What was your experience immediately following RT/chemo?

Posted by Lynn @cometsmom, Jun 14, 2024

My husband Jeff completed 6 weeks of RT/chemo on Friday. He was told the first few weeks could be the most difficult of all and so far, things have been pretty rough. He was not able to eat anything at all for the last 4 days and yesterday couldn't even get Ensure to go down. He was admitted to the hospital and the plan is to try an endoscopy this morning. The GI doctor is not sure they'll be able to pass the scope. He's getting the feeding tube back in. He said it could be inflammation from the radiation or tumor obstructing. Jeff has lost 10 pounds in the past week and looks awful, gray and exhausted. He's sleeping almost all of the time. I'm anxiously awaiting the results. Has anyone had a similar experience after completing treatment? What was the outcome? Thanks for your input.

Interested in more discussions like this? Go to the Esophageal Cancer Support Group.

Understand your situation and staging now. Do you know your tumor biology? If they had that already then they would know which immunotherapies might be most effective... although I've seen some be effective in situations where they should not have been effective. Go figure.

Hang tough... you know where we are on our twice-weekly free Zoom calls.

Gary

REPLY
@cometsmom

Just posting a cautiously positive update. My husband finished his chemo/radiation June 7th and had a rough time afterwards. Jeff has been able to eat a much greater variety of foods over the past week. The esophagitis is resolving thankfully. His weight has been stable, albeit low, but he's getting stronger in every way each day. I'm anxious about the first CT scan Monday, although I think it will be fine because it didn't detect any problems when he was rediagnosed in February. Gastro appt and rad onc visits Wednesday. Endoscopy 8-10 weeks after treatment ended.

We're going away to the beach in RI for a few days the last week of July. It's only about 45 mins away from home so we don't need to worry about anything if Jeff had any problems. I can't wait to relax. So that's it, that's where we're at. The healing time they told us about has been right on schedule. I'm so happy he's able to eat again. I hope all of you are doing well ❤️

Jump to this post

Hi Lynn
My dad was diagnosed a few weeks ago and we are on 2 chemo and getting ready to start radiation soon. I was curious how your husband is doing and if he had surgrey to remove the part of his esophagus or if the chemo took care of it?

REPLY
@treh00jamc

Try hyoscyamine first ( it helped my spasms of my esophagus which also made me throw up every time I drank or ate any amount of anything), then I tried phenergan suppositories also for the nausea. Worked great! This went on about 2 weeks after radiation/chemo then subsided as the radiation calmed down. No one in my GI office would do an endoscopy because after radiation the surface is like ground meat and very fragile. They said it was very easy to perforate the esophagus with the endoscope. Ended up I didn't need it. I'm a little over one month since the end of my treatments and I'm eating most of what I want just smaller amounts. Still have some coughing occasionally which is also normal. My surgery is slated for July 16.

Jump to this post

Was the hyoscyamine given to help with the mucous? My dad has to constantly spit up large amount of saliva.

REPLY
@s6819103

Hi Lynn
My dad was diagnosed a few weeks ago and we are on 2 chemo and getting ready to start radiation soon. I was curious how your husband is doing and if he had surgrey to remove the part of his esophagus or if the chemo took care of it?

Jump to this post

Hi, he wasn't a candidate for the surgery so the first time he was diagnosed in 2018, he did 2.5 years of chemo alone and got to no evidence of disease. When he had the recurrence last February, he did 6 chemo treatments and 28 radiation. He is currently doing really well, back to NED. We're hoping to never see this again...best to you and your dad!

REPLY
@s6819103

Was the hyoscyamine given to help with the mucous? My dad has to constantly spit up large amount of saliva.

Jump to this post

I confess I know nothing about hyoscyamine, but I've probably spit up gallons of saliva/mucous in the last few months with a tumor blocking my stomach entrance. It is sometimes pretty foul-tasting and altogether a bothersome condition. I carry a plastic hospital mug and Kleenex around with me at all times and have avoided going out in public with the exception of hospital visits--chemo/radiation starts next week. My sympathies to you and your father, but hopefully this too will pass.

