My first post , diagnosed right toncil scc hpv positive T1 N0 M0 November 2024. 6 weeks radiotherapy ending Jan 24th 2025.

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My name is Liz , I am 76 years old. I suffered all the usual during and after effects of the radiotherapy. ie. Skin blisters on my neck burn , mouth ulcers , oral thrush , liquid diet, dry mouth , altered taste which all improved by 8 weeks after the last treatment . Soon after my 3 month Pet/Ct scan dry mouth became extremely problematic along with changed and deteriorated taste, especially savoury but even custard has less sweetness than pre-scan.

At the post-scan appointment I was relieved to be told the scan result was clear. After examination with the nasal scope the doctor said I still have some swelling in my throat which is why I'm a bit hoarse in the mornings. He said the dry mouth would probably improve over time. He also advised me to do some massage of my lymphoedema (turkey neck).

I'm using one Xylimelt overnight which works until the early hours then I use Oralieve and bioXtra sprays which help, though they vary in their effectiveness. From afternoons to evenings my mouth and the inside of my lips become progressively more uncomfortable.

Finally,  is this the dreaded late onset side effects I've read about? Any advise gratefully recieved .

  • Hi Liz and a warm welcome from me.  Glad to hear the scan was clear. 

    It is difficult to say if these are "late effects" or just the natural ups and downs as we progress through recovery.  I am now 16 months into recovery and things still change on a regular basis.  What was good last week may be bad this week only to return to good in a few weeks time.  That goes for taste, physical after effects like swelling and other things.

    You are still very early into recovery.  This is a marathon rather than a sprint with backward steps frustrating us as much as forward steps delighting us.

    For the dry mouth I find sugar free chewing gum really helps.  I don't get on with Xylimelts but have Biotine gel on prescription that I apply twice a night and will occasionally use it during the day if I get too dry.

    Try to get an appointment with the lymphoedema nurse as I have found the medics pretty useless at giving you the right technique for massage.  Alternatively there are some really good YouTube videos.

    Hope this helps - feel free to ask other questions.

    Peter
    See my profile for more details of my convoluted journey
  • Massage definitely helps turkey neck I still do it daily 2 plus years after finishing chemoradiotherapy, for dry mouth/pain  issues I use Lidl/Aldi sugar free chewing gum, both contain Xylitol which aids saliva production, and a pocket sized Difflam spray for pain.

    M

  • Thankyou for your encouragement. I have read your profile ,so many procedures before the chemo and RT. Sounds hellish. 

  • Thankyou Micky, will definitely try the chewing gum containing xylitol. I am doing some lymphoedema massage from a youtube video. I am considering some private treatment at a local clinic because the NHS lymphoedema centre here has a 30 week waiting time