Radiotherapy

Hello Chopin

I am George, one of the Cancer Information Nurses on the Macmillan Cancer Support line. I'm sorry to hear about your husband's difficulties with mouth pain during radiotherapy and the challenges it's causing with eating and drinking. Unfortunately, we cannot access NHS records, so I can only provide general information and support. It's essential to speak to his GP or specialist team if these symptoms persist, worsen, or if new symptoms arise.

Pain is a common side effect of radiotherapy, and strong medication like morphine is typically used to manage it. However, some people may experience side effects from morphine. There are alternative medications, such as Oxycodone, that can be better tolerated, and this can be discussed with the specialist or GP in a process known as an opioid switch.

The specialist can also consider prescribing neuropathic pain medication to help with nerve pain, as well as local anaesthetic sprays or mouth rinses to use before eating and drinking to reduce discomfort. Any new product or medication should not be taken without discussing it first with the specialist.

It's essential to ensure that he is on the proper anti-sickness medication, as there are different options available, and an alternative may suit him better.

I hope he is currently under the care of a dietitian who can provide further information and suggestions regarding these challenges. They may also be able to prescribe more calorie-dense supplements for him to consume between meals while he’s struggling to eat and drink.

I do hope this information is helpful in answering your question but please don’t hesitate to get back in touch. You can speak with the Macmillan Support Line on 0808 808 0000 (7 days a week, 8am-8pm) or email us. 

Kind Regards,

George

Cancer Information Nurse Specialist

REF:  GHi/AM