Radiation side effects with H&N cancer. When will they ever end?

After receiving a full course of radiotherapy for squamous cell carcinoma to the left tonsil area, lingering side effects had to be faced. My very professional oncologist said I should snap back in a month or three however I was his first for an upper throat radiation. Aside from the normal expected side effects during and shortly after radiotherapy, some side effects can last for years.

Head and neck radiotherapy is unique in the fact that vital life areas are being attacked with radiation. The mouth, sinus, gums, salivary system, esophagus, airways, swallowing, vocal chords are all effected. It isn’t like we can stop breathing or swallowing to allow us time to heal. Other areas are usually less complicated.

Because the recovery years are hopefully behind me, I thought I would share with anyone interested and dealing with side effects and assure you that with time things usually get better. I will begin with four side effects and add a few over the next few weeks. This is not to say it is a complete list or that you have or may expect any or all of these side effects. We are all different in our treatments and recoveries.

Don’t be alarmed. I am in my sixties now, in very good health, and enjoying life.

1) Dry mouth. Probably the most common and bothersome. I keep water with me always and at my bedside. Mints help as well. This has improved over the last ten years but I wouldn’t win a spitting contest.
2) Nerve issues on the face and neck. Known as “creepy crawlies” or “bugs on the face” the feeling that something is there although that clearly is not the case. Sometimes rubbing the face or drinking cold water helped. This occurred initially several times per day but after a few years it became infrequent and lasted roughly seven years.
3) Nerve shocks on the left arm and shoulder or sometimes just a dull pain of the upper arm. The shocks would startle me and those around me I’ve been told. Lasted about five years.
4) Neck cramps. Some call this “lock jaw” but it is not the actual tetanus disease and only lasts for usually less than a minute. Mine was often initiated by yawning, a sneeze, a cough, and on occasion eating or talking. Rubbing the area helped and indeed it often felt like a cramped muscle in the neck. Unfortunately this stayed with me for roughly fifteen years.

More next week. If you have any questions or comments or wish to add I would welcome that input. Until then please know time heals all wounds as they say.

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

So sorry to hear that the doctor can no longer help. Please don’t stop reading. If you open the King James Bible the 1611 version and open it at Mark 6:13 you will find a possible solution to your problem. Anointing for healing consists of getting virgin olive oil (oil of our people)take a small amount and asking God to bless it, and use that blessed oil
( small amount on his forehead) and ask the LORD to anoint and heal and return his appetite to your husband with his agreement to do this.
I’m praying for you both
GOD bless

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I am so glad to find this website with real problems, by real people. My story concerns my husband. He had surgery for a carcinoma on top of his head with 17 radiation treatments. Following the treatments he completely lost his appetite for food. He had every kind of test, in hospital and out. Was prescribed all kinds of medicine, even Marinol (marijuana without the THC). Nothing has helped. The doctors have basically said we have done everything, and don't have a solution for him. He is slowly wasting away. He weighs 89 pounds now. I didn't know that a person could live at that weight.
Is there anyone out there that has experienced not having an appetite after radiation treatment?
Thanks

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Profile picture for winstonbuffy @winstonbuffy

Should get scheduled early part of this week, anxiety keeps wanting to creep in so keeping myself busy thank the Lord
Thank you

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Radiation going OK so far? A bit freaky being strapped to a table whilst everyone leaves the room isn't it? And they always say "Just relax".

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Profile picture for vsamples @vsamples

I’m 6 years out from radiation and have been hit hard. Necrosis of the tongue, osteonecrosis, and radiation induced brachial plexus neuropathy. Have you had any of those?

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Hi Vsamples, I did have osteonecrosis which I finally had resolved two years ago with a day-long surgery and several follow-ups. Neuropathy in various sectors finally either worked themselves out or I just plain got so used to it it goes unnoticed. But I am almost 22 years out now. At six years it was still a battle. I hear you. The creepy-crawlies on the face, neck, and arms, I think the CIA should adapt as information extraction tools.
We walk this world a bit broken and as we meet people or associates we think that everyone else is doing just fine. So when they ask how we are doing we say we are fine or coping or on-the-mend and we give a pirate smile as best we can do. And later we go home and cry a bit over self pity until we realize that many people have issues and hopefully ours will get better. And speaking for myself, they do get better.
I wish for you improvement day by day, year by year. Enjoy life best you can. Maybe not ride a bull named Fu Man Chu but at least watch someone else do that crazy thing. In time (years) it should all get better. Stay on this forum and help others I hope. Keep in touch.

