Texture of foods

Greetings and good wishes to all,
I just love all the support and kindness on this site! It is very ressuring to know so many people have gone through this and are here to help! I am 13 weeks post treatment now and am looking for a little advice.
I really want to get back to eating real food again but am having a problem with everything I try to eat turning to a congealed waxy texture which sticks to the roof of my mouth and teeth. I have to swish with lidocaine every few bites to get rid of the stinging most foods cause and that stuff is pretty sticky. Could the lidocaine be the problem or is it just the lack of saliva? Any suggestions? I need to deal with this problem because I am just living on Ensure and my husband is going crazy with my lack of progress in my return to eating .

Comments

  • Greend
    Greend Member Posts: 678
    Takes time
    You are only 13 weeks out...hell you are probably still cooking... :>)

    Don't rush it but don't expect it to be like before, you have a new normal to get used to. It will get to the point where you will eat and take a sip of water but with dry mouth this situation will last as long as the "dry mouth". I see some on here who regain some saliva and ability to eat "normally" but I have been 15 years sipping and eating.

    Be patient.
  • DrMary
    DrMary Member Posts: 531 Member
    Greend said:

    Takes time
    You are only 13 weeks out...hell you are probably still cooking... :>)

    Don't rush it but don't expect it to be like before, you have a new normal to get used to. It will get to the point where you will eat and take a sip of water but with dry mouth this situation will last as long as the "dry mouth". I see some on here who regain some saliva and ability to eat "normally" but I have been 15 years sipping and eating.

    Be patient.

    You ARE eating
    I hate Ensure, but it is food (I shudder when I write that) so you are eating. Early food needs to be soft and slippery - many folks find that they need to "foobricate" with gravy or cheese sauce.

    Don't forget things like pudding - Boost makes one that also has vitamins and is not that bad. Pureed fruit is good also. And cream of whatever soup. Food does not have to be "solid" to be nourishing.
  • adventurebob
    adventurebob Member Posts: 691
    13 weeks
    Hi Trixie,
    That's not too far out. It's good that you're eating at all. I'd recommend finding the foods that don't hurt your mouth and gradually adding others. Spices were really hard for me the first few months but are fine now. Tomato's were to much for awhile too. Citrus not so good. Oatmeal was fine but required lots of water. Almond milk has been a staple for me and has good protein and calories and never has caused a problem. And as my saliva increased the foods that I could tolerate and even taste became more. I'm 7 months out now and can eat almost anything but still need plenty of water to get it down though it's less each month.
    So, take it as it comes. Your progress sounds good. Your body will heal at it's own pace and not your husbands. He probably can't understand that without going through it but he should be understanding.

    Keep on,

    AB
  • trixiedixie
    trixiedixie Member Posts: 10
    I'll stop rushing myself
    Thanks for your comments everyone.
    Greend, you made me laugh with that still cooking comment! I guess I am! I'll just put the brakes on and stop worrying. My nutritionist was actually encouraging me to try to start eating more soft solid foods a month ago which got my husband all fired up to encourage me so that's where that all came from. Getting the information from you guys and gals makes way more sense to me in my own head. I'm actually relieved to know that it's too early to expect much. Fortunately, believe it or not, I actually like Ensure! Now if only I could stop dreaming about being able to eat!
  • Skiffin16
    Skiffin16 Member Posts: 8,305 Member
    Eating Post Treatment
    I pretty much survived off of Ensure Plus for several weeks. I only used the lydocaine solutions for the first teaspoon before a big glass of water, Ensure Plus, several DelMontes slciced peaches in light syrup...they were slippery, and I could taste them a little, more water, then chased with a ground up Percocet.

    I could eat some things like creamy seafood pasta, soupy mac and cheese, runny mashed potatos, canned spinach.

    I'm over two years out now, I have around 90 - 95% of both saliva and taste.

