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#176105 01-05-2014 10:03 AM
Joined: Sep 2012
Posts: 381
tina77 Offline OP
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Hi all, I am hoping someone can give some options on the dry mouth issue. I was doing ok with it until a couple of months ago. It has gotten so bad that the remainder of the "old" tongue is dry and scaly in the morning. I bought a humidifier and have tried taping my mouth shut at night (I'm a mouth breather). I find the humidifier stuffs up my nose, and I end up breathing through the mouth tape.

I am starting to get some sensation in the flap (my surgeon told me he had hooked up some nerves), and it seems this has come at the same time. It may be coincidence. The other negative is that it is seriously impairing my sleep. I'm an insomniac as it is, but I'm now down to about 2 hours of sleep a night.

Would be happy for any suggestions!


Tina
Diag: Aug. 13/12
T3N0M0
50% + glossectomy and bilateral radical neck dissection, removal of nodes zones I - V
Surgery October 11/12
Chemo/rad on hold due to clear margins and nodes
Sept 21/13 clear CT with anomaly thought to be the artery, being watched closely.
Dec 16/13 - anomaly confirmed artery, all clear
nickname: "get 'r done"
Plans: kick cancer's butt
tina77 #176109 01-05-2014 10:56 AM
Joined: Nov 2006
Posts: 2,671
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I checked with my son just now who still uses a humidifier and he said he uses "a kid type now because the elephant's trunk pushes the vapor up higher for better dispersion. Also use distilled water as much as possible to minimize mineral buildup." When Paul was in Tx, he also used a plant mister which has a finer spray than the regular spray bottles. Have you tried sleeping with your head slightly elevated? I've seen discussions recently on this forum with other good ideas - perhaps if you do a search in the search box upper right, you could find something that helps. So sorry about the sleep problems. Hope you can get some good sleep soon!


Anne-Marie
CG to son, Paul (age 33, non-smoker) SCC Stage 2, Surgery 9/21/06, 1/6 tongue Rt.side removed, +48 lymph nodes neck. IMRTx28 completed 12/19/06. CT scan 7/8/10 Cancer-free! ("spot" on lung from scar tissue related to Pneumonia.)



tina77 #176156 01-06-2014 05:48 PM
Joined: Dec 2011
Posts: 126
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Hi Tina,
I was having the same issues for a while after I finished treatment - I suffer from insomnia too and my dry mouth used to wake me up nonstop. One thing that helped a lot was a facial compression wrap (usually used for face lifts), which actually was recommended for lymphodema but worked more effectively at keeping my mouth closed at night. I would think having something wrapping around under your chin may be more effective (and more comfortable) than taping your mouth since it actually supports your chin. I am sure wrapping an ace bandage around your head/chin would provide the same support - may be worth a try if you haven't already.

Another thing that actually helps me a lot too is doing my flouride trays right before I go to sleep. I have noticed that my dry mouth is consistently much worse on nights that I don't do my trays.

Lastly, rinsing my mouth with act dry mouth at night works pretty well for me (if I don't feel like doing my flouride trays some nights I will substitute the dry mouth wash). Everything works differently for different people I have noticed, but I found this mouthwash to be more effective for me than any Biotine product I tried.

My dry mouth has actually gotten a lot better in the last year, so there is still hope it will get better! I never have dry mouth "attacks" anymore, and I often even sleep the night through without having to wake up for water. Of course, my mouth is always very dry when I get up so I am not sure if part of my sleeping through the night is attributable to me just getting used to it, but either way dry mouth no longer keeps me up at night so that's all that matters smile

I hope this helps!


