#87480 01-07-2009 03:21 PM | Joined: Jan 2009 Posts: 225 "OCF across the pond" Gold Member (200+ posts) | OP "OCF across the pond" Gold Member (200+ posts) Joined: Jan 2009 Posts: 225 | Hi all, We need help.
It has now been 12 weeks since he finished the treatment radiation. A few weeks back he was fine, his taste buds were getting better and his mouth was quite moist, all seemed good and we thought we had turned a corner. But 4 weeks ago, the dryness came back, and for the last 2 days the horrible salty taste to food has come back. the consultants seem to dismiss it and say he caught cold and it will come back. However it seems to be getting worse not better. He is also getting terrible pains in the neck in the scar area. The muscles seem incredibly tense to the touch. It is odd, the outside skin is numb, so if I touch him he can't feel it, but under the skin it hurts. The pain makes lean to one side and walk crooked. I have read about the tast and saliva loss after treatment, but not that it comes back then goes away even worse so long after treatment. Has anyone experienced all of this? Thanks Cecilia
Last edited by Cecilia; 01-07-2009 04:12 PM.
Girlfriend to Martin 49 years old at diagnosis Diagnosed with SCC unknown primary June 2008. Cancer found in single node Stage N2A (3 to 6cm). Tonsilectomy 16th june, Radical modified neck dissection left side 30th june. 30 TX radiotherapy ended 9th October First comparative study scan came back clear
| | | | 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 | Cecilia,
First off we are not Oral Cancer doctors who can answer these questions so you really need to be talking to them. With that said please understand that each of us can respond differently to the same Tx and the recovery is a long and sometimes bumpy road. One day you think you've turned the corner and the next you feel worse than before. Our recoveries can easily take 2 years so patience is important. Again I'm not saying ignore his patterns and you need to talk to his doctors but it may just be his unique way of recovering.
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.
| | | | Joined: Jun 2008 Posts: 148 Senior Member (100+ posts) | Senior Member (100+ posts) Joined: Jun 2008 Posts: 148 | As David notes, it is a hilly ride through recovery and my doctors told me to expect highs and lows along the way. There were definitely times during the first several months post treatment that I felt I had digressed only to rebound whether it was taste or the dryness. I am now a year out since last treatment and doing darn good but is it ( taste, moisture & neck ) like is was before? Heck no. Based on what others have said on this site Cecilia, I am going to give it 18 to 24 months before I say, "well this is the new norm for life". I also saw my doctors every 4 to 6 weeks following treatment and assume Martin is as well. Gave me the opportunity to ask many questions about healing and reassurance that there was nothing else going on.
Bill . . . SCC - originated in right tonsil, drifted into neck ( 28 lymph nodes removed - one positive ). Radical neck dissection in September 07, completed 34 radiation tx on January 4, 2008. Used Peg. Non smoker, 61, good shape, no previous health issues. Second year PET scan - "all clear".
| | | | Joined: Jan 2009 Posts: 225 "OCF across the pond" Gold Member (200+ posts) | OP "OCF across the pond" Gold Member (200+ posts) Joined: Jan 2009 Posts: 225 | Thanks. The doctors are not concerned so I suppose all is healing the way it should. it's just nice to the opinions from patients as well.
Girlfriend to Martin 49 years old at diagnosis Diagnosed with SCC unknown primary June 2008. Cancer found in single node Stage N2A (3 to 6cm). Tonsilectomy 16th june, Radical modified neck dissection left side 30th june. 30 TX radiotherapy ended 9th October First comparative study scan came back clear
| | | | Joined: Aug 2008 Posts: 531 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Aug 2008 Posts: 531 | I never had radiation but had extensive surgery...I have that numb feeling on top but painful inside...I consider it like a freezing feeling...I seem to be getting more and more feeling back...I am only four months since surgery though have been told another 3-6 months yet before normal...I am also diabetic which hinders the healing process...I don't know if this helps but we are all I think in our own way trying to find out what is normal and what isn't and I keep trying to pry into my brain that there are limited normal healing roads as every person's body reacts different to treatment...just because it isn't normal doesn't mean it is bad but most doctors have seen most of the variables and can differentiate between something and nothing...
