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kimmybgood
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#199797 02/14/2020 8:18 PM
by muddyb00ts
muddyb00ts
I searched high and low for information prior to starting my radiation treatment and found almost nothing. My doctors and the people my doctors put into contact with me answered most of my questions with "it's different for everyone". I wanted to put this out there as a loose guideline for others starting radiation and looking for others' experiences. Remember that individual experiences probably do vary a lot, but here's one experience to get you started.

First, know I'm a 44 year old female non-tobacco user who had a SCC removed from the side of my tongue and neck dissection surgery about 2 months prior to starting radiation.

Treatments 1 through 6 - no effect. Keep in mind that I'm working as a Veterinary Technician at the beginning.
On treatment day #7 Started getting a salty taste in my mouth. My doctors say this is unusual. (It sounds like it's more common to get a metallic taste.) The tip of my tongue started getting a little sensitive, but it was barely noticeable and didn't effect me talking or eating. Food taste was normal.
Treatment day #8 About the same.
Over the weekend The salty taste in my mouth became nauseating on Saturday and the tongue sensitivity began making eating a hair uncomfortable if the food was hard or pokey. Food taste was normal as the salty taste would go away while eating and then come right back (even between swallows!) I was still active, went kayaking, etc.
Treatment day #9 Eating became very hard. I had steak and mushrooms, but swallowed much of the steak whole as chewing and manipulating food with my tongue was painful. Unable to brush my teeth that night due to pain. The salty taste was still there and my sense of taste was starting to get weaker.
Treatment day #10 We made rising crust pizza for dinner as it was soft and I felt I could eat it, but I could only get one small slice down. Had Ensure for dinner instead.
Treatment day #11 Doctor said to try to get real food down as much as possible, so I got a macaroni salad w/ egg in it from the grocery store at lunch. The red onions burned my mouth. I ate almost all of it, but it was a chore and was pretty tasteless. Started the salt + baking soda mouth rinse my doctor suggested in the beginning. When not eating my mouth didn't hurt much at all.
Treatment day #12 I got no sleep due to mouth pain. Got up and looked in the mirror at my tongue and the tip was covered in white stuff. After treatment I talked to my doctor and she confirmed it was thrush. Started fluconazole tablets and a dexamethasone mouth rinse for mucositis / the mouth soreness. Discussed cutting my hours at work due to pain and decreasing energy.
Treatment day #13 Woke up with almost no mouth pain and the white stuff was gone!
Over the weekend The salty taste finally let up, but the right side of my tongue where it rubs my teeth hurt a lot especially when eating or talking. I had some hydrocodone left from after my surgery and took that in order to get soup down that night after drinking nothing but Ensure all day. Ate a poached egg and some sauteed mushrooms. The egg was easy to eat and after accepting that I'd be getting most of my calories from Ensure I was feeling better (more energy with more calories getting in) and less stressed.
Treatment day #14 The salty taste is coming back, but it's mild. Went for a walk, able to get down a can of cream of potato soup with blended corned beef hash in it (high calories and I can't taste it anyway!) Did housework -wishing I hadn't cut my hours at work as I'm feeling good! I do have to take a lot of breaks, however, and the walk was quite slow. Still, 10,000 steps in!
Treatment day #15 Worked a half day in a daze because I didn't make sure I got my calories in. After work I downed enough Ensure to make my calorie input and output match and then felt better and went on a hike. Was VERY tired after. I definitely overdid it, but as of today I'm HALFWAY DONE!!!
Treatment day #16 Ate soup for lunch and dinner. Getting better at judging what I can do, blending chunky soups, getting my calories in. The salty taste has turned into a gross milky taste that makes me not want cream soups or Ensure or anything else milky.
Treatment day #17 The skin on both sides of my neck down to my collarbones is itchy and very slightly red. Milky taste getting worse and making me not want to eat or drink Ensure. Started putting Cortisone 1% lotion on the red areas to try to calm them down. Helps a little with the itching I think.
Treatment day #18 I had a cold that hadn't quite cleared up before starting treatment and my cough had persisted throughout treatment. I'm not sure if treatment causes coughing or if this is from the cold and just hanging on, but between the cough and the milky taste I ended up vomiting a little right before treatment today. It's also cold out and I'm just kinda letting myself have a down day.

The future:

Over the weekend
Treatment day #19
Treatment day #20
Treatment day #21
Treatment day #22
Treatment day #23
Over the weekend
Treatment day #24
Treatment day #25
Treatment day #26
Treatment day #27
Treatment day #28
Over the weekend
Treatment day #29
Treatment day #30

Overall, I saw a pattern of feeling best Sunday, Monday, and Tuesday and worst Thursday, Friday, and Saturday. My doctor told me to expect the same when treatment ends -I'll likely start feeling better 2 days after and continue to improve (slowly) from there.

You can try PM'ing me if you want to talk, I'd be happy to help.

-Erica
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#199884 Mar 2nd a 07:27 AM
by MST
MST
One day at a time. You can do this.

During the last couple of radiation weeks I had constant nausea and vomited often- the smell of food was almost intolerable, and the mouth sores were bad, especially on the tongue. I had the viscous lidocaine also, but could not bring my self to swallow it so swished it around for a minute or two then spit it out. I tried to keep as much as possible of it on my tongue sores, and it did provide some relief.

The drive to radiation was filled with apprehension. The stent gagged me and when I got strapped down the stent handle would push down hard onto my lips. I told my Doctor it was a medievel torture device. He raised his eyebrows.

My Doctor advised me to "keep ahead" of the pain, telling me not to wait too long to take meds.

I did not think I could finish, but I did and so can you!

I am wishing you the best.
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