3/4 week unable to swallow

FormerMember
FormerMember
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hi all, 

so my OH was diagnosed in may with HPV P16 positive, this is at the base of his tongue and lymph nodes both sides, he is 35 so only a young fit slim and Healthy chap, this has totally knocked him for six, nothing but complications, firstly was with his peg it was fitted he was discharged from hospital and ended up back in a&e 4 hours later, he had slight infection after his peg being far too tight, this ended in him not eating without pain for 6 days, he then had his first batch of two 7 hour days of chemo, ended up having a reaction to it and generally feeling like he’s been hit up the back of the head with a cricket bat made him so sick he didn’t eat for another 5 days and was having minimal amount of fluid, radiotherapy has been going great, he has just finished week 3 of 6 but all this week has been unable to swallow even just a trickle of water, went for review and ended up being admitted back into hospital to try pump feeding and pain management medication as he has lost 13kg In 3 weeks! now he has paracetamol and diclofenac pain relief, codine makes him constipated and morphine makes him violently sick, does anyone have any good pointers for helping him to swallow? All he wants is even just a sip of water  I feel so helpless but he would try most things, and I feel this group is so informative 

thanks 

  • My thoughts are with you. My husband was gone through something similar . Has he got a speech and language therapist on his team as they can help with advice about the swallowing.

    my husband lost over 3 stone from having the peg fitted until now, 6 months after treatment finished. He still has the tube but doesn’t need to use it.

    i really hope things improve quickly for your OH. 

  • I'm so sorry to hear your OH has found the treatment so problematic for him.

    Definitely ask to be referred to Speech and Language Team.  They will assess his swallow and should be able to offer suggestions to help.  For instance, some people find it helps to gently tip the head to one side to swallow but it really needs a specialist to assess and advise the best solutions.

    Also, codeine/morphine are renowned for causing constipation and you're generally advised to take laxatives.

    Excellent news that your OH is open to suggestions and trying new things in an effort to improve things. 

    I wish you both all the best.

    Linda

  • Hi this is Hazel I am 11 month post radiotherapy for tonsil cancer. Re constipation he really needs laxative prescribing I had movicol or laxido depends on who prescribe sthrmmboth work the chemotherapy n codeine both block u up. 

    I didn’t have a peg but after week 3 I had a nasal tube fitted. I  struggled with water try different temperatures I found a cup inof bottled water for between 15/20 seconds in microwave was ok. To this day I can’t drink any tap water I find it too harsh. I am proof there is light at the end of the tunnel yesterday I completely in torrential tail a 60 km charity bike ride for Leeds cancer unit head n neck 

    I have a blog  www.radioactiveraz.wordpress.com

    any question s just ask

    hazel 

    Hazel aka RadioactiveRaz 

    My blog is www.radioactiveraz.wordpress.com  HPV 16+ tonsil cancer Now  6 years  post treatment. 35 radiotherapy 2 chemo T2N2NM.Happily getting on with living always happy to help

    2 videos I’ve been involved with raising awareness of HNC and HPV cancers 

    https://www.instagram.com/merckhealthcare/reel/DBs8Y0niJ8N/

  • FormerMember
    FormerMember

    Hello...I’m in a similar situation...tonsil cancer with the HPV 16 virus present...just about to start week 4 of RT and chemo but haven’t been able to swallow much all week due to the pain...they have tried me on co codamol then oramorph but nothing has eased it...apparently it’s not the right pain to respond to these so I’m back on paracetamol and ibuprofen with a course of steroids to try to calm it down...not happening up to now but what I have found has helped is: clean my teeth...rinse with the mouth wash and then Bonjela which I apply with a cotton bud to the back of my mouth...and then the antacid suspension prescribed..wait 15 minutes..if I do all that I can manage something...today it was a trifle...yesterday a MacDonalds child’s burger...sets off the pain but at least I manage to swallow...and it settles again after a while...

    good luck...

    its just a moment in time...

    Anna xx

  • I wouldn’t worry too much about losing the ability to swallow due to treatment pain. My consultants and nurses banged on about it but there is a limit to what you can endure. I was told if I didn’t exercise my throat muscles I would lose my swallow. Well I can tell you I had a nasogastric tube in for 7 weeks and was overnight pump fed for a month. Little went in orally for a great proportion of that but I was back to eating in no time. More important to my mind is doing your jaw exercises to avoid trismus 

    just my take on it 

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    I BLOGGED MY TREATMENT 

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

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  • Hi Shill86,

    can I ask is it the pain that is stopping him swallowing or is he having difficulty with the physical action of swallowing? I too had base of tongue cancer and remember that until I got the pain under control swallowing was very difficult. 

    All the best

    clive

  • FormerMember
    FormerMember in reply to Clive_r

    For me it is the pain stopping me swallowing....but they don’t seem to be able to find anything to deal with it as yet..

  • My husband had morphine, lots of morphine to help but it still hurt and still does

  • Morphine and Fentanyl was great for the neck pain but during my last 3 weeks of treatment I was prescribed with an oral spray which I believe was cocaine based. I was limited to three weeks on it for medical reasons but after that I had access to lidocaine which I had to use very carefully. I can't remember the name of the spray but can get it tomorrow if anyone is interested. I did however get the impression that it was a fairly limited distribution.

    All the best.

    Clive

  • FormerMember
    FormerMember in reply to FormerMember

    hi. have you tried strong morphine..i no how you feel cos it hurts me to swallow. I did not have the peg and I eat a tiny bit of food a day. good luck to you