I'm not sure if the results so far were worth the effort?

New

Finished my last radiation treatment on Sept 21st. Been reading older posts about loss of taste, loss of saliva, and terrible sore throat to gain information on how long these side effects will last. I wanted to start a new post to see newer repsonses from new people.

 Without going into too much detail I had a tumor at the base of my tongue and it had spread to right tonsil and one lymph node just under my right cheek, It's very hard to keep a positve attitude with the pain I still have. A feeding tube tube was placed with about 2 weeks of rad treatment left due to not being able to eat food any longer and I could only sip water. Not drink it or any other liquid like normal. At 62 I'm starting to feel like life is just about over. I don't think I can go on living like this. Please someone tell me that my taste will come back and things will get better. I thought that the pain in my throat would subside by now but it hasen't. Am I being too impatient? My rad doctor is telling me that it will take about 2 months for the taste to start coming back and about 4 weeks for the sore throat to start easing up. I don't believe him for some reason. He said that the saliva gland on the right side will not come back the the one on my left side will come back and make up for it.


 
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Comments

  • phrannie51
    phrannie51 Member Posts: 4,716
    Oh my...Free...

    You are still in the baby steps of recovery....not even a month out.  I know it's hard to come to an end of treatment and have expectations that your body will put itself together in the same time frame as a bad case of the flu....but it just ain't so.  You've been to hell and back....and you're really not back yet.  Ah....but you WILL come back!  Healing is counted in weeks and months....next month at this time, you can look back to where you are now...and you will see some improvement.  In 3 months, you'll see that things really are slowly getting better! 

    So in answer to your question?  Yes...you are being impatient....I remember how hard it was to have to wait for improvements....like getting the damned PEG removed, but it did in fact, eventually come out....I was eating food for a long time and tasting only the first 3 bites, and then poof....the taster went dead.  Slowly I started forgetting my water bottle because I had enough saliva to get me where I was going (of course, one potato chip will dry me up even today Smile).  So be kind to yourself right now....and when you look for improvements....look a month behind you.  You'll see them

    p

  • luv_freedom
    luv_freedom Member Posts: 49

    Oh my...Free...

    You are still in the baby steps of recovery....not even a month out.  I know it's hard to come to an end of treatment and have expectations that your body will put itself together in the same time frame as a bad case of the flu....but it just ain't so.  You've been to hell and back....and you're really not back yet.  Ah....but you WILL come back!  Healing is counted in weeks and months....next month at this time, you can look back to where you are now...and you will see some improvement.  In 3 months, you'll see that things really are slowly getting better! 

    So in answer to your question?  Yes...you are being impatient....I remember how hard it was to have to wait for improvements....like getting the damned PEG removed, but it did in fact, eventually come out....I was eating food for a long time and tasting only the first 3 bites, and then poof....the taster went dead.  Slowly I started forgetting my water bottle because I had enough saliva to get me where I was going (of course, one potato chip will dry me up even today Smile).  So be kind to yourself right now....and when you look for improvements....look a month behind you.  You'll see them

    p

    Thank you phrannie. I'm going to ask the doc for a anti-depressant. I think that might help.

     

    Gary

  • Barbaraek
    Barbaraek Member Posts: 626
    It DOES take time

    Oh my gosh, it's so frustrating to expect to feel better when the treatment is DONE, and then you don't! But truly, your doctor is being honest with you...it takes a looooong time to heal. My husband's last radiation was 7/17/15 and last chemo 8/30/15 and he still has sores in his mouth, pain from swallowing, thick heavy mucus, and a PEG tube. But he is lots better than he was 4 weeks ago.

    You have to learn how to take both the short and the long view. When things are overwhelming take the short view and just look at the next step in front of you, and when it seems like you aren't going anywhere and don't seem to be getting better - take the long view and compare it to 3 or 4 weeks ago.

    I hope you will hear back from others who will confirm that it takes quite a while to feel better, but that life improves!

