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#164861 05-13-2013 05:58 PM
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Do you guys have deep cracks in your tongue? My Dad does. He said the main thing that's keeping him from eating is his tongue. The doctor told him today it will probably be a year before his tongue is back to normal. Seriously??? Geez. I told him it's not a problem for him to be on a "drinks only" diet. I can make plenty of soups and shakes, but as of now he is so limited. Says certain things hurt his mouth and obviously his taste buds aren't the same. I'm just praying he can eat solid foods sooner than later. He is a big guy and loves to eat, so this really sucks.


Brandi, daughter of:
Jack, age 69, non-smoker, BOT primary, Stage 4, HPV+
1/28/2013: Surgery. All cancerous masses removed. Dad is CANCER FREE!!!
2/26/2012: Beginning of TX. Weekly chemo: Carboplatin and Taxol. Daily RT (about 40 total)
4/25/2013: Will be last day of TX, both chemo and RT
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Shanette, recovery takes forever in the eyes of the OC patient and the caregiver. In reality most patients are doing much better about 6-8 months post rads. The sense of taste usually begins to return at about 6-10 weeks post rads. But a complete recovery can take a full 2 years. His body has been cut, poisoned and burned and weakened so it will take a long time to get over that and to rebuild itself. Using high protein whey powder added to drinks can help to speed up the heeling process. Keep up at least 2500 calories and 48 oz of water for at least the first year after rads. Maybe he is a little dehydrated and thats what is making the tongue appear worse with the deep cracks. You can always ask to have him hydrated by calling the doc for a prescription too.

Ask the doc for a prescription for magic mouthwash. Im sure you can call that in and the doc can call it into the pharmacy. It will help your father by numbing his mouth for a few minutes so he is able to eat easier.


Your father has been able to keep swallowing so he is ahead of the game. Recovery can be very frustrating. Its one step forward and 2 back for the first couple months. One day foods will begin to taste ok then the same food the next day tastes like salted burnt charcoal. In time this will all be a distant memory.

Hang in there, the worst is over. Its all downhill from here.


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
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Hi Brandi,

I agree - it does suck!! My tongue also developed deep cracks from treatment that made me think they might split or open (which they never did). I seemed to notice it right after treatment ended and it is gradually getting better and still healing. They don't appear so deep now (7 weeks from treatment) but my tongue surface is still not as smooth as it was before all this. I did use the Magic Mouthwash which helped with some of the discomfort. As your father just finished treatment a few short weeks ago; his tongue should gradually heal as well.

I am still using my PEG for most of my nutrition. I am able to eat soft foods (poached eggs, cream of wheat, puddings) by mouth but even those hurt quite a bit at times. I find it takes so long to eat by mouth and my selection is still very limited. Hoping the pain subsides even further so I can try other foods that have enough nutrition so I can get off the PEG soon.

Best,
Nancy



Nancy
Age 56 at diagnosis
Neck Lymph node removed 11/2012
Tonsillectomy perfomed 12/2012 - identified as primary
SCC Left Tonsil with Left Node involvement, DX 12/2012
RX started 1/29/2013, finished 3/23/2013;
Daily IMRT (35 Sessions)
Weekly Taxol/Carboplatin (6 weeks)
PEG placed after week 4 (3/1/2013)
PEG removed 6 1/2 months later (8/12/2013)
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My tongue didn't do that during treatment but 10 years later it does that off and on every week. I never know what is causing it and can't attribute it to anything special other than maybe dry mouth.

Ed


SCC Stage IV, BOT, T2N2bM0
Cisplatin/5FU x 3, 40 days radiation
Diagnosis 07/21/03 tx completed 10/08/03
Post Radiation Lower Motor Neuron Syndrome 3/08.
Cervical Spinal Stenosis 01/11
Cervical Myelitis 09/12
Thoracic Paraplegia 10/12
Dysautonomia 11/12
Hospice care 09/12-01/13.
COPD 01/14
Intermittent CHF 6/15
Feeding tube NPO 03/16
VFI 12/2016
ORN 12/2017
Cardiac Event 06/2018
Bilateral VFI 01/2021
Thoracotomy Bilobectomy 01/2022
Bilateral VFI 05/2022
Total Laryngectomy 01/2023
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THRUSH THRUSH THRUSH


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.
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His doctor looked in his mouth yesterday and there was no mention of thrush. I don't think he has that.


Brandi, daughter of:
Jack, age 69, non-smoker, BOT primary, Stage 4, HPV+
1/28/2013: Surgery. All cancerous masses removed. Dad is CANCER FREE!!!
2/26/2012: Beginning of TX. Weekly chemo: Carboplatin and Taxol. Daily RT (about 40 total)
4/25/2013: Will be last day of TX, both chemo and RT
Joined: Sep 2006
Posts: 8,311
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I had Thrush 3 or 4 times post Tx and each time it looked like my tongue was splitting down the middle. The pain was sharp but Diflucan cures it.


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.
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The river or cobblestone type tongue cracks may be from constant dry mouth, and repeated thrush, a candida infection,causing a depapillated lobulated tongue, is also found in sjgrogens syndrome.


10/09 T1N2bM0 Tonsil
11/09 Taxo Cisp 5-FU, 6 Months Hosp
01/11 35 IMRT 70Gy 7 Wks
06/11 30 HBO
08/11 RND PNI
06/12 SND PNI LVI
08/12 RND Pec Flap IORT 12 Gy
10/12 25 IMRT 50Gy 6 Wks Taxo Erbitux
10/13 SND
10/13 TBO/Angiograph
10/13 RND Carotid Remove IORT 10Gy PNI
12/13 25 Protons 50Gy 6 Wks Carbo
11/14 All Teeth Extract 30 HBO
03/15 Sequestromy Buccal Flap ORN
09/16 Mandibulectomy Fib Flap Sternotomy
04/17 Regraft hypergranulation Donor Site
06/17 Heart Attack Stent
02/19 Finally Cancer Free Took 10 yrs






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I too developed deep cracks in my tongue mid treatment, also associated with thrush and mucositis. I had an extremely sore mouth which made eating very difficult. But after treamant it is a gradual process of healing. So tell him to hang on in there it does get better. I have just been to check my tongue and yes there are still some deep fissures. I don't think they were necessarily the cause of the pain, it was all the other things going on. Sally


Dx 10/11 51yrs LBOT Stage 4 2nodes HPV16+. Non-smoker mod alcohol.
10/11 Induction chemox2 (Docetaxel, 5-Flu, Cisplatin) then Cisplatinx2 IMRTx30. Ended 01/13/12.
12/07/11 RIG. RIG removed 05/05/12.
4/12 CT scan clear. Visual scope checks clear as of 10/13. Learning to live with eating challenges.

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