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#171910 10-01-2013 09:00 PM
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My fried taste buds think that water tastes like pond scum...from some really vile saltwater pond.

My friends have been dropping off every different brand of water they can find in the hope that one will have a taste profile I can stand. Six-packs and cases of water are stacked on our kitchen counter and floor, each with one bottle missing.

It's making it impossible to get 64 oz of fluid a day, since the taste triggers nausea and retching.

Any suggestions for doctoring it up or alternate beverages that work during the late phase of chemorads?

Thanks for any and all ideas!


53
T3N2aM0 HPV+
5/26/13 discovered painless superball-sized lymph node in neck
6/26/13 DX SCC R palatine tonsil
7/16/13 TORS tonsillectomy & selective ND, mets to 2 nodes
9/3/13 Cisplatin and rads begin, tolerated 1.5 of 3 planned chemo doses
10/16/13 Treatment ends
Dec 13 Ulcer appears at surgery site
Jan 17 Biopsy -- no cancer!
Feb 17 CT/PET Scan lights up tonsil bed & nasal cavity, docs say probably inflammation, don't panic, rescan when ulcer subsides
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Never had any direct experience with this kind of issue, but I have some ideas.

MiO water flavoring is ok. It comes in all sorts of flavors-- even a tea flavor (as the caffeine in real tea can dehydrate you.) Crystal light packets, too.

Do you *have* to drink just water? I would guess that you'd hate boost and ensure by now - but of course those are always good options. Juices of any flavor. Grape juice bottles are always given out when my husband gets his treatments. He doesn't want to eat or drink very many things, but he sure does like his welches grape juice now.



CG to husband-
1/2013 lymphoplasmacytic lymphoma found
5/2013 1st round chemo stopped due to hole in hard palate.
6/2013 SCC found in maxillary sinus/hard palate.
7/2013 Removed tumor from palate + neck dissection T3NO.
Has palatal obturator. Both smokers. Both want to quit. Will be done with 35 rounds of radiation + chemo + erbitux by October 10. Hemoglobin count up from 3 to 13! Lymphoma under control
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Radiation is going to alter the taste of almost everything for at least the next several weeks. Hang in there and force yourself to hold your nose and drink even with it tasting bad.

Fruit juices can be very acidic and burn your mouth while going thru rads. You probably wouldnt to want to irritate your mouth with them right now.

Best wishes!


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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[quote=ChristineB]Radiation is going to alter the taste of almost everything for at least the next several weeks. Hang in there and force yourself to hold your nose and drink even with it tasting bad.
[/quote]

Christine, I wish that I could! I can't keep it down. That's why I'm asking for other ideas.

Auditie, I haven't tried grape juice and will give that a shot. They hand it out at my radiation dept. and I'll look for it. I'll also look for MiO -- I'm not familiar with that, is it a mix-in?

Thank you Christine and Auditie for your ideas!



53
T3N2aM0 HPV+
5/26/13 discovered painless superball-sized lymph node in neck
6/26/13 DX SCC R palatine tonsil
7/16/13 TORS tonsillectomy & selective ND, mets to 2 nodes
9/3/13 Cisplatin and rads begin, tolerated 1.5 of 3 planned chemo doses
10/16/13 Treatment ends
Dec 13 Ulcer appears at surgery site
Jan 17 Biopsy -- no cancer!
Feb 17 CT/PET Scan lights up tonsil bed & nasal cavity, docs say probably inflammation, don't panic, rescan when ulcer subsides
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It could be from chemo just as well, and reason we have a metallic taste in the mouth is the body recognizing chemo is a poison, and one of the functions of the tongue, bitterness, is to detect poisons. Maybe try using a water filter to take out most metals, chemicals. Scapegoating by drinking, eating, sucking strong candy, before chemo and radiation, may help prevent learned smell and taste aversions, like with taste, nasuea, vomiting, with treatment. Stick to the familiar, not unfamiliar . Maybe overshadowing the water with something strong added, as mentioned, flavor enhancement by smelling calming oils like orange, citris, lavender, to evoke calm, pleasant memories, before drinking water may help with taste.

