Ulcerated mouth, throat and tongue

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Hi,

I have just completed week 2 of 6 weeks of CRT.

My tongue is deeply ulcerated as is the left side of my mouth and throat. Eating is a chore anyway due to removal of gums, and palate. My jaw opening is very small too. I had  flap reconstruction for the palate and cheek. 

I am relying on supplements provided by the hospital and they have agreed I can use these solely at the moment.  

My question is, how long are these ulcers likely to last? Do they heal during the duration of RT? It feels very daunting to have these for the next month or so. 

I am using salt and bicarb mouth washes regularly, I have been given a prescription for something to coat the ulcers but I can't get this for another 24 hours.

Thank you for any help you can offer.

Alison

  • Hi Alison, so sorry to read how uncomfortable you are. Have you a feeding g tube? If you have use it. It will save you a lot of pain and angst.

    My question is, how long are these ulcers likely to last? Do they heal during the duration of RT? It feels very daunting to have these for the next month or so. 

    RT ulcers are a completely different beast from normal mouth ulcers and take a long time to heal. Mine lasted for a good few months after treatment end though they were much less painful by week 12 and I could eat well by then. In the meantime I really couldn't be done with fighting the inevitable and used my NG tube for meds and food from week 4 of RT to around 8 weeks post.

    For ulcers during treatment I found Gelclair and Difflam helpful but the best was morphine. I took long acting morphine twice daily with oramorph every four hours alternated with paracetamol. 

    Keeping the mouth clean is paramount and your salt/bicarb should serve you well. It;'s not easy but doable.

    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 Dani, no I don't have an NG tube though I am happy to have one if suggested. I guess I just have to carry on with good oral hygiene, washes and whatever meds are offered. My husband keeps telling ne 'this will get better' he is so positive. Thanks for your reply.

  • Hi Dani, no I don't have an NG tube

    Ask for one if you need it. Most people here seem to get a PEG or a RIG before Tx starts. Where are you being treated? 

    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
  • Hi sadly like Dani says  radiotherapy ulcers don’t behave like standard ulcers I has one the full length of my tongue from week 2  and it remained until around 3 month after treatment finished. I had salt And bi carb  rinses plus gelclair. I had ng tube fitted week 3 it was my lifesaver it kept me fed hydrated and all medication went in. My ng tube allowed me to make a quick recovery  woukd ask your team tomorrow. 
    best wishes 

    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/