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#150334 06-03-2012 08:33 PM
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So I'm done with radiation as many of you know and towards the end i developed mucositis. I'm still suffering with it. I feel like if it would just resolve I would be fine. I'd be able to speak and wouldn't be in constant pain. I almost never hear mucositis brought up so please please please share your experiences. This mucositis is killing me.


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John of arc #150335 06-03-2012 11:21 PM
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You use Magic Mouthwash and Cloraseptic right?

I tried many, many, many things - prescription and OTC. This is what worked for me:
1. Club Soda (Schweppes is my fave and I still use it)
2. Benzydamine (Prescription rinse)
3. OraJel. YES! OraJel smile It worked wonderfully (after the first scream) for sore spots on my tongue and lasted much longer to control the pain than anything else.

I wasn't sure which one of your threads to post this in. Maybe they should be merged?


Pain late 2009. Dx as change in altitude. Sore spot on tongue late 2010. Dx as irritation.
Leukoplakia Bx Feb 2011 - Lichen Planus.
Bx May 2011 - Hyperplasia. Same sample retested as SCC.
June 2011 Rt Hemigloss,ND,rff,33 Rads. Hosp for 15 days w/bi-lateral pneumonia.
T3N1M0 Stage IV.
John of arc #150337 06-04-2012 05:32 AM
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Treatment of mucositis is mainly supportive. Oral hygiene is the mainstay of treatment; patients are encouraged to clean their mouth every four hours and at bedtime, more often if the mucositis becomes worse. Water-soluble jellies can be used to lubricate the mouth. Salt mouthwash can soothe the pain and keep food particles clear so as to avoid infection. Patients are also encouraged to drink plenty of liquids, at least three liters a day, and avoid alcohol. Citrus fruits, alcohol, and foods that are hot are all known to aggravate mucositis lesions. Medicinal mouthwashes may be used such as Chlorhexidine gluconate and viscous Lidocain for relief of pain. Palifermin is a human KGF (keratinocyte growth factor) that has shown to enhance epithelial cell proliferation, differentiation, and migration. Experimental therapies have been reported, including the use of cytokines and other modifiers of inflammation (e.g., IL-1, IL-11, TGF-beta3), amino acid supplementation (e.g., glutamine), vitamins, colony-stimulating factors, cryotherapy, and laser therapy. Symptomatic relief of the pain of oral mucositis may be provided by barrier protection agents such as concentrated oral gel products (e.g. Gelclair). Caphosol is a mouth rinse which has been shown to prevent and treat oral mucositis caused by radiation and high dose chemotherapy. MuGard is a FDA-approved mucoadhesive oral protectant, developed by Access Pharmaceuticals, Inc., that is designed to form a protective hydrogel coating over the oral mucosa while a patient is undergoing chemotherapy and/or radiotherapy cancer treatments to the head and neck.[10] Additionally, the efficacy of MuGard for the prevention or treatment of mucositis has been tested by a prospective, randomized clinical trial in which 43% of head and neck cancer patients using MuGard prophylactically never got oral mucositis. NeutraSal is an FDA-approved calcium phosphate mouth rinse which has been shown in a open-label, observational registry trial to prevent and reduce the severity of oral mucositis caused by radiation and high dose chemotherapy. In the trial, 56% of the radiotherapy patients reported 0 (WHO score) or no mucositis, which is significantly lower than historical rates.

Internet paragraph, hope this helps. Over the years we have discussed this with just about every "member of our little club" that receives rad. You are not alone and with just about everything else that can go wrong, each of us can fair differently. While I had about everything else go south with my Tx the 2 things that I faired better than most in were mucositis and sores on the outside of my neck. Go figure?


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.
John of arc #150339 06-04-2012 06:29 AM
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I know what it is David. I was looking to hear from people who experienced it what it was like for them how they dealt with it and what their healing time is.


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John of arc #150341 06-04-2012 07:32 AM
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Hi John. The radiation continues on even after treatments stop. My husband John unfortunately didn't notice any improvements the first month after treatments ended. Around 6 weeks out of treatment the mucus started to get better. By around month 2 the mucus was all but gone. John basically didn't try talking for a month because the mucus was so thick it would make him gag and throw up. He was on both Zofran and Compazine for the nausea during the first month after treatments ended. I know it is hard to be patient but only time will help heal the mouth sores, throat and tongue. You are through the worst and better days are ahead. Hang in there!


