#91799 03-15-2009 01:23 PM | Joined: Mar 2009 Posts: 23 Member | OP Member Joined: Mar 2009 Posts: 23 | I am in the middle of a whirlwind emotion right now. My mom had a partial removal of the tongue and one lymph node out of 26 came back positive for cancer. It was under 1mm. She is now 3 weeks into radiation treatment and is having issues with eating, and a sore mouth. She is 69 yr young, living with Rhuemtoid Arthritis for over 25 years now. She is a fighter? HELP what is the opinion out there!! We are over 100 miles from the hospital, and we are moving to the hope lodge in iowa city tomorrow.... | | | | Joined: Feb 2007 Posts: 1,940 "OCF across the pond" Patient Advocate (1000+ posts) | "OCF across the pond" Patient Advocate (1000+ posts) Joined: Feb 2007 Posts: 1,940 | Hi there 3 weeks into radiation it is quite normal for issues to arise that you will find both scary and at times overwhelming.The rheumatoid arthritis is an added problem that will make her life a little more difficult as well. At this stage of treatment you must firstly make sure that she is getting plenty of fluids and plenty of nutrition.The radiation will probably have burnt her mouth and she will likely have sores and ulcers which can be treated with mouthwash or if neccessary antibiotics,she may be experiencing difficulty with swallowing and diminished salive,and stringy mucous.This can be helped by gargling with salt and soda.Tiredness can be overwhelming during treatment so make sure she gets plenty of rest. Lastly don't panic just read as much information as you can and be there when she needs you.
good luck
liz
Liz in the UK
Husband Robin aged 44 years Dx 8th Dec 2006 poorly differentiated SCC tongue with met to neck T1N2cM0 Surgery and Radiation.Finished TX April 2007 Recurrence June/07 died July 29th/07.
Never take your eye off the ball, it may just smack you in the mouth.
| | | | Joined: Mar 2009 Posts: 23 Member | OP Member Joined: Mar 2009 Posts: 23 | thanks cookey...am just flustered right now. She had a bad time with feeding tube after surgery and i am afraid she will again. THANKS for the words this site is wonderful~~ | | | | Joined: Jun 2007 Posts: 595 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Jun 2007 Posts: 595 | Hi, Make sure that she gets plenty of water (48 ounces) a day and try to take in 2500+ cals. per day. I did not have a Peg but forced 6 bottles on ENSURE+ down each day. The next weeks will be tuff but are winable, dont let her quit her treatment as it will only be worse for her!! Semper-Fi Bob
Bob age 57, non smoker,non drinker, ended treatment on 11 Nov 2007 and started back to work on 29 Nov 2007. Veterans Day 2012 the Battle was lowered, folded, Taps was played and the Flag buried as I am know a 5 year survivor. Semper-FI !!!
| | | | Joined: Mar 2009 Posts: 23 Member | OP Member Joined: Mar 2009 Posts: 23 | I can get water down her now, but she says everything tastes like metal....is this usual?? We go tomorrow to see dr before treatment, so we will hear. I am afraid that she is lost to much weight even though she says she has plenty to live on. They were very serious about no weight loss, even though with her height she could lose a few. THANKS BOB!! | | | | Joined: Jun 2007 Posts: 10,507 Likes: 6 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 6 | Welcome to OCF.
Your mom is probably almost to the 1/2 way point of radiation. No matter how difficult it gets do NOT let her quit. This is her one shot at beating this very aggressive form of cancer. Sure its hard to get thru, but it can be done. Unfortunately, things will get worse before they get better for your mom. The last week or so of radiation and about the first 2 after are the worst of this whole thing. Thought I should prepare you for what is to come. Im sure she feels pretty lousy right now, proper nutrition and hydration will play a huge part in how she feels.
Best of luck to you both. ChristineSCC 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 | | | | Joined: Sep 2008 Posts: 489 Platinum Member (300+ posts) | Platinum Member (300+ posts) Joined: Sep 2008 Posts: 489 | I also welcome you to OCF. I am sorry that you have to be here, but you will not find another place that will give you as much support and as many answers as you will find here.
Please discuss the PEG problems with the doctor also. With the sore mouth and throat from radiation, the PEG is the best way to make sure that your mom gets here nutrition and fluids.
Please do not allow her to quit the radiation. I wanted to quit mine also and I stuck it out. I am very glad that I did. I would not want to have another recurrence. Especially if I knew that I did not do everything that I could to prevent it. It is very hard to get through it, but luckily your mom has you for support to help her.
Patty
48 SCC Floor of Mouth 7/06 9/06 Surgery, bilateral neck dissection, 58 nodes clear PT2pN0pMx 35 rad 2006 Recurred 6/08, 1 Carboplatin, 1 Cisplatin Surgery 9/08 - Total glossectomy, free flap from pectoral muscle, left mandible replaced using fibula 35 IMRT & Erbitux 11/08 4/15/09 recurrence 6/1/09 passed away, rest in peace
| | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | Welcome here Iowa. Your mom should get treated as scheduled and you make sure she does. I have problems beside OC and I keep beating them the best I can. By the way I am or was just 73 Feb 21st and had anneurysm sugery in Jan for the 2nd time in the same place, and maybe another on tap for the lower end it that thing. Right now my tongue gets upset when I put any type of food in my mouth. I put it in everyday.
Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April. --- Passed away 5/14/14, will be greatly missed by everyone here
| | | | Joined: Nov 2005 Posts: 1,128 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Nov 2005 Posts: 1,128 | Keep her at it -- What she is going through is normal!
The radiation definitely will change taste because it is cooking the taste buds -- Metallic is one of them -- It's a bit different for each of us, both the initial effects and the recovery effects.
At first the only taste that came back was salt, in fact one of the first things I tried to eat was out with friends and a cup of veggie soup; tasted to me like someone had dumped a whole salt shaker in it! Had the others take a taste and they said it was fine -- Prior to my most recent surgeries, after two years I still wasn't really tasting sweets and taste was basically fading after a just a few bites.
Age 67 1/2 Ventral Tongue SCC T2N0M0G1 10/05 Anterior Tongue SCC T2N0M0G2 6/08 Base of Tongue SCC T2N0M0G2 12/08 Three partial glossectomy (10/05,11/05,6/08), PEG, 37 XRT 66.6 Gy 1/06 Neck dissection, trach, PEG & forearm free flap (6/08) Total glossectomy, trach, PEG & thigh free flap (12/08) On August 21, 2010 at 9:20 am, Pete went off to play with the ratties in the sky.
| | | | Joined: May 2007 Posts: 666 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: May 2007 Posts: 666 | The "metal" taste is normal, to be followed by wallpaper paste taste etc. Yes, taste is important, but it is better to be around to complain about it. Plus it will improve again. It is normal that things get miserable. Make sure that she eats enough, if required through the PEG tube.. after all this is why you got it...... no metal taste that way! As was pointed out it will get worse before it gets better, but it can be done. What helped me was viscous lidocaine which numbs the mouth for a while so you can eat/drink "normally" ... sorry stuff still tastes like crap that way, what stayed around was vanilla.
Unless the RO says that she cannot complete her radiation schedule do NOT let her quit. There is a reason why it takes that long. You absolutely do not want to do this a second time.
Best
M
Last edited by Markus; 03-15-2009 10:02 PM.
Partial glossectomy (25%) anterior tongue. 4/6/07/. IMRT start @5/24/07 (3x) Erbitux start/end@ 5/24/07. IMRT wider field (30x) start 6/5/07. Weekly cisplatin (2x30mg/m2), then weekly carbo- (5x180mg/m2). End of Tx 19 July 07.
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