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#55080 06-17-2004 12:53 PM
Joined: Oct 2003
Posts: 25
len Offline OP
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Am now 6 months post Rad and Chemo (no surgery) and things have been going well except for my mouth. I just can't seem to clear my mouth of the painful sores. This has prevented me from making real progress with eating, weight gain etc. I am still using the PEG and eating what I can by mouth. My Doc's have tried various mouthwash products, thrush medication and antibiotics. A biopsy was completed on the most severe area which showed nothing unusual (thank God!) other than cysts with some bacterial infection. At his point nothing seems to help.

I would appreciate hearing from anyone that has or had this problem. Is it unusual to be going this long? Any solutions or suggestions? Thanks.


Tongue cancer (SCC), diag. 10/03, Stage III, Rad 7weeks 2X daily, Chemo 5 weeks.


SCC base of tongue,T1N1M0, Rad & Chemo, treatment ended 12/11/2003
#55081 06-17-2004 02:24 PM
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Hi, Len, mouth sores are definitely a side effect that applies to nearly all if not all oral cancer patients. I had to take pain medicine and mouthwash products prescribed by my doctor to relieve the pain. I didn't have antibiotics because the sore was not an infection in my case. The gargle I took could numb my mouth for a short while so that I could eat my meal without much dfficulty. The mouth sores could last for quite some time but I can't remember for how long but I could eat most of the food about 4 months post treatment. I never had a PEG tube. By the way, there is still some minor sore along the sides of my tongue even today but it doesn't affect my speech and eating. Hang in there, the sores will fade away gradually but may take a longer time. Everyone has a different healing schedule.

Karen.


Karen stage 4B (T3N3M0)tonsil cancer diagnosed in 9/2001.Concurrent chemo-radiation treatment ( XRT x 48 /Cisplatin x 4) ended in 12/01. Have been in remission ever since.
#55082 06-17-2004 04:30 PM
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Hi Len,
My mom is in the same boat. Lidocaine offers some very temporary relief, but that's about it. I'm taking her for accupuncture next week to see if that helps. She's 9 months post treatment and still has incredible pain in her mouth caused by new sores. She developed some sores on her tongue that have been there for at least two months. They are as painful as hell too. The doctor did a brush biopsy and thankfully that came back negative, but they are still there and have mad it such that she is still on the PEG and so medicated that she virtually sleeps the days away. I've been told that it's just a matter of time. Admittedly I'm getting a tired of hearing that and would like a better answer, but evidently everyone heals differently. Hang in there. If I learn anything that may be useful, I'll post or email you. I hope you're feeling better soon. Take care.


Mom's caregvr. DDS failed to dx 01/03. Dx Stg IV SCC 05/03. Induct. chemo, IMRT, 5FU, H, Iressa, Neck disect, radiation. Dad's caregvr. Dx 01/04 Ext. Stg SCLC. Mets to liver/bone 08/04. Died 11/12/04. Mom tongue CA dx 06/13, hemiglossectomy (80% removed) 08/13. Clean margins and nodes, but PNI. 6/15/15: Tongue CA at base of remnant tongue. Declined further tx; hospice.
Died 10/13/15. What a long and difficult journey.
#55083 06-17-2004 05:37 PM
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Len,

I had the same problem and quit eating anything citrus or any type of hard candies or throat lozenges. I also started scraping my tongue twice a day and it has returned to a lovely rose color.

You can get the tongue scrapers from your dentist. They are flexible plastic and have a regular side and a soft side. There is a gel you can apply first with your finger (if you can get past the gag reflex) and then you scrape your tongue. Be sure and start with the soft side. It gets all the crud off and eventually the bacterial sores are gone forever (or at least gone often with longer intervals between). The maker is Breathrx. I can send you one if you can't find them locally.

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
#55084 06-18-2004 04:07 AM
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Len,

I can't swear to it working, but I speak with many people that have mouth sores and two things keep coming up.

1) rinse with a salt/baking soda/water combo.
2) rinse (and swallow if you want)with Pure Aloe Vera juice. Available a health food grocery stores.

Hope it helps.
Dinah

#55085 06-18-2004 07:30 AM
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Don't forget to think about other vitamin helpers like vitamen E and others. Don't go with large doses unless you speak with your doctor first.


Mark, 21 Year survivor, SCC right tonsil, 3 nodes positive, one with extra-capsular spread. I never asked what stage (would have scared me anyway) Right side tonsillectomy, radical neck dissection right side, maximum radiation to both sides, no chemo, no PEG, age 40 when diagnosed.
#55086 06-18-2004 10:10 AM
Joined: May 2002
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I was put on 220mg Zinc sulfate, 400iu Vitamin E 2x day, 500mg vitamin C 2X a day, and a multivitiamin like Centrum to promote healing. I did not have terrible mouth sores, but I did have a rampant case of thrush that took forever to get rid of, plus problems with gums healing. Still taking the stuff and haven't had a cold since, not that I got a lot of them before. Anyway, check with your doctor before doing this. I think the zinc really helps.

Take care,
Eileen


----------------------
Aug 1997 unknown primary, Stage III
mets to 1 lymph node in neck; rt ND, 36 XRT rad
Aug 2001 tiny tumor on larynx, Stage I total laryngectomy; left ND
June 5, 2010 dx early stage breast cancer
June 9, 2011 SCC 1.5 cm hypo pharynx, 70% P-16 positive, no mets, Stage I

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