Wanda (47) caregiver to husband John (56) age at diag.(2009)
1-13-09 diagnosed Stage IV BOT SCC (HPV+)
2-12-09 PEG placed, 7-6-09 removed
Cisplatin 7 weeks, 7 weeks (35) IMRT
4-15-09 - treatment completed
8-09,12-09-CT Scans clear, 4-10,6-11-PET Scans clear
4-2013 - HBO (30 dives) tooth extraction
10-2019 - tooth extraction, HBO (10 dives)
11-2019 - Left lateral tongue SCC - Stage 2
John of arc #150344 06-04-2012 08:43 AM
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Thank you slim. If these damn sores would go away I'd be fine. I think it will be a week out of treatment this Thursday.
Im just so scared this is what life is now.


Taking a break from the forum for a while. Thank you so much for your support if you've been supportive.
John of arc #150345 06-04-2012 09:17 AM
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John

[quote]I almost never hear mucositis brought up so please please please share your experiences.[/quote] Just do a search on "mouth sores" in the search box to see other threads on this. (Use the quotation marks or you will get too many hits on mouth)
I do not recommend using mucositis as a search term since unlike yourself, the majority of posters on OCF (including myself at first) assumed it meant all the mucous issues. Mucositis has nothing at all to do with the thick mucous problem.
The main OCF page has a section on mucositis It is worth reading since it covers all the aspects including duration.
OCF- mucositis
The bad news /good news for you is this excerpt of OCF page
[quote]Younger patients tend to develop oral mucositis more often than older patients being treated for the same malignancy with the same regimen. This appears to be due to the more rapid rate of basal cell turnover ... However, the healing of oral mucositis is also more rapid in the younger age group.[/quote].
Magic mouthwash just made me sick so I used seltzer water and my mouth sores cleared up withing two weeks after TX.
You are doing great.
Charm

Last edited by Charm2017; 06-04-2012 09:18 AM. Reason: typos

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
John of arc #150346 06-04-2012 10:55 AM
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Charm- that gave me a lot of hope. Thank you. It means a lot especially since I'm having one of my more dark days. <3


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John of arc #150347 06-04-2012 11:05 AM
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My mom hadn't been warned about mucositis either, but about halfway through treatment she had a horrible case. Her radiation oncologist refused to treat her when he saw her, was afraid he was killing the flap from her surgery, so we rushed her to her surgeons who said it was just mucositis causing it to look so bad. At this point she had not been taking any pain meds so they put her on a fentanyl patch immediately. It was so painful she couldn't even drink water without it feeling like acid, so the painkillers were greatly welcomed. I wish we had known what was coming though, we had no idea and it was a real scare at that time. Thankfully it didn't take long for it to clear up.

It sounds like you've gotten a lot of great tips from others that have been through it. Hang in there, you have a great attitude and it sounds like you have done really well so far.


Amy CG to mom Janet - diag w/ early SCC 8/11-surg w/ rad neck dissect & graft from arm/thigh 9/11-evid in nodes tx 6 wks rads (5/wk) w/cistplatin (1/wk for 6 wks) began 11/11-wk or 2 break 12/11 due to severe side effects-done 1/12- 3/23/12 mets to liver lung bone-hospice 4/7/12-lost fight 4/22/12
John of arc #150348 06-04-2012 11:11 AM
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Mine was awful as well, it started around week 2 and didn't go away completely until around 6 weeks after treatment. All of my blisters around my gums merged together and pretty much formed one giant blister lining my gums... fun stuff. A dentist friend of mine gave me a very strong numbing gel that I would rub on my sores with a q-tip before I ate (or when the pain was unbearable). It would last about 20 minutes and seemed the only thing that would help alleviate my symptoms. Maybe ask your dental oncologist if there is anything he could give you?