    Barbara

  • wmc
    wmc Member Posts: 1,804
    I would love to tell you that it is gone and all is OK

    But I can't. There is no guarantee. What I can say is it is worth all the effort you have been through. You will get better, I just can say you will get all of your tast back, you will most likely get most in time, long time. As of right now you are still cooking inside from the treatment. As for what your doctor said I would believe him, as that sounds about right.

    I only had surgery and no chemo or radiation. The doctors say that Head & Neck is the second worse treatment you can go through. I had a tumor just above my left vocal cord and prassing on it. It was 3cm x2.5cm the size of a large grape or your thumb from tip to the first knuckle. I even saw the photos. My problem is I also have stage 3 emphysema and I would not survive the surgery and they won't do it. The anesthesiologist won't touch me and I can't survive radiation ether. The only choise was to be cut from ear to ear and remove my larynx and have a neck dissection on both sides and I will lose my vocal cords and breath through my neck. All I said was schedule it. Yes it is very life changing as I could not swallow even saliva for 9 days and I was not allowed to even have an ice chip if I promised not to swallow. I had to learn how to swallow and eat as well as speak all over again. I was licky and have a prosthesis in my neck that I can divert air and speak. Between this and my COPD and bone spirs in my neck I take 19 pills a day and three breathing sprays everyday and have to put 6" tweezers in my neck to clean it and I choak and gag and cough so hard I turn red all the way to the center of my chest every day. The left side of my face from my ear to the center of my chin is numb and always will be. It is worth every bit of it, becuse everyday I can open my eyes and still breathe. [I'm 65 in about 3 months]

    The recovery in your case will take just some more time. Instead of days it is weeks and instead of what normaly be a week will be a month or two, it is on a different clock.  You just went through hell and back, and you made it. Please just give it some more time and you will slowley notice things comming back little by little. There is no gaurentees but you just take one day at a time, you will see it was worth it. If you have pain tell your doctor. He will give you something to help, not get rid of it but makes it liveable. I have to take pain pills and muscel relaxers to turn my neck like I used to. You can click on my picture and then go to expressions and can see how far I have come. You will get there as well.

  • Grandmax4
    Grandmax4 Member Posts: 723
    Oh my goodness

    you are an impatient  man, you have barely begun to heal, but, trust us, you will. Everything you've mentioned..been there, done that.  My cancer was on my epiglotis, in case you don't know what that is, I didn't..it's the flap that opens when you swallow and closes to keep food from going in your lungs, with mine gone, I had therepy for almost 6 months to learn how to swallow and speak again. During that time, I had a feeding tube, down my nose..into my stomach. After it was removed, I lived on soft, pureed food for almost a year..I remember vividly the day I took a bite of egg yolk and I could taste it..slowly my taste returned. At about, 14 months out, I tried my first solid food and from there on, it's been  back to normal. 

    If you feel like an anti-depressant  will help you, ask for one..in the meantime, be calm, relax..you're actually doing great

     

  • MrsBD
    MrsBD Member Posts: 615 Member
    Worth the Effort

    As the saying goes, it feels like you were hit by a Mack truck after this treatment. Everyone heals at a different pace, but for me, mouth sores abated at about one month, sore throat lasted a good three months, and fatigue hung on for 8 months. At one year, there are still some minor swallowing issues and random aches and pains, but life is good. I'm about your age, so I do understand that whole "my life is almost over" feeling, but in a few months,  you'll join the "60 is the new 30" club again. Before you ask for antidepressants,  you might want to ask for your Vitamin D and thyroid levels to be checked as both can cause depression. Try to remember that you are on the upswing now.

  • lornal
    lornal Member Posts: 428

    Thank you phrannie. I'm going to ask the doc for a anti-depressant. I think that might help.

     

    Gary

    anti-depressant

    When I had my tonsil cancer in 2007, I felt like I was never going to get better.  A month after treatment, I was still not eating/drinking - and getting fluids several times a week via IV at the hospital.

    Then, I saw a new primary care.  He immediatly prescribed anti-depressants - But it took me a week or so before I actually started.  I didn't want to be that person.

    Once I started the medication - I started to heal.  Another month, and I was back at work.  I took it a little over a year.

    Talk to your doctor asap. so worth it!

