Post treatment: good or worrying...

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I am entering my 4th week post treatment. The last 2 weeks of treatment were tough.  The team had told me that things would continue to escalate in the 2-3 weeks after treatment and for a while, things were pretty bad.  I had some killer radiation burn (thanks for the tips on a previous post) but after some pain, tears and some excellent dressings - they healed up really quickly.  I think I turned a corned a week after treatment ended and went down to paracetamol at night only (previously took it 4x a day).  I had liquid morphine on standby but never used it.  The week after I came off painkillers completely and last week, started having visitors again. I have maintained eating throughout so not used the PEG.  My taste is probably at about 30-40% and can't have anything sweet including fruit/fruit drinks. I was on soft foods, soups, and Ensure drinks for the final week of treatment and into post treatment.  However, I've been gradually building up and now eating roast dinners (well mainly the meat and vegetables - potatoes have no taste!). I am prone to horrible coughing fits - especially when I eat but even that is settling down.  I was finding the coughing would wake me up in the night and I'd need to expel the secretions (yuk!). Last night was the first night that didn't happen. I tend to have mad, dry mouth first thing in the morning but then it's fine the rest of the day. On the whole, I'd say, I'm powering through the side effects. There is a part of me that thinks this is great. I like to smash targets and feel like I'm doing better than expected.  But then another part of me worries that perhaps this is a bad sign... I won't have my scan until Dec/Jan so it's a while before I know whether this has been successful.  Anyone had similar experience to me? Also, keen to know of experiences of having the PEG removed.  I'm desperate to get rid of it.  Was in my head about having it in the first place and had quite a bad experience as it failed the first time (and the sedation didn't work so it was all a bit traumatic) but given I've not used it, want it gone.  Dietician said they usually like to leave it until after the scan in case further treatment is needed.  Again, any insight would be welcome.

  • Hi  

    You seem to have done really remarkably well with your recovery. Well done. 
    The PEG just pulls out quick as a flash and doesn’t hurt 

    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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  • Wow Liesle, it sounds as though you are powering ahead that's great. Normally it does take quite a bit longer to get over the side effects of radiotherapy or at least have them to a manageable level. Take the win and don't worry about it.  You could discuss early removal of the PEG with your medical team but I see what the dietician is saying about waiting.

    Best wishes for your ongoing recovery.

    Lyn

    Sophie66

  • Hi Liesle , my partner finished rt 2 weeks ago and he's team didn't want him to have the PEG out yet. Like yourself he never used it and not had a pleasant experience with it. It was in a week and the balloon burst so he called nutrition nurses but because it was 4.40pm and they finish at 5pm they told him to make sure the PEG stayed in. He then rang the Fresbusin nurses who also said they couldn't come out and we went A & E who said sorry there is nobody here who can deal with this. Anyway it was sorted the next morning after rt. He recently had another problem with a valve and the PEG fell out. He said it didn't hurt but was uncomfortable when the balloon popped. He's now PEG free and a week later the hole from where the PEG was has healed up nicely. Wishing you all the best Slight smile

  • Whoa x that's a lot with the PEG!  Don't want to tempt fate but I've not had any issues with the PEG - would just rather not have this tube coming out of me.  Plus the daily maintenance is a pain when I just don't need it. Glad he's now PEG free and that the hole has healed Relaxed

  • I just worry that maybe I've been resistant to treatment (eek!). I have recovered well from previous surgeries and procedures (not that I've had loads) so have 'form'. But have a niggling worry in the back of my mind... 

  • I just worry that maybe I've been resistant to treatment (eek!).

    Treatment failure this early is practically unheard of 

    You don’t say what stage you were and whether the cancer is HPV +ve

    Virus driven cancer is very sensitive to radiotherapy and cure rates are very very high, in excess of 85%
    So try not to worry 

    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

    Community Champion badge
  • I spoke to macmillian nurses as he's team was not as supportive and if you not using it and are unhappy make sure they are aware as it's ultimately the dietician who makes the decision i have been told. I think you lovely people have been true warriors and anything to help you feel better should be done. My hubby was in so pain presurgery and just after and seeing him pain free but upset because of the PEG was the worse. Luckily now he's happy and making good roads. Wishing you all the best Blush

  • Thanks for the reassurance.  I really appreciate that.  Initially I was told T2N1 but this was later changed to T1N1M0 - P16+.  Initially found in right tonsil with SCC.  

  • Hi just keep doing what you're doing remember don’t rush as it’s still early  days for you I took my ng tube out myself at week  3 recovery with dietician permission. .  HPV driven tumours respond well to treatment as Dani says in excess of 85% cure rate. Treatment failure in early days is extremely rare so carry in as yiubare .

    Ps try sweet potatoes much easier than ordinary potatoes for a good whike 

    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/

  • Liesle I think your anxiety is causing you to over worry...you have made amazing progress, and thats a huge fillip for you and your body/health! My husband had his tube out after about 10 weeks post treatment.  It actually fell out and we put the stopper in as they tell you to, but he wasn't eating with it by that time so the dietician agreed with him that he should have it removed.   Very simple, the nurse comes and puts a plaster over it and it heals from inside within hours.  Now about four weeks on, the 'wound' site is almost healed over.  You don't usually have to wait for the scan before removal, in fact the head and neck nurse said my husband was late having it removed as most peoples were out by that stage.  The dietician agreed with this, overall..

    Please just allow yourself to appreciate how well your body is recovering.  To be able to eat so well is amazing.  Your body is healing fast...thats reason to celebrate not worry!

    take care x