Emily - 24 years old at diagnosis
HPV-, no risk factors
T2N2b Squamous Cell Carcinoma
Left oral tongue, poorly differentiated
Hemiglossectamy, reconstruction, partial neck dissection
30 Radiation treatments, weekly chemo (cisplatin)
1/13/12 last day of treatment
Diagnosed October 2011
John of arc #150351 06-04-2012 02:11 PM
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Mine was horrible!! I drink it was almost 5 weeks out before I felt like I was turning a real corner. I see that you are in NYC- not sure of you are being treated at Sloan, but the second floor nurses there sprayed my mouth out everyday during treatment & a couple times a week after treatment for about a month. It felt so good. As the sores diminished, I was able to use the dab on lidocaine to get by & eat (soft, wet stuff) more comfortably.
I wish you a quick recovery-- that 1-1 1/2 mos post treatment were so tough- but you will get more comfortable!!

All my best!
Sally


Sally, 38 years old
T1N0M0 Left Tongue Lesion, Moderately Differentiated
10 + year history Leukoplakia, Mild Dysplasia before cancer diagnosis 8/2011
Scheduled Partial Glossectomy & Neck Dissection 9-17-11
Shauneen #150379 06-05-2012 11:06 AM
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[quote=Shauneen]You use Magic Mouthwash and Cloraseptic right?

I tried many, many, many things - prescription and OTC. This is what worked for me:
1. Club Soda (Schweppes is my fave and I still use it)
2. Benzydamine (Prescription rinse)
3. OraJel. YES! OraJel smile It worked wonderfully (after the first scream) for sore spots on my tongue and lasted much longer to control the pain than anything else.

I wasn't sure which one of your threads to post this in. Maybe they should be merged?[/quote] how did you use the club soda?


Taking a break from the forum for a while. Thank you so much for your support if you've been supportive.
John of arc #150380 06-05-2012 11:09 AM
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mucositis is temporary right? I'm just do scared this is going to be forever. That I'll never talk again.


Taking a break from the forum for a while. Thank you so much for your support if you've been supportive.
John of arc #150387 06-05-2012 01:44 PM
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Yes this is temporary but like everything else with this Tx, each of us can react differently. I walked around for a couple of weeks with a styrofoam cup in my pocket which I would constantly spit that crap in. I would wake up multiple times during the night and run to the sink, not thinking I would make it. Everytime I would have to spit I feared that it would trigger a gag reflex causing me to toss my cookies which as you know is very painful during this time. I don't remember anything working especially well for me but I do remember one day waking up and it was gone for good and I believe it lasted about 2 weeks or so.


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.
John of arc #150408 06-05-2012 11:01 PM
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[quote=John of arc]how did you use the club soda?[/quote]I just swished it around and eventually swallowed it. If the bubbles bother you - just use it flat. I imagine it's similar to the baking soda/salt rinse, but handier as you don't have to make it or spit it out.
Even now, I find it helps with dry mouth and cutting mucous. I take a couple of cans with me when I go out.

My radiologist told me to use it. I think a few people here use it too.


Pain late 2009. Dx as change in altitude. Sore spot on tongue late 2010. Dx as irritation.
Leukoplakia Bx Feb 2011 - Lichen Planus.
Bx May 2011 - Hyperplasia. Same sample retested as SCC.
June 2011 Rt Hemigloss,ND,rff,33 Rads. Hosp for 15 days w/bi-lateral pneumonia.
T3N1M0 Stage IV.
John of arc #150564 06-09-2012 06:20 AM
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So *knock on wood* I think I'm through the toughest part. My tongue is virtually in no pain. It's just a little sore sometime.

No I have like way too much thick saliva I have to spit out every couple of minutes. Will this go away?


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John of arc #150565 06-09-2012 06:36 AM
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The thick rope like salivia is going to hang around for a couple weeks. It can be hard to get that out of your throat, so please be cautious. A waterpic can help also a suction machine can be rented from a medical supply company with a prescription from your doctor. Rinsing your mouth frequently with the warm water/baking soda/salt mixture can help. Others have found success with the seltzer water. This phase is usually a couple weeks and like turning off a light switch it just abruptly ends to then turn into something else.

