Getting frustrated with throat pain post radiation

Posted by srm @srm, Nov 26, 2021

Now 5 months post radiation. 33 treatments of targeted radiation plus chemo therapy for my stage 3 Metastatic Squamish Cell Carcinoma back of tongue R/S. A few weeks ago my throat pain was subsiding enough whereas I finally started eating soft foods with some good success. This week the pain increased to where I have had to go back on liquids. The pain is either on the left side, right side or back of throat. Sometimes the entire throat hurts like strep. The pain is always present but is really bad when I swallow something. Seems to be 2 steps forward and a few back. My oncologist claims that the pain will eventually go away but cannot provide any kind of time frame. Has anyone with similar treatment experienced throat pain for an extended period post radiation? If so, how long did it last? I was getting really excited and optimistic for a couple of weeks while eating very saucy soft foods. I was finally making progress and then things just got worse again. Nobody said this was going to be easy but it gets discouraging when I appear to be making progress just to fall back again.

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I'm 6 months out (Rt tonsil HPV cancer surgery and 25 rounds radiation) and I'm not having any type of foods I can't eat. Tasting them is another story? I'm getting some tastes on food items with oil in or on them? Strange huh? Almonds, Avocado. Breads and sweets are still difficult but doable. But, my tastes are slowly returning. I have a knot in my throat from Radiation Fibrosis that I'm constantly fighting with and working on. But, I have no pain while eating or swallowing. I did not have a g-tube.

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I had a similar treatment schedule for the same thing.
It's been 8 weeks since my last treatment and the timeline doesn't make sense.. it's not been like recovering from a cold or any kind of injury I've ever had.
Just exactly like you said, sometimes I can eat soft foods with relatively low pain.. but other times my whole skull hurts from chewing and/or swallowing.
Event water hurts to pull down. Zooming out at the bigger picture there was a point I could hardly talk. But now I'm back to work full time.
Thank God for the G-tube and the boost shakes or I'd be a gonner. I'm totally battling my weight also. Have been trying to find any type of soft foods to add to my diet, but it's slow going and again doesn't make sense when other recovery periods were definitely liner in progress.
The graph for the pain is like a fun house mirror, why Wednesday was excrusiatingly painful but Friday was nearly pain free I can't find a reason.
But others that are many months ahead of us are having good results, so, we press forward!
Good luck with the food search!

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Profile picture for Colleen Young, Connect Director @colleenyoung

I like your phrase of hitting a "real turning point". Side effects can seem insurmountable and the improvements so miniscule, then boom, there's a noticeable improvement that gives hope.

@tbveblen, thanks for your message that gives hope. It's been a further 2 weeks since you posted. Have there been further improvements? How are you doing?

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@colleenyoung
Thanks for asking. Yes, there have been further improvements—subtle day-to-day, and not linear. The same big picture concerns dominate. Keeping my weight up and managing pain. I’m getting better at these and they are getting easier. Still 90% Boost diet, slowly introducing normal food as much as the throat can stand. And am starting to wean off pain meds. Sense of well-being has been helped by interacting with others in my same boat.

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Profile picture for jimmydeb123 @jimmydeb123

@thomason It is a very difficult situation for the one with the cancer and the one taking care of the person. As the caregiver I try So hard to help him. When his throat is so sore I don’t have anything on board. I’m going to ask Doctor for alternative pain medications because he isn’t able to swallow a pill or crushed pill.A cream, patch, injection, rectal, or non sting nasal pain spray.

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@jimmydeb123, were you able to ask about a pain management solution to help the person you care for? How are you doing?

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Profile picture for tbveblen @tbveblen

@kathleenmkastrup

I’m 4 weeks out and had the same experiences you described, and the same sense of despair. But today I felt a real turning point. I finally noticed a reduction in mouth pain and my throat healed enough to swallow a little “solid” food. Had a jar of baby food yesterday and a banana today!
I think you’re going through the worst part of this; everything piles on. Imagine a better time. Good thoughts your way.

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I like your phrase of hitting a "real turning point". Side effects can seem insurmountable and the improvements so miniscule, then boom, there's a noticeable improvement that gives hope.

@tbveblen, thanks for your message that gives hope. It's been a further 2 weeks since you posted. Have there been further improvements? How are you doing?

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Profile picture for sart @sart

@sepdvm hi I'm in Australia and we have icy poles. I keep a bunch in the freezer ,they are perfect for sore throats . I prefer the pineapple and raspberry ones. Do you have anything like that ?

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Hello @sart we do have popsicles which are fruit flavored ice on a stick, and freeze pops which are the same flavored ice but in a stick of plastic. You cut the top off and keep pushing the ice up and eating it off. They don't last as long as a popsicle. Orange was always my favorite.

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Profile picture for Sue, Volunteer Mentor @sepdvm

@roadtecguy you still have a lot of healing left to do. It takes many months to years to get back to your new normal. I hope yours does not include chronic pain. Don't forget that simple stuff, like ice packs, can give temporary relief.

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@sepdvm hi I'm in Australia and we have icy poles. I keep a bunch in the freezer ,they are perfect for sore throats . I prefer the pineapple and raspberry ones. Do you have anything like that ?

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Omg I thought the pain would never end but it does slowly till one day you can swollen without wanting to keep. Took me like 8 weeks before I was out of real paid. Eating whole other thing I am 4 months post treatment and still have feeding tube but everyday better

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Takes time and patience. Your throat has been through hell. Try to keep using your throat. If you don’t use it, you lose it. Each day will get a bit better. I know you’ve heard this before. Best wishes. Good luck.

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Profile picture for jimmydeb123 @jimmydeb123

@thomason It is a very difficult situation for the one with the cancer and the one taking care of the person. As the caregiver I try So hard to help him. When his throat is so sore I don’t have anything on board. I’m going to ask Doctor for alternative pain medications because he isn’t able to swallow a pill or crushed pill.A cream, patch, injection, rectal, or non sting nasal pain spray.

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@jimmydeb123 Hello. I am so sorry to hear of this suffering. The caregiver has a very difficult job to do, almost beyond human capabilities. You must take time for yourself, even if it just for a few hours. You are in my thoughts. Best wishes.

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