Halfway through treatment

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I am new on here so wanted to say hello. I have HPV positive cancer in 3 lymph nodes in my neck. They haven’t found the primary but are assuming it is base of tounge. Tonsils already removed when they did the biopsy. I am undergoing six weeks of radiotherapy with chemo once a week. I am struggling now and can’t face the thought of more chemotherapy. It’s just makes me feel so awful. My mouth and throat now is so sore and I am finding eating to difficult. I have a peg fitted already and am using to take meds as they make me vomit if I take orally. 
The mouthwashes can make me vomit. I use them when I can and also use saline solution and a tea tree mouth gel which is helpful. 
I am still managing to get out for a walk which is a blessing. 
I am just really scared about the next three weeks as I know it is going to get harder.

Any advice on how you got through the whole treatment welcome. 
thanks 

  • Hello. I’m 8 months post treatment for right tonsil & lymph node hpv positive. I had bilateral tonsillectomy & part of tongue removed on Jan 4th then 6 weeks of chemoradiation.  30x radio & 6x chemo. I used my PEG from week 4 of treatment for water, meds & feeding. I had a small pump which linked up to my PEG at night to drip feed 2-3000 calories overnight. It was a godsend as I couldn’t swallow more than a few sips of water. I used Caphosol mouthwash plus Difflam I took codeine , paracetamol & morphine. All meds went via PEG Try not to be scared. Yes it will get more challenging but use your PEG for feeding- speak to dietician about a pump, ask for oramorph or morphine patches to get on top of the pain. 
    Macmillan offer counselling over the phone - I had several sessions post treatment to help me through a difficult patch. 
    This forum is great. Ask anything & someone always has fabulous advice. 

  • Hi PP

    Blod's mention of using a pump is what I did and it made a world of difference. Plenty of people don't finish their chemotherapy for one reason or another. The chemo acts as a sensitiser making the RT (the main event) more effective but not by much. I didn't have chemo at all.

    Have a word with your oncologist. They might be able to let you off the rest 

    Use the Peg for food.

    I had a pump which drip fed me overnight. It made life so much more bearable.

    I had Caphosol, Difflam and Gelclair and I used corsodyl alcohol free last thing before bedtime. It stung like billyo for 30 seconds but kept all the bacteria and yeasts away from my mouth. I took my oramorph and paracetamol by the clock with long acting morphine twice a day for background pain. It made the last few weeks manageable.

    Best of luck

    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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  • Thank you for your advice Blod. Much appreciated. I will speak to the team tomorrow at the hospital to get some more help. 

  • Thanks for your advice and tips. I will follow them up. Much appreciated. 

  • Hi I was due to have 3  infusions  of cisplatin my oncologist does 3 large doses instead of 5 smaller Ines in the end I didn’t have the last one. In conjunction with oncologist we decided better not to have it. he did say at least 60% of his patients don’t complete  the course so don’t stress it’s the radiotherapy that the main even .Have a talk with them and see what they say. Saline rinses helped me along with baking powder at a ratio of 1 1 litre  water 1 teaspoon salt same baking powder rinse and spit. Also for ulcers ask for gelclair. Don’t look too far in advance take it ine day at a time. 

    Ask in her we will all try to help. 
    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/

  • Thank you for the advice. Really useful to know. I will speak the team at the hospital tomorrow.