How long before my taste buds recover after H&N treatments?

Posted by calenbd @calenbd, Sep 27, 2022

I have completed 35 treatments of radiation and chemotherapy two weeks ago for squamous cell cancer in my tongue and lymph node. I’m just wondering how long before I can expect my taste buds to recover so I can taste good again? I’m currently on a feeding tube, but my throat pain and mucus is diminishing, so I am looking forward to eating solid foods again.

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@teresat47

I didn't find the articles helpful. , but you can't blame them, they've probably never had to deal with the pain of mouth/tongue sores. Cinnamon to me is absolute torture. And I love it. Right now the only thing I can taste (still have 9 treatments left)is dunkin donuts frozen chocolate. I don't even like chocolate but the cool feeling along with being able to taste something is delightful. Teresa

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Wish you and everyone quick recovery.

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@naznaz

Thanks, @colleenyoung, for replying. I will go over the articles and check more.

In regard to your question about tasting some food over others? Unfortunately, no. But my tongue burns me when I eat any spicy, salty, or sour food.

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I used a naturopathic doctor in conjunction with my medical team and she recommended zinc supplements. However it has to be cleared with your oncologist first as it’s an antioxidant which is contraindicated for radiation. I started taking it 3 weeks after treatment. The supplement contained vitamins A,C,E, Selenium and Zinc. It’s called ACES + Zn if you search for it. I’m just short of 5 months after radiation and chemo ( I had 25 sessions not the typical 35 so less damage I’m assuming) and my taste buds are about 80% back. However some things taste different. Hang in there it will get better.

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@naznaz

What are the strategies to speed up the taste regaining? I finished mine a week ago after 33 sessions. But I had/have no tube as I've fought to keep my weight not to reduced more than 4kg. My second question, do you thing if i continue to force myself in eating would speed up the taste regaining?

One note, usually others mentioned that they have very dry mouth. I have some dryness but not fully. But the problem, I don't want to drink even water. There is a stupid taste in my mouth.

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Hi there, My last radiation treatment was I believe December 23,2014. I had a feeding tube for a few months. I lived on Boost milkshakes for about a year. Swallowing was very difficult for me. I still have problems with things at times. One day it will be fine and the next time I might as well be chewing rocks and trying to swallow them. I still have a very limited amount of saliva. And my taste buds aren't that great. Things that used to be good aren't so much anymore. I've learned that anything from a can is a NO. I taste the can not the food. I've been freezing as much fresh food as I can. Veggies and fruit. Or I buy as much as I can that is in jars. I was told the same as everyone else. It should only take a few months before everything goes back to pretty much normal. I'm still waiting. Beef is a rarity for me. No hamburger. I've learned that I have to take small bites and not chew as long. When your saliva is limited you dry your food out if you chew too long. I don't eat much bread. For some reason I can eat a wrap easier. I use as much gravy as I can. And like everyone else water water water.

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Have to agree that most will have their own unique experience and essentially find out along the way as things progress. I had 2 surgeries and 25 radiation treatments. Took about a month after 2nd surgery to start sipping tiny bits (and I mean tiniest of tiny sips) of liquid and I asked to have my feeding tube removed. Forced myself to get nutrition via nutrition drinks. I was gradually able to increase my sipping to where I could drink a small nutrition drink in one hour….then kept progressing from there.

I found vanilla flavored nutrition drinks were tolerable, but other flavors were awful for the first few months. It took me about 2 months to find other drinks or flavors that I would enjoy and/or tolerate.

I’m now 9 months out from 2nd surgery, and 7 months out from radiation.

Drinking is functionally back to normal, but still not back to normal as far as what I can drink. Many things irritate my throat or are outright painful to drink. Carbonated drinks or anything spicey are the worst. Fortunately, taste is back to normal for most drinks, and I’m back to enjoying my morning coffee.

