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#174247 11-19-2013 05:20 PM
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klr Offline OP
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Hi Everyone!

My Dad finished his treatment last Friday and is plagued with tons of mucous. It's so bad he's gagging and throwing up because of it. Any advice as to how to get rid of that or at least thin it?
Thanks!!


Caregiver to my Dad
BOT Stage IV SCC, HPV+
Dx on 9/9/13
Cisplatinx3- 1st dose 10/1/13
PEG in 10/20/13
PEG out 12/24/13
Rads x 35- finished 11/15/13
Never a smoker,drinker.
Joined: Aug 2011
Posts: 269
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So sorry, I too threw up from my mucous. The dr gave me zofran, it helped a lot, tho i still thew up at times. There are products to thin it out, tho I don't know what they are because I never used them. I'm sure someone will post something to you soon with some ideas. Hope it gets better for him soon.


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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I was in the same boat. I actually got better with pain meds. Before meds, I would choke, get sick, and then spasm til I was empty. With no PEG it was a lot of work getting 2500 calories down just to do it again. After I started meds, I got sick every now and then but the spasms stopped. It still wasn't fun but it became a lot more manageable.


Dx March 2011 via FNA (49 yrs old)
SCC BoT
HPV+ exact strain unknown
Stage IVa T3N2cM0
Cisplatin x 3, IMRT x 40 (7267 cGy)
One node removed post-treatment (rad dmg)
Clean PET 10/28/11
Swallow therapy
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I had my GP (not my specialists) prescribe me antibiotics for excess mucus as it seems to come from an underlying "normal" lung infection. This helped clear it up - but it does reoccur - rinse and repeat.


Osteosarcoma radiotherapy right forequarter amputation 1961
Carcinoma of Right Larynx with subglottic extension
Total laryngectomy with right radical neck dissection 2000
Tracheostomy
Radiotherapy June-July 2001
Aggressive recurrence of the same May 2013
Neck Fistulas June 2013
P.E.G July 2013
Mi-key Oct 2013
Currently Chemo was : XELODA (Capecitabine) Now Carboplatin and now Gemcitabine !
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A home suction machine, sponge sticks to get in back of mouth, robotusem, mucinex, constant rinsing, papaya juice, pineapple juice rinsing, rinsing with meat tenderizer Aldolf's was suggested, tea, hot soup like egg drop, steam showers helps cut mucus, sleeping on an incline may help not back up at night. Forget the name of the electrical tooth with water nozzles. If your dad goes back to his treatment center, ask if they can spray the mouth out. My radiation center did it.

I'm taking oxycodone for pain, which is minimal, but pain can interfere with healing from surgery, maybe other type healing too.

Hope this helps


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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Paul pretty much hit them all. The water pik works wonders with about a capful of non-alchol mouthwash mixed with warm water. Also get a vaporizer to keep the humidity up to help with breathing. Get suctioned out at the doctors visits and get a prescription for a portable suction machine to do at home. This phase will pass quickly and be replaced by dry mouth.


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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klr Offline OP
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He does have a portable suction unit but says that doens't help him as most of the mucous he has to cough up, and then when he gets to coughing that's when he gags and throws up. He's on a fentanyl patch and taking oxy round the clock every 6 hours. So I know his pain is controlled. I tried suggesting he drink something other than water and he tells me it tastes bad. Which I get that's unpleasant but I wish he would just do it!! He has a PEG and gets all of his nutrition through that, but I would like to see him start to use that less and his mouth more. I know that may be asking a lot, but I'm afraid he will never get off that tube because all he will drink is water. My mom tried to give him soup to sip on and he just maked an awful face at her and set it back on the counter. Did anyone else begin to sip on things a week post treatment? This has all been so frusturating. Just when you get a mental high for completing treatment, you get brought back down by all the side effects. I'm just hoping this doesn't last long. Any other advice is much appreciated!!!


Caregiver to my Dad
BOT Stage IV SCC, HPV+
Dx on 9/9/13
Cisplatinx3- 1st dose 10/1/13
PEG in 10/20/13
PEG out 12/24/13
Rads x 35- finished 11/15/13
Never a smoker,drinker.
Joined: Jul 2012
Posts: 3,267
Likes: 1
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Water is good, better than nothing. It took me 7 weeks to drink anything post radiation treatment, and that was only a sip. I think I started out with chicken broth, egg drop soup, chicken broth with pastina, worked from there, and can eat everything by mouth now, but more treatments set me back a while, comes back, and so on. I would watch others eat, watched the food channel, read cookbooks, torture lol, but one day I just got up and started to eat, I coudn't take it anymore...baby bites.

