Six weeks post treatment update - mainly about eating!

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Hi again 

I've reached the dizzying six week mark, and looking back I've come a fair way, but there's still a long way to go. The looking back helps me a lot.

Since my last update (at 3 weeks) I had an SLT/dietician review on the phone and they made it super clear that I should prioritise eating and drinking and get off the peg. I found it quite daunting but went for it and was really pleased with the speed at which I could move from yoghurt and custard to rice pudding and much lumpier textures.

So some successes: l'm now eating three 'meals' a day - usually soggy Weetabix for breakfast, and something stewy or soupy with a dessert for lunch and dinner. I found the Little Dishes range of toddler TV dinners very edible (small portions, small chunks, very moist, minimal seasoning). Yesterday, at a family 'do' I managed some pulled pork and apple sauce, followed by tiramisu and trifle (without the fruit - too many bits in the berries!) - best meal yet!

I'm monitoring my weight and topping up with fortisips - usually 2/3 a day depending on how much I've managed to eat. I can't drink them yet, so still using the peg, but only for those. I'm going to ask if I can switch to the compact ones as they might be more manageable (although my issue is not just the quantity, but also the nasty taste). I tried Huel before I started treatment but it was too grainy for my tastes even pre RT.

One thing I'm struggling with is pain in the mouth and throat. It seemed to get worse once I started to eat more. I've also had days recently when things have felt more swollen and inflamed than previously. I'm using pain relief and mouthwashes religiously - saline, difflam and lidocaine - but it gets very painful indeed and makes eating difficult and very slow. 

Is this newer pain and swelling to be expected? My GP says yes. Should I take a step back and revert to the purees etc for a while? I think my swallow mechanism is fine, but it's just so painful! 

Btw my GP has been super helpful  - I would recommend anyone in early recovery gets support in this way. I went there initially to get top up prescriptions and I now go fortnightly. 

Thanks for reading my ramblings, and for sharing your insights

Polly 

  • Is this newer pain and swelling to be expected? My GP says yes. Should I take a step back and revert to the purees etc for a while? I think my swallow mechanism is fine, but it's just so painful! 

    Yes, absolutely. As for taking a step back? I’d just up the pain relief 

    I used a sip of morphine swished then slowly swallowed

    Mind you, I was on morphine till 12 weeks. I think you’re doing brilliantly. 

    Dani 

    Base of tongue cancer. T2N0M0 6 weeks Radiotherapy finished January 2019

    Macmillan Support Line -  0808 808 00 00 7 days a week between 8am-8pm

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