Worried about starting radiotherapy

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I am about to start 6 weeks radiotherapy and chemo for my tongue scc hpv+ cancer.  The oncologist painted a really bad picture of the side effects of radiotherapy and said I need a PEG fitted before I start as I won't be able to swallow or eat or anything. He has really got me worried.   Can anyone tell me how bad it really is please, I am all over the place.  I have an overactive gag reflex apparently, and I should expect hell on earth from what he said.  What have others experienced?  I am really worried about this treatment now.    Thanks a lot.

  • Hi Lizzie,  thanks for your comment.  I really appreciate it. I am so worried about the prospect of naso gastric anything as I even fought with a gastro person trying to give me an endoscopy, and I had 15 of midazolan on board, which should have felled a horse.  They gave up in the end.  My throat is stupidly sensitive, so they are planning to fit a PEG before starting radio to ensure they can feed me.  Seems like you got through without anything!  How was the swallowing?  I really do appreciate your feedback as every talks of ng tubes and don't understand the gag reflex problem    Andrew

  • Hi Hazel, thanks again for uour support.  I am so worried about how worried the oncologist is about my swallowing, and the fact that I can't take an ng tube due to my stupidly sensitive throat.   Andrew

  • Thanks Dani, I am really dreading this.  My oncologist has proper put the wind up me about the radiotherapy.   I can't take ng tubes at all.  We tried.  Not possible.   As a result I am having to have a PEG fitted under general.  I hope it ends up better than it is being painted.  What about the mask.  How did you gind that?  Andrew 

  • Thanks ER1.  As I said in other responses, ng tubes not possible as I react violently to foreign bodies in my throat... overactive gag reflex.  I also worry as I am 66 and have had blood cancer for 5 years already, for which I take daily chemo already.  I have to stop this to take the scc chemo, so I am already very run down.  Not a comfortable place at the mo.  Thanks again for your comment.  Andrew 

  • Thanks a lot Jo, it is so good to be able to talk with others undergoing the same stress.  I hope you get a great result,  and get some relief from the pain.  Is the pain from the cancer?  I have a very sore throat and a lot of pressure in my neck from swollen lymph nodes.  Is yours the same sort of issue?  All the best, Andrew 

  • my squamous is to the soft palate - it was progressive pain in the early days but after my biopsy the stitches came away within 48hrs  leaving me with a large gaping wound to the soft palate next the uvula - I was told it would heal on its own and could not be restitched as that would  have to be in theatre again  - it is still not healed over ( 6 weeks on ) and the area is a mass of angry red scar tissue and it looks to be spreading , it is so swollen when I talk i gag so I am dreading the peg being fitted ..  I try not to look in my mouth anymore as I often wonder how it will ever be normal againPensive  I have now accepted not being able to eat properly as it has been this way weeks on end already so when the time comes when I will rely on a peg i seem to welcome it with no real fear or qualms  


    I do get neck pain - more so to the glands under my ears , that also makes me feel all out of sorts but those days come and go - hopefully just reactive glands flaring up and trying  to put up a battle to what is going on 

    Jo

  • Hi slammed 

    I did do a lot of gagging with mucus, swelling etc. and I did have a LOT of nausea.  My throat is super sensitive like yours.  Any mouth stuff and I am gagging away.  I can even bring it on just thinking about it. I totally understand You dreading everything. However, what I want to say is. I just sort of got used to it and stopped dreading it so much. I learnt I could cope and I really think you will as well.  The thought of it all before treatment was terrifying but I did cope with whatever happened. You will too, I am sure.  And once you have coped once, it becomes easier.  I managed to eat weetabix with protein powder and double cream throughout (with pain relief of course). Morphine made me feel v sick though! But none of its forever. 
    All the best.  
    lizzie

  • Thanks Hazel - I am not worried about mask fitting and I WILL be asking for  eye openings lol … see what I already learned from you guys Pray tone1Grimacing

  • Deffo eyeholes you can  watch the leaves on the accelerator go round and round you get used to the sounds and motions it all makes. It’s fascinating.

    Hazel x

    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/

  • Hi Jo that sounds awful I am so sorry.  I was offered an op to remove half my tongue, but refused that and opted for chemo/radiotherapy.   I have insisted on a general anaesthetic for my PEG, maybe you could do the same.  I wish you the very best. Andrew