    Best,
    John
  • DrMary
    DrMary Member Posts: 531 Member

    I'll stop rushing myself
    Thanks for your comments everyone.
    Greend, you made me laugh with that still cooking comment! I guess I am! I'll just put the brakes on and stop worrying. My nutritionist was actually encouraging me to try to start eating more soft solid foods a month ago which got my husband all fired up to encourage me so that's where that all came from. Getting the information from you guys and gals makes way more sense to me in my own head. I'm actually relieved to know that it's too early to expect much. Fortunately, believe it or not, I actually like Ensure! Now if only I could stop dreaming about being able to eat!

    Soft Solids
    The attraction of soft solids is that, for some, they can be easier to swallow than liquids (which some folks aspirate) - this is why they made that ThickenUp stuff to make even water behave like soft Jello. They also present a different exercise to your mouth and throat from what you have to do to swallow liquids.

    However, there's no real nutritional reason to rush it, so you should not frustrate yourself by pushing too hard (as long as you're getting plenty of fiber, of course). It sounds like you are close to the "spoon of this or that" stage, where you can try a spoonful of something soft once a day or so - this can be very frustrating to the caregiver who has to prepare all that food that ends up not being eaten, but it sounds like your husband has a bit too much energy anyway. I was lucky - my 13-year-old boy (known as that scientific wonder - the bottomless pit) was willing to eat just about anything my husband left.
  • Kent Cass
    Kent Cass Member Posts: 1,898 Member
    Skiffin16 said:

    Eating Post Treatment
    I pretty much survived off of Ensure Plus for several weeks. I only used the lydocaine solutions for the first teaspoon before a big glass of water, Ensure Plus, several DelMontes slciced peaches in light syrup...they were slippery, and I could taste them a little, more water, then chased with a ground up Percocet.

    I could eat some things like creamy seafood pasta, soupy mac and cheese, runny mashed potatos, canned spinach.

    I'm over two years out now, I have around 90 - 95% of both saliva and taste.

    Best,
    John

    First
    food for me was pancakes, smothered in butter and syrup, along with generous sips of water. I was imbibing in such after some 8 weeks, but the bulk of my diet was still the Ensure. Play it as it lays, so to speak. Does take time, but you'll gradually get back to eating what you did before.

    kcass
  • sweetblood22
    sweetblood22 Member Posts: 3,228
    Kent Cass said:

    First
    food for me was pancakes, smothered in butter and syrup, along with generous sips of water. I was imbibing in such after some 8 weeks, but the bulk of my diet was still the Ensure. Play it as it lays, so to speak. Does take time, but you'll gradually get back to eating what you did before.

    kcass

    For 13 weeks out, you are doing awesome.
    I could take nothing at 13 weeks out, so your doing great.

    Don't rush it with the solids. Honestly, take it easy on yourself and your mouth, and it will heal faster. I would stick with soft foods. Or even use a mini chopper or food processor to make your food chopped fine. Remember that lack of saliva, not only impedes swallowing, but also food breakdown. Digestion starts in the mouth with the enzymes in the saliva, it's hard to breakdown the food in your mouth just by chewing alone, and if your mouth and tongue are still sore, that's even worse.

    When I finally started to eat again, I would use the chopper to mince all my veggies before cooking. This helped me immeasurably! It made all the difference in the world.

    I am also the queen of smoothies. I usually make a smoothie every morning of two fruits and one veg to drink with brunch. I use a high speed blender / emulsifier. (something like a HealthMaster or vitamix works best). Something like an apple, romaine, and an orange, blended with some almond milk. Or a banana, an orange, and a carrot, blended with Greek yogurt. Or I sometimes would rather juice. Today I had an apple, a whole cucumber, and a carrot. Super easy to get excellent nutrition down the hatch.
  • trixiedixie
    trixiedixie Member Posts: 10
    Kent Cass said:

    First
    food for me was pancakes, smothered in butter and syrup, along with generous sips of water. I was imbibing in such after some 8 weeks, but the bulk of my diet was still the Ensure. Play it as it lays, so to speak. Does take time, but you'll gradually get back to eating what you did before.

    kcass

    Mmmmmm. Pancakes sound good! Thanks so much everyone for your input. This group is amazing! I know I have to accept whatever my new normal will be and that it may be different than my old normal. It's just helpful to know that things take time and possibly a lot of time. My husband's cool. He just wants me to be better and doesn't realize the extent to which we get fried and how slow the healing process is. I look good on the outside, it's the inside that's the last to heal. Just being rid of that awful morphine has made a huge difference in my energy level and outlook on daily living. If all I have to worry about is eating food again, I'm going to consider myself one of the lucky ones because aside from that, I do feel pretty good. I feel so grateful to have this board to help me out. Thank you again, everyone.
  • Lelia
    Lelia Member Posts: 98
    Greend is right.
    You're doing great, wow, good for you! Give it time, don't force foods that hurt or sting.

