How do I know when I can get off my feeding tube?

Posted by AL GiL @jg99t9, Jun 8, 2025

It's been over 7 months since my last radiation treatment for throat cancer. I could not eat because of the pain for months. I can now drink shakes and soups and some soft foods but it is difficult because of the lack of saliva, and though the pain is less now, I still have discomfort in my throat and mouth. Tried Pilocarpine but didn't seem to do anything. Any suggestions on how to deal with dry mouth and any info on how long it might take before I can get off my feeding tube?

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Profile picture for lollie @lollie

Al- You're not a baby! You just beat @%^& cancer!!! You're a brave warrior. You're just taking a little time to regroup and fight the next fight. I was a giant baby...I couldn't administer the feedings myself. The whole deal kinda grossed me out. My husband had to do it for me. To avoid aspiration and discomfort, we landed on feedings every 2 hours. He was so kind and willing- but the first day he was able to go ice fishing with a buddy (at a lake nearby) and I saw his joy I think that was a huge inspiration for me. I craved my (and his!) independence. I think everyone here will agree dealing with the aftermath is almost harder than fighting through the therapies...hang in there and start thinking about your favorite foods!

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Thanks Lollie,
I will try to think more positive and not judge myself. I hope you and your husband are doing well now.
Al

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Profile picture for thomason @thomason

Hello jg99t9.
You and I are very similar. The radiation to my throat produced extreme pain when trying to swallow. It took a year before I could even talk again. One day, after about 3 months of having the thing, it simply fell out. The doctor wanted to put it back, but I declined, as I was determined to get my throat functioning again. Various pain-relieving medications (topical/oral) helped get me through. Also, I utilized a red-light therapy wand twice per day by waving it around the back of my throat area. For me, it was the best decision, because it wasn't long before the swallowing became easier and easier. The therapist that helped formulate my throat exercises and such told me "Use it or lose it." That stuck with me. One day, during an appointment, she brought me in a small plate of Italian Rigatoni. It was so delicious, it was gobbled down quickly---to her astonishment. It felt as if I hadn't eaten in months...I hadn't!!! You are in my thoughts and prayers. Soldier on!

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Hey Thomason,
I am trying some soft foods but they need a lot of olive oil or sauces to get it down. I am still getting sores in my mouth so I will ask my doctor about red-light therapy.
Thank you for your prayers.
Al

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Profile picture for johnbonani @johnbonani

jg, I agree with your ENT I'm approaching one year post and only recently have things gotten noticeably better. A word about the mucus build up. For me, this was one of the worst side effects of all of them. I was losing my mind with this and the constant feeling of hacking and fear of choking. Doctors prescribed many meds and nothing worked. But eventually it did indeed clear up and now is a distant memory.

A final tip regarding getting off the tube. I had been using Kate Farms formula for my entire time on the tube. When it was removed I ordered the shake version of the Kate Farms. Similar to the tube version only much better tasting. I ordered it by the case and would drink it to supplement my limited regular eating. I did this for four months post tube before I finally cut way back and could introduce a few other foods. Oh and once again I feel MUCH better now! Time heals all...well most 🙂 Hang in there

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Great to hear you are doing better. I know it was a tough hill to climb. 👍

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Profile picture for AL GiL @jg99t9

Thanks Sandy,
I hope you are doing well now.
Al

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Doing good. Better every day. Thanks.

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Profile picture for AL GiL @jg99t9

Hey John,
Does the shake version of the formula taste better than Ensure. Because I could be using Ensure but after a while and maybe due to chemo, it just tasted awful to me. I guess that is the key. Just find a nutritional supplement drink that won't make me sick and introduce more and more soft foods.
Thanks for sharing your experiences.
Al

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Ensure tastes better than the Kate Farms but for me Ensure had too much sugar so I went with KF and got used to it after a while. But yes find something reasonably nutritious that you can drink while you gradually eat more foods and you'll be on your way

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Hi JG,
I've been toughing it out since 06, and many of the suggestions here I haven't ever heard of. They've apparently come a long way in treatment. With a sister, a nurse practitioner, who has undergone the same cancer, I now see how worrisome it can be about what is coming next. I don't recall how long I had my tube in, but it was about 8-12 weeks. Eating was difficult, and I never went anywhere without a bottle of water. Apple skins and cake crumbs were the worst due to the problems with swallowing and the risk of inhaling them. What I can say is it will get better with time, if for no other reason you will learn to navigate the challenges. Good luck!

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I'm just coming to the 4 month mark on my last radiation treatment. My oncologist team does not give feeding tubes to HPV throat cancers. I was never given one and I'm very happy now. I have no problems eating and swallowing. Bread is hard at time due to my dry mouth, but with the little water I manage it. You have to endure some pain as we all know. That pain gets less and less as time goes on. I understand the longer you're on a feeding tube, over time relearning how to swallow becomes a problem? I don't know though, I don't have M.D. behind my name. Good luck.

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Profile picture for harleytiger @harleytiger

I'm just coming to the 4 month mark on my last radiation treatment. My oncologist team does not give feeding tubes to HPV throat cancers. I was never given one and I'm very happy now. I have no problems eating and swallowing. Bread is hard at time due to my dry mouth, but with the little water I manage it. You have to endure some pain as we all know. That pain gets less and less as time goes on. I understand the longer you're on a feeding tube, over time relearning how to swallow becomes a problem? I don't know though, I don't have M.D. behind my name. Good luck.

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@harleytiger
congrats on your milestone.
swallowing excercises are detriment.

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I am 3 months post treatment (radiation/chemo) and have had my PEG feeding tube in now for 4 months. I have set a goal that my tube will be out by the end of January. I am making myself consume the calories however I can. I am now on half feeds and I am maintaining my weight. I plan to reduce by 1 box of feeds (currently on 4/day) each week until I am only eating orally. I have been told by the Nutrition team that I will need to maintain my weight with zero feeds for 2-3 weeks before they will remove the tube. It isn’t easy but you need to make yourself eat. Lots of water or juice to wash things down. 2-4 Ensure Plus Calories per day if necessary. Tons of butter and sauce on everything helps foods go down. Experiment. Try everything. I started trying kids foods like Alphagetti and Mini-ravioli! You have to set a goal date! I can’t stand this dumb tube, it has been worse than the cancer! Good luck.

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Hey Al Gil
It sounds like you’re doing better than I was doing at 7 months out.
My inability to eat wasn’t from pain but from the tightness and inability to swallow.
I seen other patients getting their pegs removed and others with no peg and there I was still dependent upon the peg for nutrients!
My doctor said for me not to worry about being on the peg feeding because everyone is different and I was hit very hard with treatment.
Anyway, one day I was scheduled to get my port and I made my mind up to have the peg removed as well. I was mentally prepared to force myself to eat.
Granted, my meals were oatmeal for nearly a year but at least I got my throat working.
You will know when you’re ready.
Jody

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