mucus and constant coughing after radiotherapy and chemo for throat cancer

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Hello

My husband finished chemo and radiotherapy on 2nd September after which we were told the next 2 weeks would hit its peak and he would have pain and alot more mucus.

However the mucus is awful keeping him awake pretty much the whole night to which he is trying to not go to bed

During the day its not great but night is just awful.  I have spoken to the hospital and they have said everything he is doing is correct at least 4 steams a day, mouth wash.

He is now managing small sips of cold drinks soda water, cream of soda, squash, water.

He is managing about 8 teaspoons of yoghurt and has tried scrambled egg, rice pudding both to revisit!

He ate half stewed apple with a little custard last night.  otherwise everything is through his feeding tube.

I am wondering whether a nebuliser would hep but dont know which one or whether this is a good idea.  Someone did mention the dr should be able to assist but trying to get through to my local GP is a nightmare, I have currently been holding on the phone for over 30 mins

Hospital said it may help but hubby is so down and fed up he just feels everything he is doing is not making progress.

obviously I am trying to help him as much as I can and just feel like I am constantly nagging him to do mouth wash, steam etc etc

I am currently recovering from full hysterectomy so looking after him and me  although we have lovely family is also hard for me and I just want him to be able to get at least a couple of hours sleep through the night and try and get on top of this constant coughing mucus up.

I have read and read so many forums etc and just wonder if you can think of anything else.

Many thanks in advance

  • Hi Snow08

    Thanks for getting in touch and welcome to the online community.

    My name is Paula and I’m one of the Cancer Information Nurse Specialists.

    Sorry to hear the difficulty your husband is having post cancer treatment, and the impact it’s having on you both. Especially as you’re also recovering from recent surgery.

    Unfortunately, many head and neck cancer patients experience late effects of treatment. Most side effects get better after treatment has finished, but for some they can get worse before getting better.

    Cancer treatment such as Radiotherapy can damage oral tissue and salivary glands. This can slow down the ability of oral tissue to repair itself, increasing the risk of excessive saliva and mucous. Managing this can be difficult, but it sounds like you’re doing all the right things. You may find these further tips helpful.

    Some people find a nebuliser helpful to manage their symptoms. If you are unable to contact your husbands GP to discuss this, you could contact his hospital team. They may have other suggestions that might be helpful.

    The Swallows have a support service which you might find helpful to contact for further advice. We also have a Head and Neck Forum on our online community where you can also get advice and support.

    Looking after someone with cancer can be challenging both physically and emotionally, so it’s important to get support for yourself.  You can always give us a call on the support line. We are available 7 days a week from 8am-8pm on 0808 808 0000.

     

    I hope this information is helpful. However please don’t hesitate to get back in touch if there is anything else we can help you with.

    Best Wishes

    Ref:JD

    Paula-Cancer Information Nurse Specialist 
  • Hi Paula

    Thank you so very much for responding.

    I managed to to get through to the  drs and just asked the question re nebuliser and advised our situation  to the receptionist and requested if they could ask the dr for any advise.  6.30 last night the loveliest dr called me and has arranged a prescription re thinning mucus to try and was very supportive she has booked my husband in tomorrow to check his chest to rule out any infection and just catch up with him so that's very re assuring.

    She has Suggested we go to our local well clinic at the Rowans for support.something we may look into but  for now just happy that we have the macmillan site and support now from the GP.

    Again thank you so much for your helpful response.  

    Claire