     

    Note: For round 2 in 2014, they actually started me immediately -while I was still in the hospital.  I was back to work - parttime - within 2 monts - not rads or chemo though.  I remain on the medication this time - as the surgery was far more invasive - a total laryngectomy.  But, I am happy and healthy.

     

    Lorna

    2007 & 2014

  • rcaulder
    rcaulder Member Posts: 70
    I hear you

    I hear you. Yes, there were many nites I looked out on the backyard and said to my wife, " just grab a shovel and bury me back there". To be honest with you, she may have been tempted to. Glad she didn't though. Treatment is tough. Yes, you're probably  a little too impatient. So was I. I'm 3 months out. I've taken advice from others on this board. It just takes time. Taste did come back fairly quick for me. Saliva may take awhile. Hopefuly a year from now this will just be a bad memory for you. When you're 72 or 82 rather than 62, you'll say it was worth it. Hope you feel better. You will, with time. <><

  • Skiffin16
    Skiffin16 Member Posts: 8,305 Member
    Patience Grashopper...

    Yep, you're a tad impatient for what you are expecting.. 

    More than likely, everything you have concerns with will deminish with time..., everyone is different, but all of us go through similar.

    I too was STGIII right tonsil, plus a lymphnode, same side. I didn't have a tube, but I went to pretty much liguids and a few soft things after about week two of rads. I lost all taste and saliva during that time.., and for several weeks post rads.

    A lot think that you'll start healing as soon as rads are over. But it doesn't work that way. They are cumulative.. You had minimal but building damage for the first few weeks.., and that will continue post rads for 3-4 weeks.

    So in reality, you're probably at a point that you should more than likely start seeing some postiive chnages soon.

    It took around 3-4 months for me to get back to a point that I could start eating and tasting again. But even at that point, I'd taste the first few bites, then taste would go away.

    I could definitely take in enough to sustain.., but it was minimally tasteful.

    It took much longer before I didn't have to have a bottle of water attached to me 24/7.. Talk a few words, sip water, just about anything.., sip water...

    Eventually, more taste came back, and so did the saliva.

    It took all of two years it seems to completely get all taste and 95% saliva back.. But again, I was well funtioning after 4 - 6 months.

    Fast forward six plus years, I'm clean and clear...

    Hang in there, it's worth the journey for sure..

    In many ways, I'm a much better person post cancer, than before..

    BTW.., I'm 61..

    John

  • yensid683
    yensid683 Member Posts: 349

    I have been where you are, and from what others of the family have posted, they're saying the same thing I will, recovery is slow.  Things will come back, it will take some time, but they will come back.

    I was diagnosed in March of 2012, put at stage IV-a, with a 30 mm primary and multiple nodes, the largest of which was 60mm, my medical oncologist (the voice of doom and gloom) told me that my 5 year survival was 30%, and that the dry mouth from rads would be permanent.  My radiation oncologist was much more positive - and at this point accurate- that my survival rate was more on the order of 70-80% and that my saliva would return.

    It has, but it took a very long time.

    I've had other health issues before, the most serious was an appendectomy but I was back to normal in a couple of weeks and back to full and unrestricted actitities in just about 6, so to be hit with the after affects of treatment and the horribly slow pace of recovery was more than just depressing. 

    my last rad was July 5, I didn't return to work until Sept 4, and I wasn't able to eat any real food until almost the end of September.  It was several more months before I was able to eat what I consider a 'normal' meal, though I still need to make sure I have some form of liquid at hand, saliva came back but not all the way.  I can do the first bite of just about anything without that small sip of water, but anything more and I have to add a small amount of water.  Taste came back too but because of the reduction in saliva, sour is an extremely difficult taste to tolerate.

    It is easy to be discouraged, the treatment for head and neck is the 2nd most arduous of them all, so you've been beaten on by the worst, that is over and now it is time to work on healing and recovery.

    My 2 cents worth of advice...

    Give yourself the time to heal, understand that it will not be magically transformed just because treatments are over.

    Stay on the recovery path, this journey is long and you're still in the early part of the trek.

