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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Profile picture for thomason @thomason

Dear @henrytimmins, I suffered from esophageal (Pyriform Sinus) cancer and proceeded with the 33 radiation treatments. Before going, I tried every type of health regimen I could find...to no avail. Please, do not wait much longer. Starving the cancer does not work, neither does the Baking Soda & Molasses (I still shiver remembering drinking that horrible regimen), or the animal de-wormer, Fenbendazole. While I played around with all these so-called "cures," the cancer was growing. If I can make it through, so can you! This is life or death. Yes, there are many complications from the radiation, but everyone is different. The bottom line is having life. I know without a doubt I would be long dead if I had not gone through with the radiation, as the pain was getting unbearable. The chances of Chemotherapy helping me would have been a 2% increase, with many side-effects. I chose to forgo the Chemotherapy, and God-willing, am cancer-free. It is going on two years now since the treatments. If you have any questions, please message this page. God will see you through.

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@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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Profile picture for kathleenmkastrup @kathleenmkastrup

I am 2 weeks past RAI treatment and every day my mouth gets worse. Numbness, new ulcers every day including my lips (Mar-aLago lips), no ability to swallow, can only drink liquids, mouth bleeds every morning when I get up, heavy drooling in my sleep, etc., etc.

If I had ever known how awful, awful, painful and depressing the RAI effects would be, I would not have gone forward with that treatment, asked for something different is that was possible. Or just live with the consequences of the cancer. This is no way to live

If anyone asked me about the RAI treatment, I would definitely advise against it

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@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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Profile picture for kathleenmkastrup @kathleenmkastrup

I am 2 weeks past RAI treatment and every day my mouth gets worse. Numbness, new ulcers every day including my lips (Mar-aLago lips), no ability to swallow, can only drink liquids, mouth bleeds every morning when I get up, heavy drooling in my sleep, etc., etc.

If I had ever known how awful, awful, painful and depressing the RAI effects would be, I would not have gone forward with that treatment, asked for something different is that was possible. Or just live with the consequences of the cancer. This is no way to live

If anyone asked me about the RAI treatment, I would definitely advise against it

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@kathleenmkastrup Two weeks post is usually the bottom. Things should slowly begin to improve from this point. I know how awful this all is and at this point you are likely ready to just surrender.
It does get better, slowly at first. The mouth sores make it difficult to unbearable at times. Courage.

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I am 2 weeks past RAI treatment and every day my mouth gets worse. Numbness, new ulcers every day including my lips (Mar-aLago lips), no ability to swallow, can only drink liquids, mouth bleeds every morning when I get up, heavy drooling in my sleep, etc., etc.

If I had ever known how awful, awful, painful and depressing the RAI effects would be, I would not have gone forward with that treatment, asked for something different is that was possible. Or just live with the consequences of the cancer. This is no way to live

If anyone asked me about the RAI treatment, I would definitely advise against it

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I tried everything they could throw at me. Just my luck it could be permanent. I'll really be miserable

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Profile picture for roadtecguy @roadtecguy

Had the MRI and they said cancer is gone, but alot of pain from radiation yet. It may be permanent, so we will see

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@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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Profile picture for Colleen Young, Connect Director @colleenyoung

@roadtecguy, how did your appointment go?

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@colleenyoung It went ok. I'm getting used to MRI's. I wish the pain would stop long enough to eat 1 full meal.

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Hi,
I had Stage 4 metastatic OPSCC (base of tongue). PEG Tube, 35 radiation treatments and two rounds of Cisplatin. Finished treatment in September 2025. It’s a long road but it does get better though it’s different for everyone. I took me 5 months to get off the feeding tube and I really had to make a conscious effort because I had painful swallowing, lost all taste, and had basically lost any interest in food. I have friends who have been on their feeding tube for over a year, so I am lucky but eating becomes a chore to try and maintain weight and muscle mass. I relied heavily on Ensure Plus Calories to make up most of my daily requirements, but have made progress slowly but surely in increasing my oral intake. Taste comes back slowly, all of a sudden a grilled cheese tastes like a grilled cheese etc. my recommendation is try small amounts of everything and find out what you can tolerate. Slow and steady.

My current fight is that the cancer has gone to my liver. I just had a wedge resection on Friday to remove a growth. Hopefully my next scan will come back clear, but I know that all of us live with the realization that this cancer thing can come back at anytime. I wish all of you happiness and joy in life no matter what this terrible disease throws at you.

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Profile picture for harleytiger @harleytiger

I had 25 radiation treatments and surgery (tonsil and lymph nodes). No chemo. I'm 4 months out from my last radiation treatment. I had no feeding tube and it was rough, but I'm happy now I didn't have one. I can tell you the worst has been the side effects of radiation. I have had some tastes come back, but not like I was hoping. I get to taste something and on the second bite it's gone. I can't taste sweets very well at all, which may be a good thing? I lost about 20 pounds and I'm slowly gaining it back. I go to PT and have my neck heavily worked my a great therapist. I'm improving a lot compared to the others I'm reading about. The other comments I read frankly scare the crap out of me. My heart goes out to them all. I have a small ball in my throat I attribute to radiation fibrosis. I'm trying hard to work that away with massage. My best time is the morning and as the day lingers on my throat becomes little sore and voice starts to fade. Right now, compared to others, I'm not complaining.

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@harleytiger
Keep the faith and take it one day at a time. Believe me I know it’s not easy (I’m one month post surgery and radiation) and I see small improvements week to week. Wish I was “back to normal “ yesterday but that’s not realistic and patience is key.
Stay positive mentally, get some exercise and rest when you’re feeling tired…you will get better!

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Profile picture for Frank @fobarrett

Amazon has belly “pouches” for protecting g-tubes that keeps them from getting pulled out.

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@fobarrett I ordered one and it just didn't work for me. I use soft cloth surgical tape by Medipore.

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