Good luck.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs






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Try some of those new water additives I've seen advertised but for me when the radiation started to affect my taste it seemed that every new day brought changes. Today I could tolerate something and I would tell my wife to go but a case and tomorrow I couldn't stand the stuff! Just keep on trying and don't get discouraged because it's 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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Have you tried squeezing some lemon into it?


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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Unfortunately your body needs lots of water to get thru this. Drinking juice is NOT the same as drinking water. I would have to say 99% of OC patients will experience some mouth sores making drinking juice impossible.

The mix-ins like Mio or grocery store brands would probably be the best solution to covering up the taste. With those flavor additives (hey are sold near the water bottles), you control how much to put in a little or alot which will change the taste to something you hopefully can tolerate.

David is right your sense of taste can change by the day. To me everything tasted like burnt charcoal and over salty, even water. I was lucky to have to peg tube so would put alot of extra water thru there so I didnt have to drink so much.

Please monitor your water intake very closely. OC patients can quickly become dehydrated which is a horrible experience to go thru. I spent several hospitalizations due to dehydration and malnutrition (and that was with a peg tube). I dont want to see anyone go down that same path as it can quickly get out of hand and you can become very ill.

Ask your doc for a prescription to get hydrated a few times per week in the chemo lab so you wont have to stress so much over your water intake. Its a good idea to have this as a standing order so its there if you need it down the line.

Good luck!!!


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
Joined: Aug 2011
Posts: 269
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Thank you very much for the post mamacita---you read my mind. We must be drinking from the same salty pond scum, sigh. I feel your pain. frown
xo


Nancy (53 at dx)
Metastatic SCC. Stage III. HPV positive with occult primary. N1, no ecs
7/1/11 - L-Selective neck dissection. Tonsillectomy. All clean. No rad, no chemo.
5/29/13 - Found primary
7/3/13 - TORS
7/8/13 - Emergency Surgery/Blood vessel burst in throat
8/9/13 - Peg in
9/3/13 - Radiation starts 30 IMRT, 60gy BOT, 56gy both sides of neck
10/14/13 - Radiation ended!
11/12/13 - PEG out!
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When the chemo/rads kicked in I couldn't tolerate tap water any longer and many bottled waters left a lot to be desired. "Pond Scum" is a good description. We bought a Brita filter and that did the trick.

"T"


57
Cardiac bypass 11/07
Cardiac stents 10/2012
Dx'd 11/30/2012 Tx N2b MO Stage IV HPV+
Palatine Tonsillectomy/Biopsies 12-21-12
Selective Neck Dissection/Lingual Tonsillectomy/biopsies TORS 2/7/13
Emergency Surgery/Bleeding 2/18/13
3/13/2013 30rads/6chemo
Finished Tx 4/24/13
NED Since
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When I went trough my treat the only water I could do was Fuji Water and Voss water. For a bit there was a local artisan well bottle water here in Springville, but they went out of business. I found if you can get bottle water that is from artisan springs is the best. Brands like Aquafine are regular tap water that has been run through salt filters. Then those type of water you pick up a strong salt flavor. That was my problem, the taste of salt.


Round 1 5/2007 - 35 Rad treatments and 6 chemo of cisplatin
TPN feeding for 5 months during treatment and after.
Tumor was on the right side of the tongue.

