recovery after 35 radiation treatments

Posted by dragonfire @dragonfire, 3 days ago

Just completed 35 radiation treatments for HPV positive tonsil cancer at stage 1. I am frustrated with the pain, dry throat, medications and the duration of all this. My last treatment was last Thursday I met with my doctor yesterday to learn I have weeks possibly before I can eat in a normal manner which was difficult to accept. I have been told to focus on the positives which right now is difficult for me to do. If I had really known all that would happen I would have never agreed to the treatment. I can only manage cream soup, scrambled egg, jello for foods during this what I term a living hell.

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@lizzyj58

Yes, one of my doctors recommended the humidifier and to sleep as close as possible to it.

I am currently living on scrambled egg, creamed soup, jell, pudding and ice cream along with protein powder got tired of ensure.

I am frustrated with the dry mouth, pain, constipation and medications. I get tired in the afternoons needing to sleep.

The weekends are the worst I look forward to work on Monday.

Thank you for your kind support.

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@dragonfire There is a mouthwash Biotene, supposed to help with dry mouth, there are mints also supposed to help produce saliva. Maybe prune juice for constipation? Natural remedies are probably safer. Stay strong.

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@mikeswen

I appreciate your support and feel for your experience nobody should have to go through this living hell especially twice. I am trying to be positive but this is damm hard. I ordered the Juven from my nurse on my support team told me to get she really believes in it. The dry heaves the other night painful and scared me. I am by nature not very positive but this is forcing me into a new mind set. The pain, dry mouth and the constipation are difficult to manage. I don't know what I would do if I could not work part days it helps me focus on something other than my issues. Thank you so much stay in touch.

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@dragonfire yes it can very depressing but I am here to tell you it will get better!

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Profile picture for dragonfire @dragonfire

@lizzyj58

Yes, one of my doctors recommended the humidifier and to sleep as close as possible to it.

I am currently living on scrambled egg, creamed soup, jell, pudding and ice cream along with protein powder got tired of ensure.

I am frustrated with the dry mouth, pain, constipation and medications. I get tired in the afternoons needing to sleep.

The weekends are the worst I look forward to work on Monday.

Thank you for your kind support.

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@dragonfire
I just finished my 35 radiation treatments 6 weeks ago for stage 3 base of tongue cancer involving lymph nodes on both sides. I was in the same place that you are when I was done treatment, although I had a PEG tube and couldn’t eat anything.

It gets better, I am finally starting to get my appetite back and some things are tasting “normal” again. I would suggest using all of the Biotene products (mouth spray, toothpaste and mouthwash) to help with your dry mouth. The throat pain will get better, but you may need to manage it with analgesics. I am still on oral morphine that I use occasionally when the pain is irritating me. For constipation, try to get as much fluid as you can, exercise even in small amounts, and if necessary use a product like Restoralax every other day to maintain bowel movements.

I love all of the encouragement that this forum has given me. I am much more positive in the past few weeks, and I can feel myself getting better. Hang in there, the next few weeks will be really tough, but hopefully you will soon start to feel better.

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Profile picture for scottmcf1431 @scottmcf1431

@dragonfire
I just finished my 35 radiation treatments 6 weeks ago for stage 3 base of tongue cancer involving lymph nodes on both sides. I was in the same place that you are when I was done treatment, although I had a PEG tube and couldn’t eat anything.

It gets better, I am finally starting to get my appetite back and some things are tasting “normal” again. I would suggest using all of the Biotene products (mouth spray, toothpaste and mouthwash) to help with your dry mouth. The throat pain will get better, but you may need to manage it with analgesics. I am still on oral morphine that I use occasionally when the pain is irritating me. For constipation, try to get as much fluid as you can, exercise even in small amounts, and if necessary use a product like Restoralax every other day to maintain bowel movements.

I love all of the encouragement that this forum has given me. I am much more positive in the past few weeks, and I can feel myself getting better. Hang in there, the next few weeks will be really tough, but hopefully you will soon start to feel better.

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@scottmcf1431

I appreciate your help I have been forced to understand this is baby steps and that is not part of my makeup which makes this harder. I use the Biotene a few times during the day and before bed. I have a couple mouth ulcers the doctor said would heal on their own. They have me on Oxycodone during the day for pain which is the contributor to the constipation. I am hoping by the end of the week I can finish taking all the pills I am not a pill person.

I am glad I found the forum since it has given me people to talk to going through the same hell. My family is tired of hearing my daily complaints about this. I am glad I can still work part of the day. I get too tired to commit to a complete day yet.

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Profile picture for Sue, Volunteer Mentor @sepdvm

@dragonfire I do understand your suffering and frustration. I went through that 13 years ago, and I wouldn't be around if I hadn't done that treatment. Every week of radiation was damaging more tissue as it was the cancer cells. Now at the end, it does take a long time to feel improvements because they are tiny little steps toward healing. Some days you backslide, but from week to week you are getting better. Don't look for day to day improvements but think about how you felt last week and the week before. That way you can see just how far you are progressing. This is the worst time in the process, but give yourself a break and know that from here it gets better, just slowly. It sure helps to be an optimist during this stage. Stick with foods you can swallow and slowly add in new soft things. I lived on smoothies and mashed potatoes and Cream of Wheat. Chocolate didn't even taste good to me and that was a killer. Talk to your medical team about addressing the pain issues. I found oral lidocaine gel helpful right before eating and that is prescription. Don't forget about the numbing effects of ice chips and even an ice pack on the neck.
A year from now you will look back and see that your new normal is much better than what life is like now. Yes it is a hellish experience, but I believe it is better than dying of cancer. I bet that in a month you will be seeing significant improvement. It took me about 8-9 months to be back on a more normal diet and that happened gradually. Some foods will just not taste right for a long time but be patient and know it does get better.
As hard as it is, find something small each day to be grateful for as that helps to improve your attitude.