    Remember, anything of great value is never attained without great struggle.

     

    one last parting piece, our family of head and neck survivors will always be here for you.

  • luv_freedom
    luv_freedom Member Posts: 49

    Thank you all for your great advise! I do feel better now. I did ask for an anitidepressant which I just started yesterday. They also set me up with a councelor to talk to on the 21st. They thanked me for reaching out to them so that they could have the chance to help. The lead nurse in radiation took care of it all. She said that so many people try to go through all of this on their own. She said that this is a very long recovery process and I will get better. I had to have a liver transplant last year and thought that I was in the clear and now this happens. That is partly why I'm so upset about it all maybe. Now that I have a better inderstanding of how recovery will come along I feel better.

     

    Gary

  • Barbaraek
    Barbaraek Member Posts: 626

    Thank you all for your great advise! I do feel better now. I did ask for an anitidepressant which I just started yesterday. They also set me up with a councelor to talk to on the 21st. They thanked me for reaching out to them so that they could have the chance to help. The lead nurse in radiation took care of it all. She said that so many people try to go through all of this on their own. She said that this is a very long recovery process and I will get better. I had to have a liver transplant last year and thought that I was in the clear and now this happens. That is partly why I'm so upset about it all maybe. Now that I have a better inderstanding of how recovery will come along I feel better.

     

    Gary

    So glad you reached out

    for help Gary. I'm sure it will make a big difference in how you feel. Remember that we are all here for you, good days and bad days. 

     

    Barbara

  • wmc
    wmc Member Posts: 1,804

    Thank you all for your great advise! I do feel better now. I did ask for an anitidepressant which I just started yesterday. They also set me up with a councelor to talk to on the 21st. They thanked me for reaching out to them so that they could have the chance to help. The lead nurse in radiation took care of it all. She said that so many people try to go through all of this on their own. She said that this is a very long recovery process and I will get better. I had to have a liver transplant last year and thought that I was in the clear and now this happens. That is partly why I'm so upset about it all maybe. Now that I have a better inderstanding of how recovery will come along I feel better.

     

    Gary

    That's good to hear Gary

    That is good to hear you are doing better today and have a better undetstanding. There is bumps in this road you're on, but it will start to smooth out and really before long it will happen and you will feel so much better. I had laryngeal cancer and it can and did cauus me pain in my left ear. I would also hear loud bang like a gunshot and exploding sounds when I would lay down to sleep. The problem is I only heard that in my left ear and that was the one on the pillow. I knew they were not real, but still heard them. That went on for almost a year. I had my surgery Oct 2013 and it took me about nine months to realize those loud gunshot sounds went away with my surgery. I new right away the pain went away but it took nine months to relize the loud noise was gone.

    One day you will wake up and realize you tast more than you did the other day. Same with sliva, you will notice you seem to have more. It comes on slow, and it can almost suprise you when it does. For me I often think of the phrase, to stop and smell the roses. That now has special meaning to me as I no longer can smell. Well I can if I hook a tube from my neck to my mouth and then I can, but that is only done in extream cases because it looks so ridiculas, but that is how I have to. The phrase still has meaning of slow down and enjoy what you do have. I have my life which was very close to loosing it. I'm two years out and really enjoy life most days. Every once in awhile I get a real bad one, but tomorrow will always be new and what I want to make of it. I had a coworker tell me "he would never take a maintance drug" I laughed and said, you must be joking, I kinda enjoy breathing is why I take mine, you will change your mine on that when that is your only choise. Funny for such a smart or educated man, he is dumber than a box of rocks.

    Enjoy your day and remember, tomorrow can be great.

