#60747     05-04-2007 05:55 AM      |       Joined:  Apr 2007  Posts: 4    Member   |      OP      Member    Joined:  Apr 2007  Posts: 4  |    Hi, I'm Sheila. My Brother-In-Law Andy is going through radiation and chemo treatments and is entering in his last week. 
  Curious to see if anybody here could answer some questions that him and my sister have.
  How long before the gag reflex stops? 
  How long after treatments were you able to eat solid foods?
  How long did you have your peg tube in?
 
  Andy had a Partial Glossectomy and Lymph Node removals.      |      |       |                      
#60748     05-04-2007 10:10 AM      |       Joined:  Sep 2006  Posts: 8,311    Senior Patient Advocate Patient Advocate (old timer, 2000 posts)   |           Senior Patient Advocate Patient Advocate (old timer, 2000 posts)    Joined:  Sep 2006  Posts: 8,311  |    she,
  Whatever comments you get remember everyone can react differently to the same or similar treatment(s). With that in mind:
  Depending upon how he has handled the Tx so far, the next 3 to 4 weeks will probably be his worse. Most of us begin to feel a positive difference in the 3rd week post Tx and that was true for me.
  At that time I started to wean myself back into solid foods slowly with mashed potatoes and gravey, mac n cheese, fruit cocktail, etc.
  I also stopped taking all meds because they couln't give me anything to control my nausea. After I stopped all meds I actually stopped being nauseated which led to eating more and getting stronger and better, etc.
  I did not have a Peg.
  Hope this helps.        
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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#60749     05-04-2007 11:32 AM      |       Joined:  Apr 2006  Posts: 583    "Above & Beyond" Member (500+ posts)   |           "Above & Beyond" Member (500+ posts)    Joined:  Apr 2006  Posts: 583  |    SheShe, Hi and welcome to OCF.  Like David said everyone is different. I think I tried eating about a month out.  I started with Oat meal and it was only about a table spoonful.  I did not have much of an appetite.  It took me a while, by 3 & 4 months I did better. Some things that I tried were Cream of mushroom soup, jello, cream of wheat.  Some things will taste awful!  So it kills the fun of it. Do not make them to hot. Room temperature until you get better and no spices. I had my peg tube for about 8 or 9 months after treatment.  I had to show I could eat and maintain weight before removal. I did eat & use the tube to make sure I was getting enough at first.  Really important to make sure you get lots of liquids. Hope this was some what helpful. This is a long recovery do not think thing will be better in just a few weeks. Take care and keep reading there is a lot here to learn. Diane             
2004 SCC R.tip 1/4 tongue Oct. 2005 R. Neck SCC cancer/Chemo Cisplatin 2x/8wks. Rad. Removed Jugular vein, Lymph gland & some neck muscle. TX finished 1/20/06...      B.Cancer 3/29/07 Finished 6/07 Bi-op 7/15/09 SCC in-situ, laser surgery removed from 1st. sight. Right jaw replacement 11/3/14.  9 yrs cancer free as of Jan. 2015
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#60750     05-05-2007 02:07 PM      |       Joined:  Aug 2006  Posts: 294    Gold Member (200+ posts)   |           Gold Member (200+ posts)    Joined:  Aug 2006  Posts: 294  |    She,
  Just to throw in another PEG response, I only kept mine for about 6 weeks following Tx.  I was bound and determined to get rid of the thing as I hated it so much.  I believe this attitude also helped me to get back to eating by mouth quicker than would have happened otherwise.  I lost about 6 to 8 more pounds after it was removed but then bottomed out.  It took about 4 months post PEG to start putting a little weight back on.
  Bill D.        
Dx 4/27/06, SCC, BOT, Stage III/IV, Tx 5/25/06 through 7/12/06 - 33 IMRT and 4 chemo, radical right side neck dissection 9/20/06.
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#60751     05-05-2007 02:53 PM      |       Joined:  Apr 2005  Posts: 2,676    Patient Advocate (old timer, 2000 posts)   |           Patient Advocate (old timer, 2000 posts)    Joined:  Apr 2005  Posts: 2,676  |    Hi, SS11, here's another "everyone is different story". My hubby had  his 1st peg inserted during the cancer surgery on 4-21-05, starting May 25-05 he had  30 rad treatments[no chemo the 1st time] He was able to eat some soft foods off and on during the tx., but most of his nutrition was by peg. His rad tx. ended on July 6-05 and his peg came out Aug. 24-o5. [which was too soon in my opinion because it was a real struggle to maintain  his weight once the peg was out, and that caused more problems]. Total time that peg was in was 123 days. I think the REAL question here is "at what point is the person dealing with this confident that he\she can maintain adequate nutrition and hydration to keep  on the road to recovery and out of trouble?"  No one can answer that but those involved and those involved need to be very honest in that assessment. Amy in the Ozarks        
CGtoJohn:SCC Flr of Mouth.Dx 3\05. Surg.4\05.T3NOMO.IMRTx30. Recur  Dx 1\06.Surg 2\06. Chemo: 4 Cycles of Carbo\Taxol:on Erbitux for 7 mo. Lost our battle 2-23-07- But not the will to fight this disease
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#60752     05-11-2007 11:22 AM      |       Joined:  Jun 2006  Posts: 82    Supporting Member (50+ posts)   |           Supporting Member (50+ posts)    Joined:  Jun 2006  Posts: 82  |    I had my PEG from mid-treatment until about 8 weeks after treatment.  Food wasn't great at that time, but manageable.  I gagged not only with food, but also every time I yawned-I don't know if that is common or not.  Some days the pain meds would make it worst, other days it didn't seem to matter.  As many others have said, it is important that he feels comfortable eating, especially from a psychological standpoint which can be the hardest, before the tube is removed.        
DX on 05/01/06 with SCC of right tongue.  05/11/06 surgery-tumor 1.2cm & 4 cm clear margins & parital glos. & neck dissection with removal of 34 nodes/1 positive at 4mm)T1N1MO 35 IGRT & 3 cycles of chemo (1 cisplatin & 2 carbo-complete on 8/9/06.
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#60753     05-16-2007 07:36 AM      |       Joined:  Dec 2006  Posts: 21    Member   |           Member    Joined:  Dec 2006  Posts: 21  |    I am 2 1/2 months post radiation treatments, and still have my peg.  I am working with a nutritionist to take controlled steps to get off of it, yet keep the nutrition up.  I do not want to have it removed too soon.  
  I still have the gag reflex, and have been told to only eat "pureed" foods at this point.  I can tolerate cream of wheat so far, but pureed fruits still burn my throat.  It is a struggle, and I never dreamed it would be so hard to learn how to eat again!!! I needed to lose weight anyway, but they don't want me lose more right now as that is the only way they can tell if I am getting enough calories to sustain.
  All of us seem to have to deal with this to some degree, some more than others.  Thanks to all of you who write to keep us motivated and cheered up!!
  Betty        
Squamous Cell Carcinoma of tongue, stage II due to size >3mm, nothing seen in neck on CT scan.  Radiation started in Jan 07. Completed 2/26/07. Recurrance confirmed 8/07.
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