After radiation for HPV neck cancer: Hang in there, it gets better

Posted by kent8692 @kent8692, Jul 17 7:42am

So 9 weeks out from radiation and chemo for HPV neck cancer…

Been a wild trip, some really down days and some days when life is pretty damn good.

Just had my PEG removed, so that was a nice milestone. Couldn’t have survived without it, but glad it’s outta here!

I have the usual items to deal with…dry mouth, fatigue, lack of taste, and some neck stiffness/soreness. The constant dry mouth may be the worst thing to deal with, but I’m dealing.

Diet is pretty boring, protein shakes, mashed potatoes, all kinds of noodles, but every once in a while I’ll have a piece of pizza or something that takes real effort to chew. Usually regret that decision, lol. Had a beer on Fathers Day, that tasted awesome:)

If you’re going thru this, hang in there it will get better.

Interested in more discussions like this? Go to the Head & Neck Cancer Support Group.

Profile picture for stephenrfleury @stephenrfleury

@sepdvm it's been five and a half years since my treatment ended. I have almost zero taste, none of which are trustworthy. In any case, I just eat and accept that I can't taste. I just try to eat things that have lots of textures.

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@stephenrfleury You have a great attitude. Continuing life as it is now and accepting the new normal. We don't have to like these changes and it is fine to feel sorry for ourselves some days, but life goes on. I like your suggestion about food texture offering variety that you don't get with taste anymore.

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Profile picture for Colleen Young, Connect Director @colleenyoung

@kent8692, I expanded your title to give others hope as they go through radiation. How are you doing now as you approach almost 3 months? What is one thing you wish you had known?

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@colleenyoung I wish my team, anyone that is, would have Clearly and Completely explained the truth about how much damage radiation can cause to head and neck because if I had known then what I would be going through now I would have made some different decisions. I likely would’ve had more dental work taken care of even go through getting teeth pulled out and implants put in. Now I am extremely limited in my choices and risk of infection is extremely high. I might’ve given more consideration to not having the radical neck disectomy because of the damage it did the numbness from cutting nerves that likely will Never heal. My surgeon told me there was a chance that nerves could get cut but that he’s going to do his best to be careful… making it sound as though he would be able to perform the surgery without the resulting damage. I am grateful to be alive and up until about a week ago I thought I was still cancer free. My surgeon sent me for CT with contrast one week ago for a hard lump where my jaw meets my neck. The scan was severely degraded due to prior dental work and I’m still waiting on a response And praying it’s not cancer related. I’m about 2.5 years out from the end of radiation and still haven’t been able to gain weight back even with the high calorie boost mixed with vitD milk twice daily and regular meals. My appetite is still very low and I’m still tired too much of the time. I’m wondering why. I thought chemo caused more problems than radiation and was glad I was told that I didn’t need chemotherapy and that radiation would take care of my needs. I just wish More Emphasis was actually placed on defining what radiation and chemotherapy could do versus radiation or chemotherapy alone. I don’t mean to sound ungrateful because I’m definitely grateful to be alive. I just wish that the medical professionals would have been completely direct, transparent, and even blunt about everything. Especially when I told everyone to not hold back and to just be completely honest and direct.
This all feels like too much especially when now I’m really kind of fearing the worst again.

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Profile picture for jeffvalvassori @jeffvalvassori

