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#181831 05-19-2014 12:13 PM
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So Im starting week 3, and as expected, the other shoe has dropped as far as symptoms. The sore throat is here and I developed mouth sores over the weekend. Im doing the baking soda rinses, have Magic Mouthwash (which is gross but works) and have a narcotic for if needed (not yet). I was just looking for any thoughts on things that really helped those who had mucositis, any pointers etc? What an unpleasant thing! Im still able to drink shakes at this point, so no PEG yet. Thanks in advance!


Laurie
42 yo
Pediatrician
No smoke, social drink, HPV neg
May 2013 - SCC Right lateral oral tongue - stage 1 (T1N0M0)
Partial hemiglossectomy and sentinel node bx NEG
NED 5/29/13
3/2014 - Cancer back (never gone) in one right sided cervical node
Modified neck dissection 3/2014, N1 with microscopic ECE,39 nodes neg
30 Rads and 2 cisplatin done June 13!
PET in 3-4 months but no clinical cancer and I'll take it!
Lbstover #181834 05-19-2014 01:44 PM
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Keep rinsing your mouth at least 4 times per day with the warm water, baking soda and salt mixture. Unfortunately it will be a while before your mouth gets better and the sores go away.


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
Lbstover #181838 05-19-2014 03:09 PM
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I was given NeutraSal samples at the Proton center, which is a prescription powder rinse you mix in 1oz of water, that helps with dry mouth and mucocitis, and everyday my mouth was sprayed by the nurse there, which helped with that, and thrush, which may occur with the mucocitis. In the past, I used Glutamine powder, and one is made by Abbott called Juven, which helps in tissue building, and taste like Gatorade, and aloe vera juice, the distilled type, helps in healing.

I 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






Lbstover #181848 05-19-2014 06:55 PM
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Another is Gabopentin, which I used for neuropathy, was studied for radiation induced mucocitis, and found to be helpful.



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






Lbstover #181968 05-26-2014 07:44 PM
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I had it, but it didn't get bad until week 6 of treatment; then it stuck around for a good month after treatment ended.

Some things aggravated it more than others; iced tea really made it flare up. Though milk felt soothing to drink with meals I've heard it also makes the mucositis worse.

Fortunately all I needed to get through it was oral lidocaine, and then mostly before meals (and sometimes also during middle of a meal).

I did keep a small bottle of it in the car so I had it available whenever away from home.

take care, you will get through this.

Tony


Tony, 69, non-smoker, aerobatics pilot, bridge player/teacher, avid dancer (ballroom, latin, swing, country)

09/13 SCC, HPV 16, tonsillectomy, T2N0.
11/13 start rads, no chemo
12/13 taste gone, dry mouth,
02/14 hair slowly returning
05/14 taste the same, dry sinuses, irrigation helps.
01/15 food taste about 60% returned, dry sinuses are worse in winter.
12/20 no more sinus problems, taste pretty good

Lbstover #182279 06-08-2014 10:00 PM
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Posts: 56
"OCF across the pond"
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I was prescribed Caphosol mouthwashes. They told me something about replacing damaged calcium ions in the cells in my mouth. I don't really know much about it, but that and Difflam were the only products I could bear. Even water hurt, but Caphosol didn't hurt.


Mar 99 white patch tongue
Dec 11 white patch changed shape. biopsy neg
Sep 13 white patch ulcerated. Biopsy
Nov 13 diag Tongue SCC T2N2BM0 poorly Differ.
Dec 13 Hemigloss. neck dissect.Trach.Caldwell Luc (suspect cysts inside face, neg), teeth out. forearm flap, abdo graft
Feb 14 PEG tube
Feb/Mar 14. 30 x radio 60gy Grade 3 Mucositis, burns, hair loss, very ill. Nerve damage ear neck shoulder
Jun 14 *now* PEG out. Have lost 98 lbs in 1 yr. Anorexia. Dysphagia, liquids only. Dysphasia. Fatigue.
Lbstover #182866 06-27-2014 08:38 AM
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Posts: 56
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Posts: 56
Hey Tony .. Did you take the lidocaine straight from the bottle to swash in or did you do the mixture ? My husband is doing the mixture ;magic mouth wash ) it's not helping at all he don't have sores only rawness on the roof of the mouth ..


