#89146 01-29-2009 10:56 AM | Joined: Jan 2009 Posts: 71 Supporting Member (50+ posts) | OP Supporting Member (50+ posts) Joined: Jan 2009 Posts: 71 | Just completed chemo and radiation 1/27/08. I can swallow fine but only swallow to take pills. Otherwise, I'm using my peg. Mouth is not terribly dry.
Radiation burns just started to peel and i'm wondering what treatments work best. I'm also wondering how long it will be before i can start eating something!! I know it's different with everyone, but i'm getting tired of pumping food through a tube. Also, what foods should i try first? It won't be Ensure!
57 @ Dx, Stg IV BOT (1.5cm), lymph nodes (lrgst 2.5cm), non-smoker, casual drinker and exercise nut, Cisplatin x 2, Erbetux w/IMRT x 35/70Gy, PEG, Treated in San Antonio @ CTRC 12/16/08-1/27/09. 3/5/09-CT 6/12/09-PET, PEG out 12/1/09-CT 12/6/10-PET 12-8/11-CT 1-4/13-CT (all clean) | | | | Joined: Sep 2008 Posts: 27 Contributing Member (25+ posts) | Contributing Member (25+ posts) Joined: Sep 2008 Posts: 27 | Congrats on completing your treatment!
For my husband, Silvadene cream worked wonders on his neck burns (and his were really really bad). Make sure you get the large jar prescribed. The dinky little tubes will get you nowhere.
Start swallowing food as soon as you are physically able (unless your doctor said you need to have a swallowing test first). Cereal worked well (after it soaked a while) to start with. Soups (that have cooled a little), egg noodles with butter... anything that can slide down is good.
If you are like most, you are probably having thick mucousy secretions right now (or will soon). That is typically followed by the dry mouth - which will most likely last a long time, unfortunately.
Hang in there. It does get better!
Caregiver to husband, 44, nonsmoker, nondrinker Diagnosed 7/15/08 with BOT SCC, stage IVa. Two positive nodes removed Cisplatin and erbitux ended 10/15/08 Radiation over 10/20/08 Back to work 11/24/08 PEG out 12/9/08 Scans 12/2008 and 3/2009 Clear
| | | | Joined: Aug 2008 Posts: 716 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Aug 2008 Posts: 716 | Ray,
Welcome to OCF. I finished 11-4-08, and I'm getting most of my nutrition through Carnation VHC and soups. I can eat, but, it is very little--almost like baby portions. I have okay taste but the texture is off a little. When I go out, I try to order appetizers or from the children's menu and I suspect it will be that way for a while. I don't notice changes from day-to-day or even from week-to-week; although, I do notice a big difference from month-to-month. Baby-steps is all I can say...
I use to live in Houston and San Marcos, Texas....I almost feel like I'm talking to myself...I don't run into too many Rays.
Last edited by Ray1971; 01-29-2009 11:56 AM.
7-16-08 age 37@Dx, T3N0M0 SCC 4.778cm tumor, left side of oral tongue, non smoker, casual drinker, I am the 4th in my family to have H&N cancer 8-13-08 left neck dissection and 40% of tongue removed, submandibular salivary gland & 14 nodes clean, no chemo, IMRTx35 11-4-08 Recovering & feeling better | | | | Joined: Sep 2008 Posts: 489 Platinum Member (300+ posts) | Platinum Member (300+ posts) Joined: Sep 2008 Posts: 489 | Ray in TX Welcome to OCF and congratulations on finishing your tx. You will find a lot of help and information here. Try to swallow more each day and it will improve a little at a time. You don't want to have to learn to swallow again so keep practicing.
The doctor prescribed a product called Biafine for my radiation burns and it really did wonders. First they had me do some soaks with a product called Dromeboro to dry up the skin then apply the cream. It really worked well and also seemed to lessen the appearance of some of my scars. Be sure to ask your doctor to prescribe something to relieve it.
Both Rays - I also lived in Kemah and Houston TX.