Dianne..treatment at cc at Victoria Hospital, London, Ontario...insulin dependant, Surgery Sept 8/08 Tracheotomy,composite resection and bilateral neck dissection, left radial forearm free flap... T2N0 squamous cell carcinoma. No radiation A little over 2 yrs clear YAY
| | | | Joined: Mar 2003 Posts: 1,384 Likes: 1 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Mar 2003 Posts: 1,384 Likes: 1 | Cecilia, The dryness is probably normal "get used to it" but I think I can offer this for you:
I had/have exactly the same kind of pain you describe. Get to the doctor and ask for Diazepam. For me when this pain happens (it is a muscle spasm) 4mg of Diazepam and one 200mg Ibuprofen takes care of it within 30 minutes. The relief will be dramatic! I have this problem about 3 days out of 30. It continues even after 7 years but with less frequency. As far as anyone can say this is a result of the radiation.
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.
| | | | Joined: Mar 2008 Posts: 3,082 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Mar 2008 Posts: 3,082 | Cecilia
The road to recovery is more like a labyrinth than a super highway. Just like when you turn a corner in a maze, you can find yourself heading back in the direction you started from, taste and saliva can (and in my case did) fluctuate wildly. What was most frustrating to my caregiver wife was similar to what you are enduring. At about 2 months after radiation over, I could eat almost anything, including steak, then a month later I was back to soups and soft foods and couldn't taste anything again. Foods she had prepared were now inedible for me. I tried Zinc tablets on my doctor's advice to restart the taste buds, but it did not help me. You may want to at least discuss that option with his doctors. It was not until a full year had passed after the radiation before the seesawing of saliva and taste stopped. It is much better now, but nowhere near pre-cancer. One last suggestion: go with him to his doctor's appointments to make sure these complaints are heard and evaluated by the doctors and take notes on their responses. I was amazed at what my wife's notes said about doctor's advice compared to what I had thought I heard at the follow ups. Good luck.
65 yr Old Frack Stage IV BOT T3N2M0 HPV 16+ 2007:72GY IMRT(40) 8 ERBITUX No PEG 2008:CANCER BACK Salvage Surgery 25GY-CyberKnife(5) 3 Carboplatin Apaghia /G button 2012: CANCER BACK -left tonsilar fossa 40GY-CyberKnife(5) 3 Carboplatin Passed away 4-29-13
| | | | Joined: Sep 2006 Posts: 1,357 Likes: 5 "OCF Canuck" Patient Advocate (1000+ posts) | "OCF Canuck" Patient Advocate (1000+ posts) Joined: Sep 2006 Posts: 1,357 Likes: 5 | I remember things going from metallic to salty, and wondering if anything approaching normal would ever return. Even water tasted horridly salty. I'm not sure how long it took to get normal taste back - these things seem to just happen without us realizing it! Take heart - it will improve.
Donna
Donna,69, SCC L Tongue T2N1MO Stg IV 4/04 w/partial gloss;32 radtx; T2N2M0 Stg IV; R tongue-2nd partial gloss w/graft 10/07; 30 radtx/2 cispl 2/08. 3rd Oral Cancer surgery 1/22 - Stage 1. 2022 surgery eliminated swallowing and bottom left jaw. Now a “Tubie for Life”.no food envy - Thank God! Surviving isn't easy!!!! .Proudly Canadian - YES, UNIVERSAL HEALTH CARE IS WONDERFUL! (Not perfect but definitely WONDERFUL)
| | | | Joined: Nov 2008 Posts: 12 Member | Member Joined: Nov 2008 Posts: 12 | Cecilia: I am no expert and only 8 1/2 weeks out of radiation. But for what it is worth, I heartily agree with all who said the recovery process is a laberynth. I am not yet back to eating, and have to literally retrain myself to swallow. But the saliva problem is a roller coaster. And that coupled with the back of the throat phlegm is going to drive me insane. So I would not expect clear sailing for some time. Above all, as stated earlier in one post, make sure you attend each meeting with the doctors. I am astounded at what I hear compared to the notes my wife and caregiver takes of the meetings. And she has been right all the time. | | | | Joined: Jun 2007 Posts: 5,260 Patient Advocate (old timer, 2000 posts) | Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 5,260 | I think the phlegm is given to us to test our will power. It's been a long time and that stuff got to me in church this morning. I was coughing gurgling water, which I always have with me, and coughing like some little chipmunk that just got smacked by an auto.
Since posting this. UPMC, Pittsburgh, Oct 2011 until Jan. I averaged about 2 to 3 surgeries a week there. w Can't have jaw made as bone is deteroriating steaily that is left in jaw. Mersa is to blame. Feeding tube . Had trach for 4mos. Got it out April. --- Passed away 5/14/14, will be greatly missed by everyone here
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