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@sepdvm

appreciate your help I have been forced to understand this is baby steps and that is not part of my makeup which makes this harder. I use the Biotene a few times during the day and before bed. I have a couple mouth ulcers the doctor said would heal on their own. They have me on Oxycodone during the day for pain which is the contributor to the constipation. I am hoping by the end of the week I can finish taking all the pills I am not a pill person.

I am glad I found the forum since it has given me people to talk to going through the same hell. My family is tired of hearing my daily complaints about this. I am glad I can still work part of the day. I get too tired to commit to a complete day yet.

I am amazed by this forum how many people have experienced this same nightmare I had no idea. I am hoping the my commitment to better nutrition will help. I am started adding protein powder and milk shakes to my daily food intake.

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I wish we had better ways of treating these cancers. With some including SSC it looks like we are on the cusp of new treatments which do not involve radiotherapy. But this all takes time. You had likely the best and the latest we know works.
I also wish our medical teams had a better or more realistic idea of what we as patients go through. However, perhaps if we knew in advance we might go screaming off into the woods, never to return to this battle we must face.
You are now in the recovery stage. Great for you. Although slow, it does get better. A year from now you will likely be so much better you will have a day you won’t think about it. Two years and you will be very much mended. You likely will never be exactly as you were pre-cancer. You will have what I call a “new normal”. And life goes on. It will be good. Courage.

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I agree with William 100%. In two years you will be almost back to normal. I would say my peak pain or misery was about 2-3 weeks AFTER radiation stopped and then the slow climb back. Eating fairly well soft foods in 3 months. You need to be positive and glad you are alive and healing considering the alternative. God speed.

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@dragonfire you had to make a decision on treatment and I believe you made the correct one. When surgical margins are not clear or lymphatic or vascular invasion is seen in histopath then this treatment would have been recommended on top of the surgery, as in my case. We also have learned the hard way that we don't know what questions to ask of our doctors regarding aftermath effects. It seems that not all of them give a complete list of adverse effects. I always suggest new patients question in detail all possible side effects and complications of treatments. But if we know how bad it can get, will we still choose what is likely the best treatment regimen being suggested for a cure?
I also use a humidifier beside the bed even now. I use Zylimelt tablets nightly to increase saliva production. Biotene rinse and gel are also helpful but I did not know about these when I had the mouth ulcers so I don't know if they would be uncomfortable with the ulceration. I have also found that a weak electrolyte drink is more hydrating than plain water and dehydration adds to our dry mouth at night.
When I finished my radiation and chemo and had a recheck at Mayo I was offered counseling for the depression that is frequently experienced at this stage of treatment. Perhaps your medical team can refer you to a therapist who specializes in cancer patients? There is an oral rinse called Magic Mouthwash that is mixed up by prescription that helps with pain and healing. so you can ask about that. It really takes a while to get past the fatigue though staying active can help. Just listen to your body and rest as needed. Do you have an animal shelter or humane society near you where you could volunteer to walk dogs a couple times a week? My new rescue dog who joined the family a month before my diagnosis was a huge help in keeping me active during healing. There was a lot of training to do and time spent outside with him was my best distraction. Be strong. Have hope. None of us chose this path but we can choose which one to take from here on. (Hope the Juven helps.)

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It's a matter of perspective. I underwent treatment 19 years ago for cancer on the base of the tongue. They didn't prepare me for what was coming. Afterward, a nurse told me that none of that mattered. All I had to decide at the time was whether I wanted to live or die. Dying from throat cancer is not a pleasant way to go. Fast forward 19 years and I've adjusted to most of what has transpired. There are somethings, like baroreflex failure, that they weren't even aware of at the time. I'm learning to live with that.

As for perspective, my sister is going through her second treatment for throat cancer, and the standard treatment is no longer an option. I'm sure in 100 years, they will think medicine of today was barbaric, but it is all we have. Hang in there. Much will return to normal, and the rest you learn to deal with.

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@lizzyj58
I appreciate your response I just want real food so bad. I have ulcers in my mouth causing pain and I am using the salt and soda rinse. My wife even is frustrated that I can't eat. I get tired in the afternoon so I sleep a couple hours. I get tired of being in the house but I don't' want to catch germs in the store. I don't need any more problems. I just feel so alone I used to have my dog for company but lost him to kidney disease in April. I glad I can work part days I was going to retire but I feel now needing the comfort of the job to continue working. This just seems like and endless wheel of small improvements, limited food, medication and a constant sore mouth.
I feel like a made a huge mistake having the treatment especially when I researched other treatments that are not so long. No one said I would experience all this that I question if surgery would have been better. But it is too late now and the damage is done all I hope for is improvement.

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@dragonfire I'm a tongue cancer survivor. I used Xylimelts mints available at Wal-Mart and Amazon. They stick to your upper gum and trigger saliva. They'll stay on while you sleep and keep your mouth moist. Some folks wear them during waking hours, too.
Ask your oncologist for the pain relieving mouthwash or magic mouthwash they called it. No reason to be in pain!

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