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I’m 6 years out from radiation and have been hit hard. Necrosis of the tongue, osteonecrosis, and radiation induced brachial plexus neuropathy. Have you had any of those?

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Profile picture for sm22 @sm22

Is still experience side effects from my radiation that ended in October. Stabbing pains and some fatigue. I am just keeping the faith that they will all subside soon - with time.

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Did you have an option for surgery?

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hello everyone, i was under the impression that all would be well after my surgery too, which was the radical neck dissection to the right side of the thyroid. i am in severe pain each and evry morning on the right side, lets up some after movement but when i start to do small things the pain just radiates to my back. thing is i know the radiation that you have had will not be the same radiation that i have to get which is 1131 radioactive iodine pill. since it goes down the throat i feel i will be having the same trouble as everyone else on here, has anyone had this radioactive pill? i am already having trouble swallowing, i have no voice, have alot of coughing spells. my mouth is so dry and i just can't imagine how it will be after the pill from what i read everyone else saying on here. i am already set up with the sour lemon candies, thing is my TSH was low so now i have to stay on the low iodine diet for another week before i can do the radioactive iodine pill. thank you for listening and wish everyone wellness and happiness as we not have to accept our new normal.

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Profile picture for smittyfromcuse @smittyfromcuse

William thanks for asking how I’m doing. I’m keeping my weight stable and able to eat most everything by taking small bites and eating slowly. Nothing tastes very good but I eat anyway and keep trying different foods hoping some taste buds will wake up soon. Fatigue is my biggest symptom right now. I’m back to work and exercising but I don’t have the same energy I used to. I’m also thinking about talking to a therapist. I’m just now starting to mentally process what happened the last 6 months. I tend to keep things to myself and minimize my issues. My reaction to this is it’s over now get back to life but it’s not that simple. But I know I’m very fortunate and grateful to be alive so I’ll deal with the lingering and long term issues and try to enjoy life.

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You are correct that getting back to life is not that simple. It’s like coming back from a war zone only cleaner perhaps.
Your taste should return to near normal in a few months. The other issues usually work themselves out eventually also. The fatigue is the body healing so ten hour night sleeps might take a little life reschedule. That should get better within six months. Docs like to state shorter time for healing but I think that is positive talk run amuck.
Anyway it sounds like you are on the right path. Remember you can always ask about anything about this process. I am here.

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Profile picture for William Olsen, Volunteer Mentor @hrhwilliam

19 days post radiation, you might be at the bottom and just now starting recovery as radiation effects often get worse for a while once the treatment has stopped. Only 25 treatments too. You were pulled from the fire before you turned crusty brown like most of us.
Let me know how you are doing recovery wise. I know the next few months can be difficult.

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William thanks for asking how I’m doing. I’m keeping my weight stable and able to eat most everything by taking small bites and eating slowly. Nothing tastes very good but I eat anyway and keep trying different foods hoping some taste buds will wake up soon. Fatigue is my biggest symptom right now. I’m back to work and exercising but I don’t have the same energy I used to. I’m also thinking about talking to a therapist. I’m just now starting to mentally process what happened the last 6 months. I tend to keep things to myself and minimize my issues. My reaction to this is it’s over now get back to life but it’s not that simple. But I know I’m very fortunate and grateful to be alive so I’ll deal with the lingering and long term issues and try to enjoy life.

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Profile picture for ltecato @ltecato

I don’t get any follow-up whatsoever. I have to figure out everything for myself. There’s no systematic effort or process to help cancer patients deal with the long-term effects of radiation if they manage to survive the disease. I don’t think the oncologists who treated me expected me to live long enough to have to deal with the lingering effects of radiation.

Decades ago I tried to contact the American Cancer Society in Texas to encourage them to help cancer survivors such as myself and the nurse who spoke with me was actually *offended* that I was suggesting that a cancer survivor might require any kind of medical treatment for the after-effects of chemotherapy or radiation. This would have been in the late 1980s. That left me permanently disgusted with the American Cancer Society. I will never forgive them for that. I know they offer lip service to survivors nowadays but it’s at least 30 years too late in my opinion.

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Head and neck cancer seems to be rather unique in the after effects of treatment, most likely because we are treated in a very touchy area. We need to breath, eat, talk, and all that entails whilst the treatment attacks these necessary functions. It’s no wonder that cancer experts often have little idea why we have issues when others don’t.
I was the first H&N cancer for my oncologist and I understand by the time he retired he only had one more. It’s not a common cancer, except of course for this group.
Don’t get too discouraged. At least you have people here to bounce questions off.

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