think he would be able to do anything. I will still see him next week, of course. But I am less hopeful. So while are problems might be just alittle different, I completely understand were your coming from. I just want something with some taste. Family is not making it any easier. Everytime I speak with one of my family that live out of state they want the "eating update". I understand that they are just worried and care, but if something were to change, do you think I would let them know?
Amy

Charm,
I've been doing the VitalStim on and off for a while now. When my gag reflex started coming back, I started feelin the electrods much better. Now if she turns it all the way up, it hurts. This is suppose to also be a good sign. We'll see.
Amy



40 yr old. Stage IV SCC found left tonsil. PET/CT shows cancer on base of tongue, floor of mouth, lymph nodes on both sides. HPV 16 pos. 6 weeks of cisplatin, 43 days of radiation. 73gy on each side.
ND March 2, 2009
reoccurance dx'd Aug 19, 2009
AmyK #99674 07-17-2009 05:22 PM
Joined: Nov 2005
Posts: 1,128
Patient Advocate (1000+ posts)
Offline
Patient Advocate (1000+ posts)

Joined: Nov 2005
Posts: 1,128
If he is constantly popping his PEG, he might consider a low profile Mic-Key: http://www.totalhomemedical.com/kiclbalowprg.html. They come in a number of sizes all the way up to 24French!

The balloon is inflated/deflated by a syringe of water thru the entry on side, so it is easy to install. There's even a You-Tube video on doing it.


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.
Joined: Dec 2009
Posts: 6
Member
Offline
Member

Joined: Dec 2009
Posts: 6
My husband has been in the hospital for 3 days. He's had a terrible time for the last 6 months with the radiation side jaw. He developed 2 abscesses on the outside and his maxillofacial dr. referred him to infectious disease dr. The ID dr. put him on pump IV antibiotics, and he was doing much better. The jaw pain was diminishing, and he was eating. He's been in the hospital 2 other times since Jan 1: Once with a lung abscess and more recently (end May) with pneumonia. He's been having a very hard time swallowing his meds. Then last Sat., the jaw pain got so bad I took him to ER. They are controlling his pain, but they also noticed his right lung is getting cloudy again. He definitely has dysphagia and now they want to do a PEG. We were so lucky that he got thru the radiation without a PEG. We've had a wonderful 7 years.....and I don't mean to complain. On Sat., we celebrated our 41st anniversary. Lately, I've been wondering why the radiation oncologists didn't explain what could/would happen years out.....and how we should approach these issues......I needed to vent before I go to bed...it's been a tough few days coming home to an empty house. I miss him so much....I need to be strong for him.


Husband diagnosied in 06/2003 (57 yrs old)with SCC base of tongue T1N2b. In 06/2003 started chemoradiation (35 radiation + 3 chemo). In Nov. 2003 had right neck dissection. No cancer recurrence but currently suffering from osteonecrosis.

Moderated by  Eva Grayzel 

Link Copied to Clipboard
Top Posters
ChristineB 10,507
davidcpa 8,311
Cheryld 5,260
EzJim 5,260
Brian Hill 4,912
Newest Members
Jina, VintageMel, rahul320, Sean916, Megm37
13,103 Registered Users
Forum Statistics
Forums23
Topics18,168
Posts196,925
Members13,103
Most Online458
Jan 16th, 2020
OCF Awards

Great Nonprofit OCF 2023 Charity Navigator OCF Guidestar Charity OCF

Powered by UBB.threads™ PHP Forum Software 7.7.5