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#167318 07-01-2013 03:43 PM
Joined: Jan 2013
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Nancy14 Offline OP
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I finished treatment 3 months ago (end of March)and the back of my mouth, near where my tonsils were, and my throat are still causing pain when I swallow. It seems that things should be better, pain-free, by now, but wonder what others experienced? Does it get better slowly or do you realize one day that it is just gone?

I did have a 2nd dilation two weeks ago which did open my throat to allow greater swallowing, so maybe that is still healing (hopefully the strictures are not re-bonding). So hard to stay optimistic without a feeling of improvement.


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)
Joined: Jun 2007
Posts: 10,507
Likes: 7
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Nancy, sorry to hear you are still experiencing some pain. Most patients will recover very slowly which can be frustrating. Seems like 3 months should be enough time to get well but in reality you still have several more months to go. Its usually one month of recovery for every week of radiation. So that puts you at about the half way point. Unfortunately a complete recovery can take every bit of 2 years. The very best thing you can do to help yourself to bounce back is to keep up a minimum of 2500 calories and 48 oz of water every single day for at least the first year. your body has been thru the war and needs that many (if not more) calories to just do your day to day nutrition, throw in heeling and you will need every one of those high calories. Check with your doc or nutritionist about adding some high protein whey powder to your diet. The extra protein will help you with heeling.

Best wishes!!!


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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Posts: 8,311
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Each of us can respond differently to this Tx for many many reasons BUT IMO you need to continue to pursue this issue because it's rare after 3 months post Tx to continue to have pain swallowing. I said rare NOT unheard of.

You don't include HPV in your Signature Line? Did they not test for it?

BTW did they remove your tonsils?


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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I would think the dilation's, even the anesthesia, Intubation may still l cause pain a week later on top of your prior treatment. Tell your doctor of any pains, which would need to be ruled out as reminiscent or recurrent cancer too, as protocol. Good luck.


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






Joined: Jan 2013
Posts: 80
Nancy14 Offline OP
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Posts: 80
Yes, they did remove my tonsils and found the left one to be the primary; no cancer in the right one. I've updated my profile to include that.

They tested for HPV in both the neck node and the tonsils. I recall the SO saying that one test came back positive but the other had to be restained for some reason. To be honest I haven't pushed them for the full results as I don't want that to be another cause of worry for me (if it comes back HPV- I would feel doomed).

I have a CT scan and ENT appointment scheduled for mid-July and debating having the ENT appointment moved up, if possible.

Last edited by Nancy14; 07-02-2013 08:01 AM.

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)
Joined: Oct 2012
Posts: 1,275
Likes: 8
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Likes: 8
Nancy, it will get better. In some people, it takes longer -- my husband is one such case. The RO believes he is more sensitive than most people to the radiation and, as a result, he has more scarring. Hang in there, you are not doing so badly. Talk to your doctor if the pain continues.


Gloria
She stood in the storm, and when the wind did not blow her way, she adjusted her sails... Elizabeth Edwards

Wife to John,dx 10/2012, BOT, HPV+, T3N2MO, RAD 70 gy,Cisplatinx2 , PEG in Dec 6, 2012, dx dvt in both legs after second chemo session, Apr 03/13 NED, July 2013 met to lungs, Phase 1 immunotherapy trial Jan 18/14 to July/14. Taxol/carboplatin July/14. Esophagus re-opened Oct 14. PEG out April 8, 2015. Phase 2 trial of Selinexor April to July 2015. At peace Jan 15, 2016.

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