There are so many reasons why post and late treatment causes nausea that a systematic approach to isolate the cause is necessary:
1. Stringy mucous in the main one. This should resolve itself on its own within 1-3 weeks post Tx. My strategy was to use pick magic first, then drink some lukewarm water. this would often break it up a little. Don't attempt feeding until he is awake for a bit,
2. Reaction to chemo is #2. Antiemetics may help
3. Gastrointestinal upset from Cisplatin (in particular) Pepcid AC or Famatodine
4. Constipation. Stoppage of homeostasis will definitely cause nausea. Stool softeners, fiber in diet - STAY HYDRATED
5. Reaction to other meds, especially narcotics.
6. Aspiration - this can happen if you swallow the "swish & spit" "Pink Magic".
7. Food cooking odors.
8, Psychosymatic anti-anxiety meds
9. Dehydration -STAY HYDRATED. (this should actually be between 3 and 4.
There are probably more.


Gary Allsebrook
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Dx 11/22/02, SCC, 6 x 3 cm Polypoid tumor, rt tonsil, Stage III/IVA, T3N0M0 G1/2
Tx 1/28/03 - 3/19/03, Cisplatin ct x2, IMRT, bilateral, with boost, x35(69.96Gy)
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"You are a mist that appears for a little while and then vanishes" (James 4:14 NIV)