Post Treatment Questions: low RBC and dealing with throat pain

Posted by rakga @rakga, Jun 2 4:34pm

Hi everyone,

My husband completed 7 weeks of Cisplatin and radiation on April 5th. As expected the first several weeks after were the worst but he has been steadily improving since. His first ENT appt went well and there was no visable signs of remaining issues and his PET scan is scheduled for the 24th.

There are two items that I would love your experiences with, please:

His white blood cell counts have improved dramatically and are consistently in the normal range now. However, his red blood cell counts are still low and are not rebounding quickly. His oncologist doesn't seem overly concerned and just said that it will take time. How long did it take you or your loved ones to begin to see improvement there?

The main item that he is worried about is that he is still having quite a bit of throat pain when eating. Thankfully he has been able to move away from his PEG feedings to fully eating and drinking by mouth again but after 8-10 bites of food, his throat is extremely painful. The pain passes after 15-20 minutes but has been consistent and not improving. Again, the doctor says it takes time but I think the fact that he isn't seeing any type of improvement week over week is concerning him quite a bit. What has your experience been?

Otherwise, he seems to be doing well. He has regained 2-3 pounds so far (he is down about 45 from the treatment) and his color is returning. He is now able to taste most foods to some degree with chocolate and things like BBQ sauce still not working yet. He is having some pretty profound hearing loss from the cisplatin even though the doctor was extremely aggressive with fluids throughout. We have an appt tomorrow with another audiologist to see which hearing aids may work best for him.

What a journey this has been and continues to be. Praying for good news for my birthday on the 24th which is when his PET scan is. Thank you for your thoughts!

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@kbates624

My husband was diagnosed with HPV P16 positive throat cancer. He had several tumors around his neck that had metastasized. He went has a tracheostomy and a g-tube placed prior to 35 rounds of radiation and 2 rounds of chemo. After 3 mos post treatment his PET showed cancer free- he will need another scan in about a month which will be 3 mos since the last scan. He is now experiencing excruciating pain in his neck, shoulders and clavicle area and it has been a nightmare. Radiation and chemo was a breeze compared to this. He is on 20 mg of oxycodone every 4 hours and that barely takes the edge off, he has tried acupuncture, lymphatic drainage massage (he has alot of inflammation under his chin, has tried muscle relaxers and other pain medications to no avail. He will be getting a medical dispensary card soon and we're hoping THC will do the trick. We are told that this is normal and it will be a long road ahead of recovery as much as a couple of years and that it maybe a new normal that he will have to adjust to. Has anyone had a similar experience and any suggestions for pain relief?

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Hello @kbates624 and welcome to our Head and Neck group.
Having pain from surgery and more so from radiation therapy is common but usually not to the extent you described. It looks like you are doing what you can. My only advice is to weigh each week against the previous week to gage if improvement in recovery is happening and is pain getting better to manage. If not, consult his doctors as pain is one area that medicine should be able to control.
The fight your husband is in will likely be the most trying time of his life. It is a difficult battle that must and will be won. Let’s see whom else jumps in here with an idea or two. Best of healing to him.

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My husband is going on four months done with treatments and he’s not as good as he thought he would be. His throat is still bad and eating is hard some days. He’s tired more. We’re waiting on his pet scan results, all the waiting is so hard. He’s thinking the worse as he’s not better. Hard to see him like this.

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Hi, I’m three weeks out of 35 radiation treatments and 6 chemotherapy treatments for
Laryngeal squamous cell carcinoma. Trouble with eating and drinking due to sore throat. Wondering how long throat pain will last. I continue losing weight but can tolerate Ensure although it burns initially.

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@cris2

My husband is going on four months done with treatments and he’s not as good as he thought he would be. His throat is still bad and eating is hard some days. He’s tired more. We’re waiting on his pet scan results, all the waiting is so hard. He’s thinking the worse as he’s not better. Hard to see him like this.

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It’s a tough row to hoe as they say. Hopefully it gets better soon but it does take months and in many cases years. And it still never gets back to “normal” like before the cancer.
Talk to the doctors if problems persist. Weigh the progress week to week and month to month. If no change or worse, then seek help.

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@mikecarroll1937

Hi, I’m three weeks out of 35 radiation treatments and 6 chemotherapy treatments for
Laryngeal squamous cell carcinoma. Trouble with eating and drinking due to sore throat. Wondering how long throat pain will last. I continue losing weight but can tolerate Ensure although it burns initially.

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Some foods will be intolerable forever. Try everything soft. Vanilla milkshakes don’t burn as much as chocolate. Custard pie is great.
My experience is throat pain can last months. Radiation burns from the inside out and the repair by the body can take as long or longer than an actual burn. It is horrible stuff but better than anything else we have presently.
Two steps forward and one step back they say. I say Courage.
Oh and hey by the way Welcome. I see you are new here. We all would rather be welcomed to a fishing club or similar but this is what the cancer people do so here we are. Toss a question out anytime and someone is bound to pop in.

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@hrhwilliam

Hello @kbates624 and welcome to our Head and Neck group.
Having pain from surgery and more so from radiation therapy is common but usually not to the extent you described. It looks like you are doing what you can. My only advice is to weigh each week against the previous week to gage if improvement in recovery is happening and is pain getting better to manage. If not, consult his doctors as pain is one area that medicine should be able to control.
The fight your husband is in will likely be the most trying time of his life. It is a difficult battle that must and will be won. Let’s see whom else jumps in here with an idea or two. Best of healing to him.

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I went through the same. I told my radiologist at 6 months “ thank you for the perpetual strep throat” she understood.
Let your husband know that he will absolutely get better. For me the worst part of treatment was the 6-8 months post treatment. I am just over a year out. I am enjoying food a bit more and am pain free and eating much healthier than pre cancer.

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@mikecarroll1937

Hi, I’m three weeks out of 35 radiation treatments and 6 chemotherapy treatments for
Laryngeal squamous cell carcinoma. Trouble with eating and drinking due to sore throat. Wondering how long throat pain will last. I continue losing weight but can tolerate Ensure although it burns initially.

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It took me 6 months to expand my diet from high calorie Boost and soups. It does get better. Post treatment for several months was hard. I am a year out and able to eat a wide range of foods. I feel like my throat is a bit smaller but have adjusted well to smaller bites. He will get better.

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@davehutsell

It took me 6 months to expand my diet from high calorie Boost and soups. It does get better. Post treatment for several months was hard. I am a year out and able to eat a wide range of foods. I feel like my throat is a bit smaller but have adjusted well to smaller bites. He will get better.

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Thanks much, very helpful

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@hrhwilliam

Some foods will be intolerable forever. Try everything soft. Vanilla milkshakes don’t burn as much as chocolate. Custard pie is great.
My experience is throat pain can last months. Radiation burns from the inside out and the repair by the body can take as long or longer than an actual burn. It is horrible stuff but better than anything else we have presently.
Two steps forward and one step back they say. I say Courage.
Oh and hey by the way Welcome. I see you are new here. We all would rather be welcomed to a fishing club or similar but this is what the cancer people do so here we are. Toss a question out anytime and someone is bound to pop in.

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Very helpful, thanks for that.

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@mikecarroll1937

Very helpful, thanks for that.

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I am 9 months removed from 28 radiation treatments on vocal cord cancer. The first couple of months were very painful, but it finally subsided. One thing that really helped me was drinking marshmallow root tea.

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