REPLY
@pliddle

I confess I know nothing about hyoscyamine, but I've probably spit up gallons of saliva/mucous in the last few months with a tumor blocking my stomach entrance. It is sometimes pretty foul-tasting and altogether a bothersome condition. I carry a plastic hospital mug and Kleenex around with me at all times and have avoided going out in public with the exception of hospital visits--chemo/radiation starts next week. My sympathies to you and your father, but hopefully this too will pass.

Jump to this post

Ugh! Yes he is exactly the same way. I feel so bad that he feels like he has to hide because of this so I am hoping for someone that knows any type of relief. What do you eat? He is strictly protein shakes now. I am trying tonfind other options for him

REPLY
@s6819103

Ugh! Yes he is exactly the same way. I feel so bad that he feels like he has to hide because of this so I am hoping for someone that knows any type of relief. What do you eat? He is strictly protein shakes now. I am trying tonfind other options for him

Jump to this post

"Eat" is a verb that hasn't really applied to me for several months. With my stomach blocked by the tumor, I can only receive nutrition from a J-tube. In order to maintain weight I am hooked to a nutrition pump for 17 hrs/day. Previously I was on a clear liquid diet of broths, gelatin, etc., with protein supplements, but that led to aspiration pneumonia and a 5-day hospital stay, I start chemo/radiation therapy today with a fervent hope that perhaps the tumor can be shrunk enough to permit oral nutrition, although I suspect my feeding tube, etc. will remain for several months further along with social isolation.

REPLY

Dear @pliddle - We, too, are redfining eating. After surgery and the J-tube, my husband is learning how to eat again - smaller meals (smaller than he initially thought) and the softer the better - no bread products yet. He also has to chew 100 times more than he ever has in the past. It can be incredibly isolating - he's a guy who loves to grill and entertain and feels he can't do either right now. Today, for example, all he was able to consume has been Ensure.

The tumor is gone and he had a few weeks of much, much better food experiences after surgery. Now he's learning a whole new way to eat and what to eat and how to eat. You will too. After weight loss, anemia, dehydration and exhaustion between surgery recovery and this last round of chemo, I am holding his hope that every day will get better post-treatment. I hold that hope for you too.

REPLY
@southbendcarrie

Dear @pliddle - We, too, are redfining eating. After surgery and the J-tube, my husband is learning how to eat again - smaller meals (smaller than he initially thought) and the softer the better - no bread products yet. He also has to chew 100 times more than he ever has in the past. It can be incredibly isolating - he's a guy who loves to grill and entertain and feels he can't do either right now. Today, for example, all he was able to consume has been Ensure.

The tumor is gone and he had a few weeks of much, much better food experiences after surgery. Now he's learning a whole new way to eat and what to eat and how to eat. You will too. After weight loss, anemia, dehydration and exhaustion between surgery recovery and this last round of chemo, I am holding his hope that every day will get better post-treatment. I hold that hope for you too.

Jump to this post

Your comment is greatly appreciated--thank you. I can't help pondering what lies for me after chemo/radiation cycle is completed.

REPLY
@cometsmom

Hi, he wasn't a candidate for the surgery so the first time he was diagnosed in 2018, he did 2.5 years of chemo alone and got to no evidence of disease. When he had the recurrence last February, he did 6 chemo treatments and 28 radiation. He is currently doing really well, back to NED. We're hoping to never see this again...best to you and your dad!

Jump to this post

I was glad to read your post. I had not found any posts with someone just doing chemo for an extended period of time. My husband was not a candidate for surgery either and has so far completed 15 months of just chemo. He does it every other week for 48 hours (stays at the hospital for a couple of hours and then has a pump on at home for 2 days). They do not see any evidence of the esophageal cancer now but he does have a spot on his liver. I am glad to hear that doing chemo for a couple of years is normal. I am hoping he can stop it soon. Thanks for your post!

REPLY
Please sign in or register to post a reply.