Emily - 24 years old at diagnosis
HPV-, no risk factors
T2N2b Squamous Cell Carcinoma
Left oral tongue, poorly differentiated
Hemiglossectamy, reconstruction, partial neck dissection
30 Radiation treatments, weekly chemo (cisplatin)
1/13/12 last day of treatment
Diagnosed October 2011
tina77 #176157 01-06-2014 06:14 PM
Joined: Jul 2012
Posts: 3,267
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They have these lycra snoring straps that wrap sound the chin, head, that may help keep the mouth closed. I also use a humidifier recently, and that seems help. You can leave a pan of water out which puts moisture back in the air too. Keep the air temperature lower as not to dry you out. I brush with biotene dry mouth toothpaste before bed, dry mouth rinse. I keep a bottle of water bedside, and biotene dry mouth spray, that I use during the night if I awaken. Previously, I used the biotene dry mouth gel too on my lips and in mouth before sleep. I also sleep on an incline bed. Sometimes I brush again when I awaken. And I like to drink something carbonated, sugar (helps saliva) and cold, to help clear the mucus like seltzer, soda, even iced tea. Milk replicates saliva, lasts longer than water, which is only 12-16 minutes. I like to make chocolate egg creams too, but not in the moddle of the night, yet! I used these dry mouth tabs during the day, forget name, which stick to the roof of your mouth I used during the day, but read they can be used at night, but I'm cautious of that. I used, and once put the Act dry mouth lozenges in water, which melts, and drank that for dry mouth, but during the day, not at night yet.

I hope this helps.


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






tina77 #176163 01-07-2014 12:14 AM
Joined: May 2010
Posts: 135
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Posts: 135
Hi Tina. I bought a mouthwash for my aunt who experiences dry mouth from oral cancer. Found it on Amazon and it's called Oasis. She said it is better than anything else she's tried... lasts 1.5 hours after a swish. Their other products get good reviews as well but can't vouch for those personally. Also trident extra care gum is very good... she loves it.


Aunt diag. 2/4/10 with SCC Stage I/II on left side of tongue. Surgery 2/19/10 part. gloss./neck diss. on left side/free flap from chest muscle. TI/II,NO,MO. Clear margins with perineural invasion. Started rads 4/8/10 - 35 treatments, finished 5/26/10.
tina77 #176221 01-08-2014 06:16 AM
Joined: Sep 2012
Posts: 381
tina77 Offline OP
"OCF Canuck"
Platinum Member (300+ posts)
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Posts: 381
Thanks guys. I have tried a number of products without much luck. I think the winter dry air is making it worse. I will try some of the suggestions here.


Tina
Diag: Aug. 13/12
T3N0M0
50% + glossectomy and bilateral radical neck dissection, removal of nodes zones I - V
Surgery October 11/12
Chemo/rad on hold due to clear margins and nodes
Sept 21/13 clear CT with anomaly thought to be the artery, being watched closely.
Dec 16/13 - anomaly confirmed artery, all clear
nickname: "get 'r done"
Plans: kick cancer's butt
tina77 #176225 01-08-2014 07:14 AM
Joined: Dec 2003
Posts: 2,606
Likes: 2
Patient Advocate (old timer, 2000 posts)
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Joined: Dec 2003
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Some options include:

ACT Dry Mouth Lozenges with Xylitol
XyliMelt tabs

I have become a mouth breather because the muscles don't keep the mouth closed naturally. I use a VPAP breathing machine with max pressure of 24 cmH2O because breathing stops and the body can no longer react to CO2 buildup in the lungs. Most CPAP type machine users max range of pressure is 8-14 cmH2O. When it ramps up to try and kick start breathing it can almost blow the mask of the face or if I use the nasal mask it blows the mouth open. I use a ResMed Adjustable Chin Strap. It goes across the H&N and top of the head and holds your mouth shut. I use it with out e machine when it is real dry.

Go buy some type of RH gauge and keep it near the bed. When we hit sudden extreme cold temps, RH drops over night from 35% down to 15%. Those nights or all nights in winter require a cool mist humidifier near the bed.

It took many years to get to this point but I can sleep 8-9 hours without any issues. In the morning it is a "chore" to clear out all the pooled secretions, clean the tongue. During the evening it takes some effort to ensure the nasal passages are clear for nighttime breathing. I get thick secretions so I have to manage that so I don't get big thick plugs stuck in my voice box area as they shut down breathing.

This may help.


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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