Eating was much more of a challenge than drinking. Food taste was awlful for most foods for almost 3 months. I gradually introduced soups into my diet. Egg drop soup was my go-to for a couple weeks. I had to experiment to see which other soups I could swallow, and also see which ones I could taste or at least tolerate. From soups I moved on to really runny eggs. I found from the egg drop soup that I could start tasting the eggs, so figured I’d try eggs. Success. For about a month I was eating my runny eggs and enjoying them. From there I did trial and error to see what I could swallow and/or taste. Most foods would get stuck in my throat, so moving on took quite a bit of time and experimenting. Even to this day, eating is not really enjoyable any more. I can taste a lot, but swallowing is a challenge, and that makes eating a chore as opposed to an enjoyable experience. Meats have almost no taste to me, so I can’t enjoy a good burger or steak like I used to. Maybe that’s good as far as overall health. Food still gets stuck in my throat, but I’m using that as exercise to improve my swallowing. I try not to use liquids to “wash down” food. I want my swallowing muscles to get stronger, so I make them work to get the job done. Many coughing and choking moments, but I’ve just accepted that as my new normal fit now.

So, that says a lot…a new normal. Eating and drinking is nowhere near what it used to be, but I’ve adapted and accepted it as my new normal, and hope for at least a bit of improvement still to come. I think of it as a character builder and learning experience. Living and staying alive isn’t guaranteed. I figure I’m fortunate to be alive and enjoying most parts of life again, even though eating and drinking aren’t part of the enjoyment.

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I have very similar experience. I am enjoying more solids now 4 months out of radiation. It takes discipline, and will power to push through eating. I am beginning to enjoy some meals again.

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@teresat47

I didn't find the articles helpful. , but you can't blame them, they've probably never had to deal with the pain of mouth/tongue sores. Cinnamon to me is absolute torture. And I love it. Right now the only thing I can taste (still have 9 treatments left)is dunkin donuts frozen chocolate. I don't even like chocolate but the cool feeling along with being able to taste something is delightful. Teresa

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@teresat47, I agree. Education articles are often too general to be helpful for one's personal situation. But I find they can give a starting point and then it's trial and error, talking with symptom management nurses and fellow patients that help the most.

I'm sorry that you've had to avoid one of your favorite foods/flavors - cinnamon. Hopefully that this something you can look forward to enjoying again after treatment and recovery.

Are you finished radiation now? How are you doing?

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I was told by my ENT that by post 12 months, you might not get any further forward progress. I am at 40 months post chemo/radiation, and I am still waking up my taste buds. My ability to handle spicy hot foods is not normal. Hot peppers really aren't that hot. Keep trying don't give up, try new foods and spices. I cut out all floride from my life, which might have helped?!

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They will come back gradually. I had my last treatment in May. As for as solid foods, you should be good to go in 2-4 months. Keep trying different soft things.
As far as enjoying eating again? I don’t know. Meal time is not what it used to be as far as enjoying. That said I am very thankful for my progress and it sounds like you are doing well.

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@davehutsell

They will come back gradually. I had my last treatment in May. As for as solid foods, you should be good to go in 2-4 months. Keep trying different soft things.
As far as enjoying eating again? I don’t know. Meal time is not what it used to be as far as enjoying. That said I am very thankful for my progress and it sounds like you are doing well.

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I have a similar story. My last radiation and chemo treatments were on August, 2022. It took a long time for my taste buds to “wake up”. Slowly I was able to enjoy eating again. I can swallow foods now without choking. Some of my favorite foods from the past don’t have the same flavor, however. I used to love chocolate, but now not so much. Maybe that’s a good thing in disguise. I guess I can describe my taste buds as a bit “dull” as compared to before cancer. My experience is that your taste buds will return, but maybe not to the same level as before. Experiment with new foods and be grateful, as I am, to be able to eat solid foods at all. I pray your journey is goes well.

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Hi, my husband had radiation & chemo for tonsil p16+. He finished treatment almost 9 months ago & still cannot taste anything. He was not on a feeding tube & lost all saliva production.
I would do appreciate responses re return of taste, any taste. He is becoming worried he will never taste again! It’s a real struggle to keep weight on as his appetite is so diminished.
Also, I heard that the longer you go without taste, the more likely it will never return.
Please help🙏🙏🙏thank you all !!!

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