Patty
Last edited by Good1; 01-29-2009 12:02 PM. Reason: typo again
48 SCC Floor of Mouth 7/06 9/06 Surgery, bilateral neck dissection, 58 nodes clear PT2pN0pMx 35 rad 2006 Recurred 6/08, 1 Carboplatin, 1 Cisplatin Surgery 9/08 - Total glossectomy, free flap from pectoral muscle, left mandible replaced using fibula 35 IMRT & Erbitux 11/08 4/15/09 recurrence 6/1/09 passed away, rest in peace
| | | | Joined: Nov 2005 Posts: 1,128 Patient Advocate (1000+ posts) | Patient Advocate (1000+ posts) Joined: Nov 2005 Posts: 1,128 | After my first flap surgery and trach, when I started swallowing I really enjoyed chicken broth! Doesn't have much in the way of nourishment, but had lots of flavor -- A real treat! Depending on season and how cold I feel, ice cream can also be a real winner and has lots of calories to boot!
BTW, radiation nurses told me to try Kool Whip as a swallowing aid; sort of greases the pipes!
Age 67 1/2 Ventral Tongue SCC T2N0M0G1 10/05 Anterior Tongue SCC T2N0M0G2 6/08 Base of Tongue SCC T2N0M0G2 12/08 Three partial glossectomy (10/05,11/05,6/08), PEG, 37 XRT 66.6 Gy 1/06 Neck dissection, trach, PEG & forearm free flap (6/08) Total glossectomy, trach, PEG & thigh free flap (12/08) On August 21, 2010 at 9:20 am, Pete went off to play with the ratties in the sky.
| | | | Joined: Jun 2007 Posts: 10,507 Likes: 7 Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) | Administrator, Director of Patient Support Services Patient Advocate (old timer, 2000 posts) Joined: Jun 2007 Posts: 10,507 Likes: 7 | Welcome to OCF ray.
Congrats on completing your treatments. In a couple weeks you will start to feel a little better. A couple good first foods are sliced canned peaches, milkshakes, yogurt, and warm chicken broth.
Best of luck with your recovery. ChristineSCC 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 | | | | 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 | Fruit cocktail, mashed potatoes w/ plenty of gravy, anything with plenty of gravy. I lived off of Carnation Breakfast VHC for over a year post Tx. I drank a can mixed with whole milk, half and half, with each meal to make sure I got enough calories (3000 per day) especially when everything tastes yucky and it takes a hour to finish a kids meal. BTW that's what you need to order when getting food from a restaurant until you want to eat an adults portion. My favorites were Kids spaghetti w/ meat sauce and chicken pot pies.
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: 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 | Aside from the ones already mentioned - mashed potatos & gravy, etc, I found tomato soup, oatmeal, eggs and yogurt all good at first. You can even dip some bread int he soup to get some carbs.
Don't expect miracles. This will take time. My first meals would last an hour!
Patience.
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: Jun 2008 Posts: 148 Senior Member (100+ posts) | Senior Member (100+ posts) Joined: Jun 2008 Posts: 148 | Congrats on finishing tx, a huge deal! I kept the peg for about 6 weeks post tx and started back on chicken noodle soup, scrambled eggs, apple sauce just as soon as my throat allowed. Your recovery has now officially started and as noted you just have to be patient as it will take some time.
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: Feb 2004 Posts: 598 "Above & Beyond" Member (500+ posts) | "Above & Beyond" Member (500+ posts) Joined: Feb 2004 Posts: 598 | Congratulations on finishing treatment!!
Ditto on the mashed potatoes with plenty of gravy. It is really pretty versatile, as you can add some onion, mushrooms, etc. as time goes by. I was lucky and kept eating all the way through, but mashed potatoes covered with ground beef, onions and gravy saw me through -- together with a variety of soups.
As others have said, one step at a time! Jeff SCC Right BOT Dx 3/28/2007 T2N2a M0G1,Stage IVa Bilateral Neck Dissection 4/11/2007 39 x IMRT, 8 x Cisplatin Ended 7/11/07 Complete response to treatment so far!!
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