The next phase will hang around longer than the thick gunk phase. This is all part of the healing process. You may have noticed alot of us have mentioned 'carrying a water bottle'. This is due to the dry mouth phase. It can quickly get painful if you dont immediately take a sip of water when you feel your mouth is dry. Some members have to take saligen or pilocarpine to help produce saliva. Thats a prescription medication, it didnt work for me. It only made me sweat excessively and in the summer for a woman it was horrible! Most patients get past the dry mouth phase after a couple months. For many of us we continue to carry a drink around equally out of habit as to still having a bit lower saliva than pre cancer tx.

Hang in there, you are doing great!!!!


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
John of arc #150566 06-09-2012 06:39 AM
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Here is a link to another thread about the thick ropey saliva problem....

Ropey Saliva thread


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
John of arc #150573 06-09-2012 07:46 AM
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Well it isn't unbearable. It's just thicker than my normal salvia and I feel like it gathers in my mouth really fast.
Not looking forward to the dry mouth phase. But I'm
Happy to be almost completely out of pain. Its hard to talk with all the salvia but when I clear it out I can talk for a little while.
The only real problem I'm having is sometimes at night my tongue gets stuck to the top of mouth and I'm partially asleep so I just kind of rip it off and then the top of my tongue is raw.


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Could be the dry mouth stage is beginning. I had to carry a water bottle with me everywhere I went and I kept a bottle in EVERY room of my house and office. I couldn't walk 3 feet before I needed another sip. I also kept multiple bottles in my car as I would always forget them in stores. Also DO NOT eat shelled peanuts during this phase. Seriously I love those things and I was in my MIL's backyard doing some yard work and I left my bottle in the front yard. Anyway she had a bag of peanuts to feed the squrils so I took one. I thought I was going to need EMS and it seemed to take forever to get to my bottle. But I degress...Be patient as the DM phase can last a very long time.


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.
John of arc #150614 06-10-2012 09:31 AM
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Definitely not dry yet. And even before any Of this happened to me I always carried around a water bottle. I drink like a fish normally. So that won't be a big adjustment. I'm hoping when I hit the dry mouth phase I'll finally be able to talk normally again. I can talk now if I thoroughly rinse my mouth out. I'm glad the sores went away. But I won't be satasfied until I can communicate again.


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John of arc #150628 06-10-2012 03:05 PM
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No one has had speaking issues with this?


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John of arc #150657 06-11-2012 06:00 AM
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I lost my voice for about a week. My wife still talks about that?


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 son lost his voice, too for about a week or two but developed his own sign language which his 5-year-old daughter and I quickly adapted to - like thumbs up or down for yes/now, shrug shoulders (I'don't know), etc. I would just ask him yes/no questions or "choice" questions so he could pick #1, 2 or 3. There were some funny moments too, which of course I tried not to let him see me smile or laugh, like when he got so upset with me, and waving his arms around excitedly for not understanding something he was trying to communicate. My son used the Magic Mouthwash which worked for a while and then he went to a Walgreen store brand which worked, too. Then when he started on Magic Mouthwash again it worked. So there are different things you can try if one doesn't work. Glad to hear the mouth sores went away. Hope you continue with more improvements.


Anne-Marie
CG to son, Paul (age 33, non-smoker) SCC Stage 2, Surgery 9/21/06, 1/6 tongue Rt.side removed, +48 lymph nodes neck. IMRTx28 completed 12/19/06. CT scan 7/8/10 Cancer-free! ("spot" on lung from scar tissue related to Pneumonia.)



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How long did the thick salvia last? The thick salvia didn't make it difficult for anyone to speak?


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John of arc #150853 06-14-2012 08:22 AM
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My husband John couldn't talk for around 4 - 6 weeks because he would gag and throw up from the mucus. He was on both Zofran and Compazine for the nausea. It will get better but it takes time. I kept a journal and I checked it and 2 months out of treatment John was talking again and the mucus was gone. Hang in there! Wanda


