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#189302 04-24-2015 06:21 PM
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AusAsh Offline OP
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Hello, My mum is nearly four weeks post radiation and chemo to treat her oropharyngeal cancer. She is having trouble eating because when she tries, she chokes and coughs. I believe some food particles were even entering her lungs. I am wondering if this is normal and what she can do to help get food down? Thanks

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Welcome to OCF! Eating after radiation for oral cancer can be very difficult. Many patients end up needing a feeding tube during or after their treatments. Your mother should get evaluated right away with a barium swallow test. This will show exactly where the foods and liquids go when your mother eats. It can be a dangerous situation when food and/or liquids end up in the patients lungs. Its called aspirating and can cause pneumonia.


Christine
SCC 6/15/07 L chk & by L molar both Stag I, age44
2x cispltn-35 IMRT end 9/27/07
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Clear PET 1/08
4/4/08 recur L chk Stag I
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7/2/09 recur, Stg IV
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3wks medicly inducd coma
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Welcome to the family. ChristineB is right, aspiration pneumonia can be very dangerous. If you are concerned, check your mother's temperature every now and then. Four weeks out may be a bit earlier to be eating and drinking. The body is still forming scars from the radiation at this point. If she can take small sips, have her do that but let her take most of her nutrition by PEG tube if she has one. But tell her that it is extremely important to do her swallowing exercises everyday. They will keep the swallowing muscles intact. At this point, I would talk to the RO or MO and let them know I am concerned. Have them refer your mom for a barium swallowing test. These tests may take some time to arrange.


Gloria
She stood in the storm, and when the wind did not blow her way, she adjusted her sails... Elizabeth Edwards

Wife to John,dx 10/2012, BOT, HPV+, T3N2MO, RAD 70 gy,Cisplatinx2 , PEG in Dec 6, 2012, dx dvt in both legs after second chemo session, Apr 03/13 NED, July 2013 met to lungs, Phase 1 immunotherapy trial Jan 18/14 to July/14. Taxol/carboplatin July/14. Esophagus re-opened Oct 14. PEG out April 8, 2015. Phase 2 trial of Selinexor April to July 2015. At peace Jan 15, 2016.
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Agreeing with both of the above. Also maybe try and give her thickened foods and drinks. This makes it easier to swallow. Boost or a power shake that will give her nutrition but is easier to swallow. He throat is burned from the radiation and the muscles at this point don't work all that well. But do have her swallowing evaluated, hugs and good luck.

Last edited by Cheryld; 04-26-2015 08:27 AM.

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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