    At surgery my husband lost his entire R salivary system as well as his R facial nerve so we have some permanent eating challenges. But he's doing well, three months out of very tough chemo/rad he's eating small amounts every day supplemented by real food in the PEG. We use a Champion juicer and a VitaMix blender every day, I learned on this very board that VitaMix allows a 25% discount for documented cancer patients, it's a beautiful machine. He does better with whole foods/fresh juices blended into a drinkable or tube-able consistency than the formulas with corn maltodextrin and corn syrup. But as others have said, the onco nutritionists often recommend the Ensure/BoostPlus exclusively so they must have found success with it.

    If you want to try something different than Ensure but nearly as convenient, there's an excellent product called The Ultimate Meal (best prices on Amazon we have found) you might want to check out.
  • Hondo
    Hondo Member Posts: 6,636 Member
    Greend said:

    Takes time
    You are only 13 weeks out...hell you are probably still cooking... :>)

    Don't rush it but don't expect it to be like before, you have a new normal to get used to. It will get to the point where you will eat and take a sip of water but with dry mouth this situation will last as long as the "dry mouth". I see some on here who regain some saliva and ability to eat "normally" but I have been 15 years sipping and eating.

    Be patient.

    Hi Dixie
    I am amazed that you are able to eat so fast being only 13 weeks post treatment let alone being able to swallow. Everything will come back in time as your body continues to heal. Also saliva is always a big issue but must of us normally get back almost 80% of what we once had.

    Also I just like to welcome you to the family here on CSN
    Hondo
  • Hondo
    Hondo Member Posts: 6,636 Member

    Mmmmmm. Pancakes sound good! Thanks so much everyone for your input. This group is amazing! I know I have to accept whatever my new normal will be and that it may be different than my old normal. It's just helpful to know that things take time and possibly a lot of time. My husband's cool. He just wants me to be better and doesn't realize the extent to which we get fried and how slow the healing process is. I look good on the outside, it's the inside that's the last to heal. Just being rid of that awful morphine has made a huge difference in my energy level and outlook on daily living. If all I have to worry about is eating food again, I'm going to consider myself one of the lucky ones because aside from that, I do feel pretty good. I feel so grateful to have this board to help me out. Thank you again, everyone.

    Hi Dixie
    So happy to hear you are doing so well after treatment, the body is an amazing machine that God made to heal its self when sick. Keep positive and keep believing and you will keep well.

    Wishing you all the best
    Hondo
  • fisrpotpe
    fisrpotpe Member Posts: 1,349 Member
    As long
    I thing your doing great, as long as your swallowing which you are. So of the problems lead to many who depend on a feeding tube and loose the ability to swallow. Taking it slow is fine. Things like milk with the dipping of gram crackers, so soft yet it is real food. I put half water and half milk with certain cereals and what a huge help at the stage your at. Funny but sweat corn on the cob with lots of butter and water, is a very good slider food for me. While trying the foods keep the Ensure going until approx. your weight is stable and or gain back. The nutrients are very important along with lots of water, water and more water.

    Listening to your body is most important.... listening to husband not so important.... LOL.... don't forget as a women you have that right not to listen to your man.... LOL

    Your doing great
    John
  • jim and i
    jim and i Member Posts: 1,788 Member
    You are doing great. Jim is
    You are doing great. Jim is not out of treatment yet, 8 more rads and 2 more erbatox, but I am already drilling into his brain that he will not be able to eat normally the next week after treatment. I tell him what is said on the boards and repeat over and over, "everyone is different."

    Be patient, be strong and be happy.

    Debbie