I know these are old issues but I would appreciate any help or your experiences.

I am the the caregiver to my spouse who was diagnosed in January 2005 with SCC left later tongue (T2N1M0). She is just about one year out from surgery (MRND) and about 8 months out from the end of chemoradiation (35 doses external beam rad+ 4 doses cisplatin).

She has stomach tube since unable to swallow due to a stricture. She lives on Jevity given through the tube.

To this day nausea/vomiting remains a big problem. She vomits at least once a day. Is this normal at this stage?

I give her a liquid anti-nausea medication throgh the tube. It is called Promethazine (10cc) but it seems to have no effect.

We have discussed this nausea/vomiting problem with both her ENT and radiation oncologist but have not gotten any sound advice or other medication to try to control this problem.

I would appreciate your experiences and input.

She is also still on painkillers: a 100 microgram Fentynal patch and liquid morphine.

Thank you for your help. We appreciate it.


CG to wife;
Jan 2005 DX SCC Tongue T2N1MO; RND surgery Mar 2005; 35 XRT and 4 cisplatin completed Jul 2005.
Dec 2006 tongue surgery, Scar tissue no cancer.
Feb 2010 neck node FNA - negative.
2010 ORN right jaw plus fracture
2015 ORN left jaw plus fracture
Feb 2016 Lower jaw reconstruction by Fibula free flap+titanium plate - Permanent G-tube
June 2016 Difficulty breathing - Permanent Trachea tube
Dec 2019 DX Cervical cancer - Stage 1 - Surgery Jan 16 2020.
15-20 esophagus/larynx dilations