Hi there,
I’m wondering if anyone can help please.
My husband has received chemoradiotherapy for oesophageal cancer. The treatment finished at the end of June and he is due to have an oesophagectomy in the next couple of weeks. He has been told to put on weight and had been doing really well up until the last couple of weeks. Now he is finding it impossible to consume soft foods, shakes or even thin liquids as the pain in his oesophagus has become so intense. He says it feels as if his oesophagus is inflamed and swollen Soluble paracetamol and antacid and oxetacaine aren’t helping at all despite following guidelines. We have spoken with acute oncology, his cancer nurse, 111 and the GP but nobody seems able to answer why this has suddenly happened and what the solution is. Obviously he needs to keep hydrated at least, especially with a big operation looming. I’m wondering whether some recent changes to medication are relevant but we can’t seem to verify this.From what we can gather his symptoms aren’t typical i.e. discomfort during and for a short period after the treatment were expected and indeed experienced but this is different. If anyone has a similar experience and is able to offer any advice it would be very much appreciated. Thank you.
Hi Cristina. It does seem strange that he now has this problem two months after end of treatment. I can only suggest you push harder at the door of the Acute Oncology department to try and get him admitted. When I had acute oesophagitis at the end of my chemo/radiotherapy course I was admitted to the ward overnight. After various tests I was put on an IV drip but have no idea what was administered but it did the trick in less than 24 hours. Do not be afraid to ring them and emphasise the trouble he is having. He does need to be in good shape before he has that operation. I do hope things go well for him.
Hi Christina.
First of all, I'll just emphasise that I have no medical training, and do not have OS cancer, but am assisting a brother who is being treated for it. My profile section gives more detail, but in summary my brother has had chemo (FLOT) followed very recently by surgery (open Ivor Lewis), and is now in the latter part of the planned two-week hospital stay for that surgery.
Presumably the lead consultant for your husband's case is a surgeon. Based on some unexpected recent experience, it seems that there is a (hopefully distant) possibility that the swallowing difficulty / pain may be due to post-chemo tumour re-growth, which could increase the risks of the upcoming surgery. So if at all possible I'd suggest contacting the consultant with a view to obtaining a satisfactory clarification.
It does seem to me that an alternative possibility, e.g. the acute irritation suggested by Anglars, is a more likely explanation.
By the way, I'd strongly recommend updating your profile (see the small icon on the top right side of the page) when you have the time to do that.
Best wishes for now.
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