Anyone dealing with long-term dysphagia and chronic cough?

Posted by americanfurn65 @americanfurn65, May 29, 2024

Asking for my husband who is 61 and 12 years post chemo/radiation for stage IV scc base of tongue w/lymph node involvement. He is now dealing with the long term side effects mainly dysphasia and chronic cough. Asking for any others who have dealt with the cough and what may have worked. He is working closely with his ENT who currently has him on 1200
Mg of gabapentin for possible neurogenic cough; antihistimine regimen as he has the “wet” cough. He has had injections in the larynx area, he has a paralyzed vocal cord. He has had his esophagus stretched. He also has dealt with a couple of bouts with aspiration pneumonia.

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Profile picture for sharonlee @sharonlee

Are you able to eat soft foods in addition to the boost? Are we able to direct message from this page?

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I am able to eat most foods. My issue is the small portions since I have a difficult time passing food past the upper esophagus due to radiation. Boost high calorie makes up about 50 % of my caloric intake.
I don’t know how to direct message, perhaps a volunteer can suggest.

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Profile picture for sharonlee @sharonlee

Are you still able to comment? Do you continue with exercises? Does it help stop the deterioration?

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Hi sharonlee
I try to maintain a bi-wkly session for myofascial therapy, and a daily 10-15 mins of stretching exercises to my neck and shoulders - in the hope that this will slow down the deteriorating late effects of radiation.
I don't know if by doing these exercises helps in slowing down the late effects - but I do hope that it will halt or slow down the late effects of radiation.
Hope this helps - take care!!

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americanfurn; hope things are improving. I know your post was from 24. Did your husband do speech therapy?

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Profile picture for steve55 @steve55

I am able to eat most foods. My issue is the small portions since I have a difficult time passing food past the upper esophagus due to radiation. Boost high calorie makes up about 50 % of my caloric intake.
I don’t know how to direct message, perhaps a volunteer can suggest.

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Thank you for the reply. Small portions is good, when things don't move smoothly. Do you have a few high calorie boost each day?

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Profile picture for josk @josk

Hi sharonlee
I try to maintain a bi-wkly session for myofascial therapy, and a daily 10-15 mins of stretching exercises to my neck and shoulders - in the hope that this will slow down the deteriorating late effects of radiation.
I don't know if by doing these exercises helps in slowing down the late effects - but I do hope that it will halt or slow down the late effects of radiation.
Hope this helps - take care!!

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Thank you so much for the reply.
It's hard work, but I am glad to see you doing the therapy. I believe this will help.

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Profile picture for suzannekay753 @suzannekay753

Wow it’s finally so nice to hear from people who have the same issues. I’m almost in tears. I had nasopharyngeal cancer 2013. In 2021 I was diagnosed with Osteoradioncrosis. I have severe dysphasia, aspiration pneumonia few times and getting ready for the 3rd surgery . My bones are basically ruined. I have fractures and a nasty fracture in my neck. I do swallow therapy and nothings changed but don’t want throat to close. I don’t want a feeding tube again. Living on ensure and soups. I don’t go out with friends or family to restaurants anymore. I eat alone. I also have trouble with my speech. To the guy in hospice. Thank you for sharing. Hang in there. ❤️✌️

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suzannekay; I hope it's okay to respond to your comment? Is there a way to treat Osteoradioncrosis? Is there an simple way to diagnose? Hope you are continuing with the swallow therapy. Sorry , I notice this is an older post. Don't know if it's still followed.

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Profile picture for sharonlee @sharonlee

Thank you for the reply. Small portions is good, when things don't move smoothly. Do you have a few high calorie boost each day?

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I drink 3 high calorie Boost each day. They are 530 calories each.

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Profile picture for forestleaf @forestleaf

My husband has dysphagia from late effect of radiation treatment some 35 years ago, and is advised by the doctor for tube feeding to prevent aspiration pneumonia. Is it possible to manage dysphagia without resorting to tube feeding?

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Hello;
Did you find a way to manage the dysphagia?
Looking for same.
Thank you.

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As of now, we have made an appointment with a GI doctor for consultation (for a g-tube). Just take one step at a time. In the meanwhile, husband is very careful with mouth feeding . It almost takes him a whole day just to get enough food. Maybe a g-tube will cut down his feeding time and free him up to do other activities?

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