Hi @gmc41, my cousin had throat cancer and eating was difficult. He wasn't getting proper nutrition. Eventually, he agreed to a feeding tube, inserted around his abdominal area, which helped him get through that. His caregivers gave him drinks like Ensure directly into the feeding tube. There was a daily routine for flushing it out to keep it clean. It sounds radical, but if your daughter in law has to use the cream for a long time it may be a viable solution.