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@kmlnj

Update from OP. I just completed week 4 of daily radiation and chemo. The radiation oncologist stated they are radiating my entire thyroid bed (thyroidectomy and neck dissection to remove 2 lymph nodes at base of neck). They are also radiating my trachea where the remaining cancer is.
I have zero side effects- except extreme pain in my throat. Razor blade throat and throat on fire.
I am not going to list all side effects here that are possible, I dont have any. I am not even tired.

So...the pain. The chemo team is in charge of pain (not radiology). Not sure why.
I only need pain meds to swallow. Otherwise, I just walk around with a sore throat. Level 8. I spit the mucous out, so I don't have to swallow it.
I am on tylenol max 3000 mg a day.
We tried 5mg oxy but I had a reaction. So we stopped.
Now we are trying gabapentin. I refused fentanol.
Tylenol works, it's just not great for your liver.
My goal isn't low pain. With pain at 4 or 5, I can swallow the liquid diet, wincing as I go. Water is really difficult.
My diet is Kate Farms 3 x day.
My labs are good.
They will do IV hydration for week 5 and week 6.

Everyone be well. If something is not working, try something else. Ask for help. If you are in pain, let the team know.
Kathy

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Replies to "Update from OP. I just completed week 4 of daily radiation and chemo. The radiation oncologist..."

Kathy, Sounds like you are handling it well and No feeding tube? 20 rounds down? I assume you are still driving yourself to treatment? Your symptoms are very close to what mine were. I managed to deal with the throat pain but needed Tylenol or Oxy to help get a meal down. All I really tried to do was get down good protein and maintain my weight. Hang in there and keep fighting. It will get a little worse up to about 3 weeks after final treatment but you can do it. Today about 18 months out I am back to about 90% with Clean scans. God speed.

ohhhh how painful for you.
how about asking your pain team for this :Oral lidocaine, often referred to as "viscous lidocaine," is a common treatment option for radiation esophagitis, providing topical anesthetic relief to the inflamed esophageal lining, helping to alleviate pain and discomfort associated with swallowing difficulty caused by radiation therapy.