    Bill

  • mmt366
    mmt366 Member Posts: 41
    Similar

    Your story is practicallty identical to mine, right down to wondering if the treatment was even worth the effort. Let me tell you from personal experience that things will gradually improve and at some point you will even feel fortunate to have had a treatable form of cancer. I completed surgery in January, and radiation and chemotherapy at the end of April /early May, then went through the difficult physcological and physical stretch you are describing. It lasted until the end of July but then began to turn-around. I still faithfilly carry my water bottle with me but the sore throat is just a dull ache these days. my taste and saliva have improved dramatically since May as has my outlook on life. I'm once again looking toward, and forward to the future. It's not easy for sure, but it's what we are, so when you're ready try to regroup, refocus ,and beat this thing! not only for yourself but for past and future posters of this site. You will be a true inspiration,

    stay strong, you've got this!!

    mmt

  • CivilMatt
    CivilMatt Member Posts: 4,722 Member
    set your healing clock to slow

    luv_freedom,

    Your taste will come back and things will get better (be it different). Also, you have a nice smile and I hear you smell good.

    I was stage IVa, scc, bot, 1 lymph node & hpv+ (surgery, rads & Erbitux).  I played the taste, no taste, awful taste, terrible feel game for 7 months, until my taste buds switched back on.  Now, (knock on wood) my new normal is very satisfying.

    Hopefully, your meds help out and your outlook brightens.  Recovery is hard enough when you feel fine.

    So, relax, put your feet up, turn on the Food Network and plan your future.

    Matt

  • luv_freedom
    luv_freedom Member Posts: 49
    mmt366 said:

    Similar

    Your story is practicallty identical to mine, right down to wondering if the treatment was even worth the effort. Let me tell you from personal experience that things will gradually improve and at some point you will even feel fortunate to have had a treatable form of cancer. I completed surgery in January, and radiation and chemotherapy at the end of April /early May, then went through the difficult physcological and physical stretch you are describing. It lasted until the end of July but then began to turn-around. I still faithfilly carry my water bottle with me but the sore throat is just a dull ache these days. my taste and saliva have improved dramatically since May as has my outlook on life. I'm once again looking toward, and forward to the future. It's not easy for sure, but it's what we are, so when you're ready try to regroup, refocus ,and beat this thing! not only for yourself but for past and future posters of this site. You will be a true inspiration,

    stay strong, you've got this!!

    mmt

    Thanks for your reply. I've now lost nearly all of the sore throat. Very greatful for that! Now I want to focus on starting to eat again and get rid of the feeding tube. Trying to get back to work even though I'm pretty weak I feel that my strength will come back faster if I'm out and doing something rather than sitting here watching the rifleman on tv lol. I had a lot of trouble trying to take the pain pills and they finally had me try fentanyl pain patches this last 3 weeks. they helped some but not much and just made me want to sleep all of the time. I'm not in pain now so don't need them. I stopped a couple of days ago. I didn't use them steady anyway. Now I'm dealing with sweats and chills that come and go. I had to replace my tee shirt twice last night because of sweating. I'm sure it is withdrawals but my breathing isn't bothering me and blood pressure is all good so I'm going to keep going without and use tylenol and ibuprofen as needed. Actually it's getting better already. This feels like a bump in the road compared to what I just came out of.

  • Barbaraek
    Barbaraek Member Posts: 626

    Thanks for your reply. I've now lost nearly all of the sore throat. Very greatful for that! Now I want to focus on starting to eat again and get rid of the feeding tube. Trying to get back to work even though I'm pretty weak I feel that my strength will come back faster if I'm out and doing something rather than sitting here watching the rifleman on tv lol. I had a lot of trouble trying to take the pain pills and they finally had me try fentanyl pain patches this last 3 weeks. they helped some but not much and just made me want to sleep all of the time. I'm not in pain now so don't need them. I stopped a couple of days ago. I didn't use them steady anyway. Now I'm dealing with sweats and chills that come and go. I had to replace my tee shirt twice last night because of sweating. I'm sure it is withdrawals but my breathing isn't bothering me and blood pressure is all good so I'm going to keep going without and use tylenol and ibuprofen as needed. Actually it's getting better already. This feels like a bump in the road compared to what I just came out of.

    Super glad

    your pain is decreasing! Careful in coming off of pain meds too quickly, though. Some meds need to be tapered off. You're on your way and I hope the trajectory continues in a positive direction.