@colleenyoung I wish my team, anyone that is, would have Clearly and Completely explained the truth about how much damage radiation can cause to head and neck because if I had known then what I would be going through now I would have made some different decisions. I likely would’ve had more dental work taken care of even go through getting teeth pulled out and implants put in. Now I am extremely limited in my choices and risk of infection is extremely high. I might’ve given more consideration to not having the radical neck disectomy because of the damage it did the numbness from cutting nerves that likely will Never heal. My surgeon told me there was a chance that nerves could get cut but that he’s going to do his best to be careful… making it sound as though he would be able to perform the surgery without the resulting damage. I am grateful to be alive and up until about a week ago I thought I was still cancer free. My surgeon sent me for CT with contrast one week ago for a hard lump where my jaw meets my neck. The scan was severely degraded due to prior dental work and I’m still waiting on a response And praying it’s not cancer related. I’m about 2.5 years out from the end of radiation and still haven’t been able to gain weight back even with the high calorie boost mixed with vitD milk twice daily and regular meals. My appetite is still very low and I’m still tired too much of the time. I’m wondering why. I thought chemo caused more problems than radiation and was glad I was told that I didn’t need chemotherapy and that radiation would take care of my needs. I just wish More Emphasis was actually placed on defining what radiation and chemotherapy could do versus radiation or chemotherapy alone. I don’t mean to sound ungrateful because I’m definitely grateful to be alive. I just wish that the medical professionals would have been completely direct, transparent, and even blunt about everything. Especially when I told everyone to not hold back and to just be completely honest and direct.
This all feels like too much especially when now I’m really kind of fearing the worst again.

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@jeffvalvassori, you raise a valid point that I think weighs heavily on providers about being realistic and giving space for hope. What is the amount of information to give? To what degree does the patients want all the details? And how much do they want to know about what *might* happen?

It sounds like you were upfront in making clear that you wanted to know everything. Having a full picture of the worst case scenarios, at least in hindsight, would've helped you be better prepared. I encourage you to give your team this feedback so they can do better for the next person who asks for the same detail. Patients have a lot to teach back to doctors. It's a 2-way street and the good ones want to learn from the patient experience.

I can only imagine how scary it is to go through testing again fearing that the cancer may be back. As you know, not all lumps are cancer and it is a good thing that your team is following up. Have you had the results back from testing? What's next?

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My niece had Head and Neck Cancer.
She had radiation over a year ago, had a feeding tube placed last year, still struggling with taste and saliva production. Any suggestions from anyone?

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Profile picture for jcb25 @jcb25

My niece had Head and Neck Cancer.
She had radiation over a year ago, had a feeding tube placed last year, still struggling with taste and saliva production. Any suggestions from anyone?

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@jcb25 I had difficulty with a metallic taste in food when eating and found that switching my silverware to using wooden/bamboo or plastic (IKEA children’s cutlery) helped.

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if it helps try to eat as healthy as you can. I can't eat much 16 month post CRT. I lost 50 pounds and mostly survived on Boost high calorie for awhile. Try High protein oatmeal. Make it a little juicy and it goes down smooth. Always add blueberries, bananas or some fruit. In the beginning I found Liptons chicken noodle soup in the pouch was good. I ate so much of it i can't stand it now. Mostly anything you can add a little sauce or gravy to makes it easier to chew and enjoy. Smoothies are good. Add protein powder. You can even make with your Boost for added nutrition. I've only been able to gain a few pounds back. I went for 180 to 128. This morning I was 132. Also, even though I'm tired I make myself get out and enjoy nature and do my walks with my pups. I also lift some light weights and do my daily neck massages.

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Profile picture for csshman @csshman

if it helps try to eat as healthy as you can. I can't eat much 16 month post CRT. I lost 50 pounds and mostly survived on Boost high calorie for awhile. Try High protein oatmeal. Make it a little juicy and it goes down smooth. Always add blueberries, bananas or some fruit. In the beginning I found Liptons chicken noodle soup in the pouch was good. I ate so much of it i can't stand it now. Mostly anything you can add a little sauce or gravy to makes it easier to chew and enjoy. Smoothies are good. Add protein powder. You can even make with your Boost for added nutrition. I've only been able to gain a few pounds back. I went for 180 to 128. This morning I was 132. Also, even though I'm tired I make myself get out and enjoy nature and do my walks with my pups. I also lift some light weights and do my daily neck massages.

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@csshman

Good solid advice! Sorry to hear the weight didn't come back. Is your caloric intake just too low?

