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#151048 06-19-2012 07:00 PM
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Hi my name is Amanda and my husband has tongue cancer he has finished his chemo and radiation but he is having more pain than he has throughout the treatments he has a peg tube his doctors don't want to prescribe him any more pain meds I am not for sure if they work or not I just wanted to know is there any other ways to mange his pain any info would be greatly appreciated

Last edited by ChristineB; 06-19-2012 08:03 PM.

age 46 diagnosed with scc of tongue stage three 35 radiation and three cisplatin peg tube first PET scan august 14 2012
taafgood #151050 06-19-2012 08:12 PM
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Welcome to OCF, Amanda. You have found the best place for info and support to help you and your husband get thru his treatments.

It does not help the patient one bit to be in pain. Its actually detrimental to them. Poor guy!!!! Ask the doc for the fentanyl patches. They come in strengths ranging from 12.5 to 100mg. Most of us have used them successfully. Make sure to read and follow the directions exactly. Never bend or fold the patch and your husband needs to avoid long hot showers or baths while using the patch. Those things can cause the patch to release too much medication. The good thing about the patch is that it gets changed every 3 days. So his pain should be under control. He should have some extra pain meds in case he has breakthru pain. I would guess that if he is in a lot of pain that he would need to start at 50mg or 75mg. It will take about 24 hours to begin working after he puts it on. If after one day it doesnt work then ask to move him up to 75mg or 100mg. That should help your husband significantly. When I was had just finished rads, I was on 150mg for about a week.

Just cuz he is finished with chemo and rads doesnt mean he will be better immediately. His body has been thru the war and will need time to recover. Keep up the good nutrition and hydration to help him bounce back. Every single day he should be taking in a minimum of 2500 calories and 48 oz water. Try adding some high protein whey powder to his formula to help with healing.

Best wishes with your husbands recovery.


Christine
SCC 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 smile
taafgood #151053 06-20-2012 06:25 AM
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When did he finish his Tx? Most of us suffer the greatest the few weeks POST treatment so that is a critical time for pain management. This needs your immediate attention as there are drugs that can help him thru this period.


David

Age 58 at Dx, HPV16+ SCC, Stage IV BOT+2 nodes, non smoker, casual drinker, exercise nut, Cisplatin x 3 & concurrent IMRT x 35,(70 Gy), no surgery, no Peg, Tx at Moffitt over Aug 06. Jun 07, back to riding my bike 100 miles a wk. Now doing 12 Spin classes and 60 outdoor miles per wk. Nov 13 completed Hilly Century ride for Cancer, 104 miles, 1st Place in my age group. Apr 2014 & 15, Spun for 9 straight hrs to raise $$ for YMCA's Livestrong Program. Certified Spin Instructor Jun 2014.
taafgood #151060 06-20-2012 11:43 AM
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I was blessed in that I didn't have a lot of pain post treatment. So I'm no help on this front... but welcome and Christine is right... there is no reason he should be in pain. I have a friend with peritoneal cancer - prior to going to my hospital (PMH) she was at a local hospital where they had her on TYLENOL 3??????!!!! She kept telling me she was in pain. I had pushed her to move to a CCC - which is PMH here in Toronto and she had so I told her to call her dr. and have them prescribe her something for pain. They did so immediately and she's a lot more comfortable. They gave her either oxy (which doesn't work at all for pain for me - puts me to sleep!) or hydromorph... she's great now.. No pain at all. But everyone else here can tell you what they use and how effective it is. And as David says... usually the first two to three weeks post rads is the worst. take care

Push for pain management. He should not be made to suffer.


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
taafgood #151070 06-20-2012 03:21 PM
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welcome Amanda. It's true that when tx end, things keep getting worse for up to a few weeks as the soft tissues in the mouth and throat continue cooking, but it does get better. Our other friends are right, living with pain is unneccesary and bad for morale, which is needed to get through this time.


David R. 65 yr old male non-smoker, light drinker, stage 3 or 4, depending on which doc you ask, scc rt. tonsil, 2 nodes, 7 weeks radiation and chemo. No surgery. Teatment ended 3/20/08. PET scan 8/08 showed no cancer.
And now, as of oct, 2010, caregiver to wife, Linda, with breast cancer.
May, 2013, Linda diagnosed with stage 3 ovarian cancer. Enuf already.
taafgood #151073 06-20-2012 06:03 PM
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I agree Amanda. Healing will come slowly if he's in pain. It is very normal though at the stage he is in. I remember how scared Kevin and I were because we thought something was wrong he was doing so bad. That was when I found this site!! There is so much support here you will be able to get answers to most, if not all, of your questions.
I know where you are as the caregiver. I know how hard this is and you are doing the right thing by advocating for your hubby. Push for the pain meds. The patches are great. What is he using now?
Hang in there Amanda, you're almost there. Hopefully 3-4 more weeks, give or take, of yuckiness, then he should start turning the corner. Please keep in touch.
Blessings,
Kathy


Kathy wife/caregiver to:
Kevin age:53
Dx 7/15/11
HPV16+ SCC Stage IV BOT/R
Non smoker, casual drinker
7/27/11 Cistplatin, taxotere,5FU 2/3week sessions, followed by IMRT 125cgy x 60 (2x daily) w/Erbitux weekly. Last rad 10/26/11. Last Erbitux 10/27/11
PEG placed 9/1/11 Removed 11/8/11
Clear PET 10/12 and 10/13 and ct in 6/14
taafgood #151074 06-20-2012 07:19 PM
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Welcome Amanda...I"m new to this site but go thru it daily..and I print out the info I think my mom & us caregivers (daus) might find useful...and I'm printing out this pain management suggestions too. My mom's 87 & had done 5 of the 7 Erbitux treatments..it has slowed the growth of the HPV...but she has 4 new areas....We didn't think she'd do the rad treatments...but she has now decided to. She doesn't want the cancer to eat her face out. No nice way to say this. It's gone thru her hard palate and is on the sinus floor..in her chin & 3 other new areas in her mouth. Never smoked, never drank..married to my dad 64 yrs (& 15 minutes)...She & we are terrified of the rad treatments & in reading the posts, we have reason to be. But she has the PEG tube..it's keeping her weight steady now..at 102 lbs.! Can't get in the 5 feedings...but doing the 4 & is able to eat a little by mouth. She's tried to start picking up her fluid intake since I've read what I have here. She takes the a med before feeding for the nausea. So, i guess I'm feeling more "prepared" to help her since I've been coming here for help. Her Drs are 100 mi away...and no cancer support group that I know of in our town. So my 2 sisters & I will do the best we can for her. I just am thankful for the people & information I've found here.


caregiver to 87 yr old mother,HPV +,Using Erbitux w/little success,Hole in palate, & 3 new areas..2 in cheek, now tumor in sinus. See Rad Dr soon & will cont. w/Erbitux. PEG tube in April. Macular Degeneration--chemo finished off her sight. Mom passed away Fri nite...8/24.
taafgood #151109 06-21-2012 08:00 PM
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Welcome Amanda! I think everyone on here has already given you great advice. I hope the docs can get the pain under control.


Dx 3/27/09 @ 28 years old with High Grade MEC T4N2M0
Elizabeth, 33, mother of 3 girls (4,7, &8yrs old)
3 rds of chemo(Carbo/Taxol)
Rt Mandibulectomy, rt fibular flap,& rt ND with trach, picc,& g-tube.
30 rds of rads with weekly cisplatin
SCANS ALL CLEAR!
OCF Regional Coordinator of San Antonio Walk

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