    Barbara

  • wmc
    wmc Member Posts: 1,804

    Thanks for your reply. I've now lost nearly all of the sore throat. Very greatful for that! Now I want to focus on starting to eat again and get rid of the feeding tube. Trying to get back to work even though I'm pretty weak I feel that my strength will come back faster if I'm out and doing something rather than sitting here watching the rifleman on tv lol. I had a lot of trouble trying to take the pain pills and they finally had me try fentanyl pain patches this last 3 weeks. they helped some but not much and just made me want to sleep all of the time. I'm not in pain now so don't need them. I stopped a couple of days ago. I didn't use them steady anyway. Now I'm dealing with sweats and chills that come and go. I had to replace my tee shirt twice last night because of sweating. I'm sure it is withdrawals but my breathing isn't bothering me and blood pressure is all good so I'm going to keep going without and use tylenol and ibuprofen as needed. Actually it's getting better already. This feels like a bump in the road compared to what I just came out of.

    I hope a doctor got you off the meds and not you.

    Fentanyl is stronger than morophine and you need to be weened off of them or you can have major problems. Also it is to be used with other pain meds, very rare to be used alone.

    Glad the pain is gone. If wou are sweeting that much you should make sure your main doctor knows. You will need to increase your water intake to compensate the sweating.

  • luv_freedom
    luv_freedom Member Posts: 49

    Thanks for your reply. I've now lost nearly all of the sore throat. Very greatful for that! Now I want to focus on starting to eat again and get rid of the feeding tube. Trying to get back to work even though I'm pretty weak I feel that my strength will come back faster if I'm out and doing something rather than sitting here watching the rifleman on tv lol. I had a lot of trouble trying to take the pain pills and they finally had me try fentanyl pain patches this last 3 weeks. they helped some but not much and just made me want to sleep all of the time. I'm not in pain now so don't need them. I stopped a couple of days ago. I didn't use them steady anyway. Now I'm dealing with sweats and chills that come and go. I had to replace my tee shirt twice last night because of sweating. I'm sure it is withdrawals but my breathing isn't bothering me and blood pressure is all good so I'm going to keep going without and use tylenol and ibuprofen as needed. Actually it's getting better already. This feels like a bump in the road compared to what I just came out of.

    bad idea

    Bad idea! I learned very quickly last night what withdrawal really is. My whole body was jumping like I had tics  and I couldn't sit still for 10 seconds. I wish I could have video recorded it! LOL. After about 3 hrs of it, I finally did what my doctor's nurse ordered to begin with and took an oxycodone tablet. All the jumping went away finally after the pill kicked in. About an hour, maybe less. So my orders are to take 3 of those today and tomorrow, 2 the next two days, and 1 the next two days. Then I can go back to using tylenol and ibuprfen. I thought that the sore throat was gone but found that even though its much better, it was the fentanyl that was masking it. Finally kicked in I guess. Was so slow and easy that I didn't even realize that it may have been the patch working.

  • avisemi
    avisemi Member Posts: 172

    bad idea

    Bad idea! I learned very quickly last night what withdrawal really is. My whole body was jumping like I had tics  and I couldn't sit still for 10 seconds. I wish I could have video recorded it! LOL. After about 3 hrs of it, I finally did what my doctor's nurse ordered to begin with and took an oxycodone tablet. All the jumping went away finally after the pill kicked in. About an hour, maybe less. So my orders are to take 3 of those today and tomorrow, 2 the next two days, and 1 the next two days. Then I can go back to using tylenol and ibuprfen. I thought that the sore throat was gone but found that even though its much better, it was the fentanyl that was masking it. Finally kicked in I guess. Was so slow and easy that I didn't even realize that it may have been the patch working.

    Dima use 100mg patches. The

    Dima use 100mg patches. The doc made us decrease the strength little by little. He said it was dangerous to decrease the strength too fast or all at once. Please be careful!  Once he was off the patches, Dima slept less and had more energy.  I know it is hard and you probably have heard it enough: It gets better. You just have to be patient. it took a while for taste to come back and to this day, he won't touch some food he used to love. He says it taste different. But he has found some new food to like! think about all the dishes you can try and of future favorite dishes you may discover.