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Profile picture for jeffvalvassori @jeffvalvassori

@colleenyoung I wish my team, anyone that is, would have Clearly and Completely explained the truth about how much damage radiation can cause to head and neck because if I had known then what I would be going through now I would have made some different decisions. I likely would’ve had more dental work taken care of even go through getting teeth pulled out and implants put in. Now I am extremely limited in my choices and risk of infection is extremely high. I might’ve given more consideration to not having the radical neck disectomy because of the damage it did the numbness from cutting nerves that likely will Never heal. My surgeon told me there was a chance that nerves could get cut but that he’s going to do his best to be careful… making it sound as though he would be able to perform the surgery without the resulting damage. I am grateful to be alive and up until about a week ago I thought I was still cancer free. My surgeon sent me for CT with contrast one week ago for a hard lump where my jaw meets my neck. The scan was severely degraded due to prior dental work and I’m still waiting on a response And praying it’s not cancer related. I’m about 2.5 years out from the end of radiation and still haven’t been able to gain weight back even with the high calorie boost mixed with vitD milk twice daily and regular meals. My appetite is still very low and I’m still tired too much of the time. I’m wondering why. I thought chemo caused more problems than radiation and was glad I was told that I didn’t need chemotherapy and that radiation would take care of my needs. I just wish More Emphasis was actually placed on defining what radiation and chemotherapy could do versus radiation or chemotherapy alone. I don’t mean to sound ungrateful because I’m definitely grateful to be alive. I just wish that the medical professionals would have been completely direct, transparent, and even blunt about everything. Especially when I told everyone to not hold back and to just be completely honest and direct.
This all feels like too much especially when now I’m really kind of fearing the worst again.

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@jeffvalvassori I agree with you on medical team providing more information. We learn to ask more questions as we go along, but if you made it clear that you wanted details of side effects of treatment, then they missed the mark with you. Some patients would prefer not to have this information so it can be hard for the medical team to know. I wish I had known more about late effects of radiation. Just so we can recognize and address the changes.
I sincerely hope that your new mass turns out to be scar tissue and not cancer. But there are new treatments coming along regularly so we must keep fighting. A newer immunotherapy has squelched my last metastasis and after 2 years on and 3 years off it, I have remained clear. And as for the nerve damage, be patient because nerve tissue is very slow to heal. I had right sided facial paralysis 14 years ago when I woke up from surgery but improvement continued for many years. Research Lion's Mane mushrooms for support in nerve healing. Keep us informed about your results.

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Profile picture for anndri3 @anndri3

@jcb25 I had difficulty with a metallic taste in food when eating and found that switching my silverware to using wooden/bamboo or plastic (IKEA children’s cutlery) helped.

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@anndri3 Thank you so very much for replying! That is a great idea, but she has been eating entirely from her GI tube since last May of 2025, because of saliva and swallowing issues. But I will tell her about what you did, because I think she had that metallic taste issue too, when she tried to eat solid food before. Thank you again, and sending you well wishes!

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Profile picture for csshman @csshman

if it helps try to eat as healthy as you can. I can't eat much 16 month post CRT. I lost 50 pounds and mostly survived on Boost high calorie for awhile. Try High protein oatmeal. Make it a little juicy and it goes down smooth. Always add blueberries, bananas or some fruit. In the beginning I found Liptons chicken noodle soup in the pouch was good. I ate so much of it i can't stand it now. Mostly anything you can add a little sauce or gravy to makes it easier to chew and enjoy. Smoothies are good. Add protein powder. You can even make with your Boost for added nutrition. I've only been able to gain a few pounds back. I went for 180 to 128. This morning I was 132. Also, even though I'm tired I make myself get out and enjoy nature and do my walks with my pups. I also lift some light weights and do my daily neck massages.

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@csshman Thank you so much for all of this!! I will suggest these things to her when she is able to start getting off her GI tube. I love all of your ideas and the ones at the end too! Best of luck and health to you! Thanks again!

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