Wanda (47) caregiver to husband John (56) age at diag.(2009)
1-13-09 diagnosed Stage IV BOT SCC (HPV+)
2-12-09 PEG placed, 7-6-09 removed
Cisplatin 7 weeks, 7 weeks (35) IMRT
4-15-09 - treatment completed
8-09,12-09-CT Scans clear, 4-10,6-11-PET Scans clear
4-2013 - HBO (30 dives) tooth extraction
10-2019 - tooth extraction, HBO (10 dives)
11-2019 - Left lateral tongue SCC - Stage 2
John of arc #150860 06-14-2012 09:14 AM
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John I left you a long message in the other forum... I too used to gag and spit it up. I could talk but didn't because it was so gross. It lasts for a month or so. I still have some. but mostly it's a like a post nasal drip at the back of my throat now so it doesn't bother me much. a drink usually rinses it away. After this comes the dry mouth... im an actor.. try doing a monologue and having your mouth dry out.
;o)


Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
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[quote=Cheryld]John I left you a long message in the other forum... I too used to gag and spit it up. I could talk but didn't because it was so gross. It lasts for a month or so. I still have some. but mostly it's a like a post nasal drip at the back of my throat now so it doesn't bother me much. a drink usually rinses it away. After this comes the dry mouth... im an actor.. try doing a monologue and having your mouth dry out.
;o) [/quote]
I'm an actor too. Little worried about how singing will work.


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John of arc #151119 06-22-2012 05:07 AM
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There are things you can do to help dry mouth a bit - biotene - olive oil - eventually you may get some saliva back but it's a long road. AnneO is a vocal teacher she may have some pointers - I muddle though though I do find the biotene does help. I'll so etimes use it during an audition. Take care..


Cheryl : Irritation - 2004 BX: 6/2008 : Inflam. BX: 12/10, DX: 12/10 : SCC - LS tongue well dif. T2N1M0. 2/11 hemigloss + recon. : PND - 40 nodes - 39 clear. 3/11 - 5/11 IMRT 33 + cis x2, PEG 3/28/11 - 5/19/11 3 head, 2 chest scans - clear(fingers crossed) HPV-, No smoke, drink, or drugs, Vegan
John of arc #151122 06-22-2012 05:44 AM
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[quote=John of arc]I'm an actor too. Little worried about how singing will work. [/quote]

My wife has a restaurant customer that had OC 15 years ago and received the standard RT, which is way way worse than IMRT and he produces no saliva and carries a water bottle around his neck everywhere he goes. I am surprised what he eats when in the restaurant but even more surprised when he told me that he still sings in his church choir.


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.
Shauneen #151245 06-25-2012 09:59 AM
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I am a believer in both the salt/soda rinse and the club soda. There was not much out there that would cut the mucous the same way and the constant flushing would feel good as well as heal the mouth sores. I am almost six weeks out of treatment with sore throat issues that are difficult to address but the mouth sores were cleared up at the 4/5 week period and the thick green phlem replaced with normal phlem like mucous in back of throat. Mostly when eating or drinking. The pain in throat has increased slightly in the past week so I've increased my breakthrough pain meds. It has impacted my eating but I'm no longer choking and feeling sick from the mucositis. I have learned this is not the Rabbits race, but the tortoises. Slow but steady wins the race.


SCC HPV 16, Dx Mar 08/12, 7 weeks rads (35 treatments) 3X cisplatin, NG tube X 3 weeks, TPN in Hospital post rads for 13 days.
John of arc #151253 06-25-2012 12:25 PM
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I'm having one of those days where I just don't think it's going to get better. I just want to talk


Taking a break from the forum for a while. Thank you so much for your support if you've been supportive.
John of arc #151268 06-26-2012 03:49 AM
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It WILL get better, John. Everyone has days where it seems to take forever to see progress. You've had such good suggestions already. My son had a really tough time of it, too. It's a slow, slow process of trying different things to see what works. After the Magic Mouthwash quit working for my son, he tried something else and then when he returned to the MM, it started working again! Try to think of even the very small positive steps in the progress already made and concentrate on more of those happening. You will talk again! Just hang in there for a little bit.


Anne-Marie
CG to son, Paul (age 33, non-smoker) SCC Stage 2, Surgery 9/21/06, 1/6 tongue Rt.side removed, +48 lymph nodes neck. IMRTx28 completed 12/19/06. CT scan 7/8/10 Cancer-free! ("spot" on lung from scar tissue related to Pneumonia.)



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