Oxycodone makes me vomit. Constipation can cause nausea, vomiting too.


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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Dealing with the mucus is just horrible, especially at this point when the patient is weak from all the tx.

One small thing that helped my husband - he could no longer tolerate rinsing his mouth with salt/baking soda solution without gagging and vomiting. Nurse on rad team suggested warming up the solution a little and that made it tolerable.

Regarding moving up his intake, water only should be ok for now, if he uses a PEG. Have they recommended he do more? My husband was very slow returning to eating (he had induction chemo which complicates side effects) but he did force himself to sip water and can now eat almost all foods. You might be worrying yourself too soon about this. This phase does not last.


CG to husband, dx @ age 65, nonsmoker/social drinker. Dx 5/08 SCC Stage IV, BOT T1N2aM0. 33 IMRT - completed 9/12/08. Induction Chemo (Cisplatin, Taxotere & 5FU), plus concurrent Cisplatin.
1/09 PEG removed; 5/09 neg PET/CT; 5/10 PET/CT NED
Dental extraction & HBOT 2013; ORN 2014; Debridement/Tissue Transfer & HBOT 2016
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All good suggestions above, Klr. Sorry your dad is so miserable. But as others have noted, this too shall pass. For me none of the first line nausea drugs did anything and it wasn't until I finally got my hands on some old fashioned Compazine that I got any relief.

Keep us posted. It's wonderful that your father has you to take care of him!


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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Keep experimenting and make water a must. It helped me to drink bottled to keep track of the amount plus lukewarm was better. Also a rinse with sprite zero will cut the mucous and give some relief. Small shakes can soothe but be careful of what goes in because of irritation. My wife made one every night with coffee ice cream and milk. Eventually make the high protein ones. Again everything is an experiment.


Age 55 HPV 16+ SCC, BOT 050613 Stage IV
great team at OSU
Tx 6 weeks of rad started June 3
8 weeks of chemo started May 28
RTOG Phase III trial Cetuximab group.
Treatment completed 7/16/2013
PET Scan completed 10/08/13
Results discussed 10/11/13
NED - Free but am I
Next part of the journey?
1year PET 10/24/14 NED
Good reports now 10 years out.
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It really is the most frustrating time. You are right; you go from the high of being done with tx and then the garbage starts. It hopefully will be slowly getting better in a few weeks. He is in the hardest part of the battle right now. Do what you can to push him without ticking him off too much!!
We finished tx the 3rd week in October and Kev ate some of Thanksgiving dinner that year. Everyone proceeds at a different pace though, but know there are better times coming.
It would be good for him to begin taking things by mouth. There are meds that can numb things up for a few minutes so he can swallow.
Blessings,
Kathy


Kathy wife/caregiver to:
Kevin age:53
Dx 7/15/11
HPV16+ SCC Stage IV BOT/R
Non smoker, casual drinker
7/27/11 Cistplatin, taxotere,5FU 2/3week sessions, followed by IMRT 125cgy x 60 (2x daily) w/Erbitux weekly. Last rad 10/26/11. Last Erbitux 10/27/11
PEG placed 9/1/11 Removed 11/8/11
Clear PET 10/12 and 10/13 and ct in 6/14
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klr Offline OP
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Can anyone give me a timeframe as to when all this mucous will end? I've heard 2 weeks, but he's already past that and it's getting worse not better. He coughs so much and gags, then throws everything up. So his weight is down naturally and I'm really concerned about that. He is using his tube and getting scandi/boost down. But then he just throws it all up. The weird thing is the vomiting only happens at night? We are all so frustrated and worried. I feel like we've tried everything(mucinex,suction, scopolamine patch, benadryl, gargling, hot soup) and NONE of that seems to help at all. I just feel so bad for him because he's exhausted from hacking up the mucous constantly all day/night long. Suggestions? Advice as to when this will end?
Much Appreciated!