Round 2. Tumor on the lower back right jaw area. Surgery on 3/12/2010 to remove the tumor, rebuild the jaw and some work on the back tongue.
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Awww fishmanpa....I wish. I just bite the bullet, but it's not easy! Very cold ice water helps. I use the filter or bottled water. And the ChristineB encouragement. "After you take a sip, say I can do two more!"
In this together mama! xo


Nancy (53 at dx)
Metastatic SCC. Stage III. HPV positive with occult primary. N1, no ecs
7/1/11 - L-Selective neck dissection. Tonsillectomy. All clean. No rad, no chemo.
5/29/13 - Found primary
7/3/13 - TORS
7/8/13 - Emergency Surgery/Blood vessel burst in throat
8/9/13 - Peg in
9/3/13 - Radiation starts 30 IMRT, 60gy BOT, 56gy both sides of neck
10/14/13 - Radiation ended!
11/12/13 - PEG out!
Joined: May 2010
Posts: 638
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Alex had nearly the identical problem. He never mentioned salt but definitely described it as "like drinking out of a stagnant fish pond".

The good news is that it didn't last very long (a month maybe??) and he got by with apple juice. It was the one that didn't burn his mouth to my great surprise (I thought it would for sure) and on chemo days, my first job while Alex was checking in, was a race to the fridge to purloin 6 packs of apple juice for the day.

I think that you might need to move on to flavoured things. Alex couldn't do milk (thick and choked him), orange (burned) tomato (burned), pineapple (burned AND tasted foul). We tried flat soft drinks but I don't recall the outcome. The fact that I can't, suggests that it wasn't terribly successful.

He used flat soda water for swilling/teeth cleaning and I don't think he had a problem with the taste of that but he didn't drink it either.

Just keep trying, I hope you find something sooner rather than later


Karen
Love of Life to Alex T4N2M0 SCC Tonsil, BOT, R lymph nodes
Dx March 2010 51yrs. Unresectable. HPV+ve
Tx Chemo x 3+1 cycles(cisplatin,docetaxel,5FU)- complete May 31
Chemoradiation (IMRTx35 + weekly cisplatin)
Finish Aug 27
Return to work 2 years on
3 years out Aug 27 2013 NED smile
Still underweight
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For the longest time, everything tasted like salt. It was awful! Even when I wasn't eating/drinking anything, there was the taste of salt in my mouth. I always drink bottled water and it tasted like sea water.

It's not nearly as bad now, but some things still taste extra salty. Ice cream (most of the time) still tastes gross, salad dressing...I had to use plain olive oil for a while, now I opt for sweet dressing like strawberry vinaigrette. Almost all fruit tastes too sour to eat, which really stunk this summer with all of the good fruits out.

We got some great apples from apple picking a couple of weeks ago and they were too sour for me to eat, so I made some homemade applesauce. It's especially good for the apples that end up with some bruises on them. I got the Ziplock microwave steam bags,used an apple slicer/corer and peeled the apples (you need a lot of apples for just about one cup of applesauce, though). I steamed the apples until they were very soft and ground them up in a mini food processor. Since they tasted too sour, I added a bit a brown sugar. If it was just for me, I would have added Equal or Stevia, but I added some brown sugar for the kids. It came out a bit thick, but you could just add some water to it to thin it out a bit. I suppose you could do the same thing with pears. I love those microwave steam bags. I've been using them for quite some time. Most of the time when you buy one package, there is a coupon inside in order to buy some more.

If you really like chocolate and it tastes too salty or just gross, try some dark chocolate. I like Dove brand the best. It's just strange what our taste buds go through, but for those of us on this forum who can still eat, we really shouldn't complain. Sorry to get a bit off topic here, but I just thought I would share some of my "masking" tips that have worked for me.

But when water tastes funky and makes you sick, that really stinks and I hope it passes soon!


37 y/o fem at Dx (23 wks preg @ dx on 3/16/11)
SCC L oral tongue (no risk factors)
L partial gloss/MND 3/28/11 @ 25 wks preg
T1-2N0M0; no rads/chemo
Tonsillectomy on 8/6/12 +SCC L tonsil T2-3N1M0 (HPV-)
Treated with 35 rads/7 carbo & taxol (Rx ended 10/31/12), but many hospitalizations d/t complications from rx.
Various scans since rx ended are NED!
Part of genetic study for rare cancers @ MGH.
44 years old now...I wasn't sure I would make it! Hoping for 40 more!
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