Yes, it is normal that he has trouble eating at 3 weeks post Tx. This is the point where the effects of the radiation are peaking and it should very gradually improve from here. Measure progress in 3 week increments. The secretions should just start to be improving about now also. The secretions can sometimes be managed by decongestants but they make the dry mouth worse. A humidifier will help a lot - I still use mine 15 months post Tx.

Many believe, going into this, that radiation is the easier course but it is more difficult than surgery. It will take at least a month of recovery for every week of radiation. It is a very slow process, you must be patient.

Make sure that he maintains his fluid uptake (2-3 liters of water a day). Stay on top of pain management, infection, thrush and constipation issues. Liquids are probably all he can tolerate orally - try milkshakes and things like that. Stay away from anything acidic such as fruit juices (at least orally anyway).


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)