Caregiver to my Dad
BOT Stage IV SCC, HPV+
Dx on 9/9/13
Cisplatinx3- 1st dose 10/1/13
PEG in 10/20/13
PEG out 12/24/13
Rads x 35- finished 11/15/13
Never a smoker,drinker.
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Are you suctioning it out? That was what I did for weeks to get the thick stuff out of the throat. It was real brown for a while. Then it turned clear and slowed down.


SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023
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Could be 3 weeks, longer, and radiation keeps working just as long as treatment lasted, and everyone is different. The thick rope mucus is mainly from the parotid gland producing mainly thick mucus, which as a yellow tinge to it. Radiation destroys thin mucous only, and the other produce a mixture of both.,

Sleeping on an incline may with with gagging, a steam bath may help loosen it, drinking enough water, have your oncologist spray your mouth, usevacwater IOC at home on low, the are sponge wooden stick, some pre-moisturizer to clean mouth, get in hard to reach area in the back of the mouth.

Helps cut mucus
Salt water, making soda
Frequent brushing
Tea
Beer
Egg drop soup
Papaya juice or pinapple juice
Seltzer water or soda
Meat tenderizer rinse mixed with water
Mucinex
robotusm

After feeding do not lay down for several hours, and when raising from bef, do it slowly, which my help with not vomiting.

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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In addition to the above list a water pik using warm water and a little non-alcohol mouthwash using it on its lowest setting helps to get the thick ropey mucous out. That phase usually lasts up to 6 weeks post rads and then seemingly overnight it turns into dry mouth. My mouth was so dry my tongue would be stuck to the roof of my mouth and I had to swish water in my mouth to free it. Hang in there, the thick gunk will be gone soon.

If you ask your doc for a prescription to get a portable suction machine you can suction it out at home.


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 been using apple cider vinegar mixed with water to help me with thrush and noticed it broke up the mucous in my throat. It may burn a bit so dilute it accordingly. Good Luck. Try a spray bottle

Last edited by calhoun; 12-06-2013 08:45 PM.

Age 54 at DX 06/20/13 Left Neck Mass 07/11/13 DX SCC OC T0N2bM0 Stg IVa p16 neg. 08/09/13 Tonsilectomy and Adnoidectomy, Panendoscopy. Unknown Primary. Begin RAD 09/30/13 Cisplatin 10/01&22/13 PICC 10/21/13. PEG 10/25/13 to 1/24/14. Erbitux x 3. End 35 RAD 11/22/13 Clear PET 02/25/14
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I'm officially one week out of treatments as well, and having the same issue. Did your dad ever find anything that helped cut the mucus? I can't sleep because it all gathers so quickly. I have to cough it up about every 15 minutes to keep from choking and then throwing up everything I was lucky enough to get in my stomach. I haven't slept in almost two weeks...and I'm just exhausted. But I fill a 10 qt bucket daily with 100s of paper towels trying to get the mucus out. It just keeps coming.


- 3cm x 4cm tumor on right side of tongue
5/14: Surgery
- Lymph nodes removed from both sides of neck
33 radiation treatments, 3 cisplatin
8/14: G tube
8/25: Last radiation treatment
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When you go to your doctors ask the nurse to suction out the mucous. Ask your doc for a prescription for a portable suction machine so you can do it yourself at home.

Rinsing with seltzer water, using a waterpik on its lowest setting and continuing to rinse with baking soda, salt and 16 oz of warm water all will help as well. Some members have found relief with gargling with seltzer water.

The thick ropey mucous will only last a few weeks. It will soon be replaced with the dry mouth phase.



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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Hi KaylaCole,
I had lots of mucous after treatment as well. Just trying to brush my teeth would make me gag. Nasal rinses would also make me gag to the point of vomiting.
I would be able to sleep a bit better by elevating my upper body and sleeping with a humidifier. Drinking plenty of water will also help with reducing the thickness of the mucous. I also used guafenesin (an expectorant) which helped keep the mucous thin and out of my lungs.
Hang in there,
Steve



6/5 ENT visit
6/11 FNA biopsy on lymph node
6/13 DX T2N2b stage 4 SCC on right tonsil metastasis to lymph nodes on right side
7/8 first chemo using Cetuximab
8/20 radiation oncologist initial visit
8/21 dental clearance
Cisplatin and Radiation starting Sept 9
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