Larry ... Rt tonsil / SCC.. HPV16 positive RT oropharynx tonsil) lymph nodes were 13mm left level 2 node / 16mm right level 2 node /12mm right level one node... pet scan was good except tonsil & nodes,, just got peg placed still able to eat/swallow undergoing rads) and chemo. ) 70gy rads..
2chemo.finished rads July 8/2014 CT Scan clear on 8/12 pet scan October-2014-Clear/ left ear tube placement 12-15-2014
Lbstover #183686 07-23-2014 10:20 PM
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Just wanted to update that I'm 5.5 weeks out and my mucositis is now healed :-)
Taste is super funky but overall I'm so much better. I can talk yay! And drink shakes without narcotics. Progress is slow but definitely happening now.....
Thanks for the encouragement!


Laurie
42 yo
Pediatrician
No smoke, social drink, HPV neg
May 2013 - SCC Right lateral oral tongue - stage 1 (T1N0M0)
Partial hemiglossectomy and sentinel node bx NEG
NED 5/29/13
3/2014 - Cancer back (never gone) in one right sided cervical node
Modified neck dissection 3/2014, N1 with microscopic ECE,39 nodes neg
30 Rads and 2 cisplatin done June 13!
PET in 3-4 months but no clinical cancer and I'll take it!
Lbstover #183688 07-23-2014 10:54 PM
Joined: Jan 2013
Posts: 1,291
Likes: 1
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Great update. Things are going well for you at only 5 weeks post. Keep eating as much as you can even though the lack of taste makes eating a pleasureless chore.


Don
Male, 57 - Great health except C
Dec '12
DX: BOT SCC T2N2bMx, Stage 4a, HPV+, multiple nodes
1 tooth out
Jan '13
2nd tooth out
Tumor Board -induction TPF (3 cycles), seq CRT
4-6/2013
CRT 70gr 2x35, weekly carbo150
ended 5/29,6/4
All the details, join at http://beatdown.cognacom.com
Lbstover #183689 07-24-2014 02:10 AM
Joined: Jun 2014
Posts: 56
"OCF across the pond"
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Your taste should improve.

My surgery was December and my radio finished in March. I can taste most savoury things, and they are fairly similar to how they used to taste

Sweet things aren't so good. Most are bland and some are vile - strawberry is awful!

BUT at least savoury stuff is relatively ok. Coffee is fantastic, especially strong and with real cream.

I was always addicted to strong tea, but I don't like tea anymore. Be prepared for some surprises!

Cold custard tastes wonderful.

Cold milk is also fab.

Your taste can play tricks on you. Things can change taste from mouthful to mouthful. I'm working on thin pur�e at the moment; at the start I can taste things well, say soup, but halfway through my taste wanes and disappears.

My nurse said it can take a good 18 months to all settle down.

smile xx


Mar 99 white patch tongue
Dec 11 white patch changed shape. biopsy neg
Sep 13 white patch ulcerated. Biopsy
Nov 13 diag Tongue SCC T2N2BM0 poorly Differ.
Dec 13 Hemigloss. neck dissect.Trach.Caldwell Luc (suspect cysts inside face, neg), teeth out. forearm flap, abdo graft
Feb 14 PEG tube
Feb/Mar 14. 30 x radio 60gy Grade 3 Mucositis, burns, hair loss, very ill. Nerve damage ear neck shoulder
Jun 14 *now* PEG out. Have lost 98 lbs in 1 yr. Anorexia. Dysphagia, liquids only. Dysphasia. Fatigue.
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