cancer of the oropharynx

I am new here to please bear with me.  I am a 62 year old female and live alone but do have the support of friends. I am in desperate need of some hope following the dreadful side effects of the radiotherapy treatment I endured for squamous cell carcinoma of the oropharynx.  I have a life long fantastic friend, without whom I dont think I could have come this far, but I need some hope/reassurance of people who have been through this very aggressive and barbaric treatment for throat cancer.. I finished the 30 days of radiotherpay on 21st November 20014, by which time I was an inpatient at Guys Hospital having had a nasogastric tube fitted. As the weeks have passed following the final radiotherpay session, I am on my knees in despair.  Yes the side effects were explained to me (and I signed a form to this effect) but in a very cursory way and in no way prepared me for what I am still going through,, The symptoms - Thick dreadful mucous for which I have had to get a suction pump, complete loss of swallow function and complete loss of voice plus of course nightly feeds through naso gastric tube has turned my life into something so alien that I feel I have lost "me".  Can anbody out there give some hope as to how long it will be before these side effects begin to diminish (its been 5 weeks and gets worse every day still).  I am on my knees  with despair and not sure that I can carry on for much longer.  Can someone tell me of their experience.. My fear is that I will end up with a feeding tube forever and never be able to communicate by voice again.  I thank you in advance for any response. Chris

  • Hi there Chris ..... Gosh you take me back ...i finished my Radio and Chemo therapy on the 15 August this year and although i am still suffering some of the side effects, they are easier to deal with, but my voice is operating at about 25% or normal, there is a lot i still can not eat (bread anc sweet things are just a no no), but I no longer need my tube and am maintaining my weight after losing 3 stone .... I have written a blog about the whole journey i have been through. ...most of it you would have been through but you might gleam so satisfaction that people have been through what you are going through .... my blog is gammaraygary.wordpress.com/about/ ... have a good Christmas Day and feel free to ask anything
  • Thank you for your reply Vatch.  I am still in despair.  In desperate need of hope that this will be over.  You say you finished radiotherapy in August.  How long before you saw any significant improvement in symptoms.  My side effects increase daily.  The mucus and blocked nose is for me the most distressing because I feel like I am drowning and the feelings of agoraphobia that surfaced whilst wearing that mask during radiotherapy come to the fore and are overwhelming.  Im doing the exercises but still no swallowing function and any sips of water I try find their way into my lungs.. How long before you could swallow.  How long before you could have the tube removed and eat?  Why cant you eat bread or sweet things? are they physically too hard to swallow or is it digestion?  Does food have to be blended at first? You say your voice is operating at 25%.  Is that it or will it improve with time? I am jumping the gun, but have decided that living like this is not living at all and I am so dreadfully unhappy and tired.  I wish I had never started treatment and took my chances.  It was always the treatment that frightened me most and not the actual cancer.  You have given me some hope Vatch and I shall read your blog - which I should have done before treatment and I could have made an informed decision.  Is there anybody out there who can give me some tips, guidance but most of a light at the end of the tunnel.  This is the seventh attempt to reply to you Vatch.  I am a complete dinosaur technophobe and new to the internet and everything I type somehow gets lost into cyberspace before I can send it.  So in summary, wimp that I am, Im still looking for someone to hold my hand really.  Have a great christmas Vatch and anybody else who may read this boring post but I would be grateful for anyones help and advice  Chris

  • Hello Vatch.  Chris here again.  I have read your blog and it would appear our treatments differ and experiences are not the same.  I have a nasogastric tube and have not been able to eat food since 13th November 20014 because I cant swallow.  How I long to eat, chew, swallow food again but I dont think it is to be.  Im afraid my depression has surfaced big time and I cant see a light at the end of the tunnel for me and my life has no meaning anymore.  I would still like to hear from anybody - including you Vatch to my specific points - who can offer me a glimmer of hope even if just to see me through the next few days. Perhaps I am beyond help now I have spiralled down to such low mood, but for the moment I can live in hope. I forgot to say, it goes without saying that I am so pleased your treatment was successful and I wish you the very best.  Chris

  • Chris.....believe me its gets a lot worse after treatment Towards the end of my 6 week treatment there was not a lot of me left.....after treatment i then went even further down ... further than i though was ever possible.....but you just have to hang on in there and talk to your medical team. I was on constant morphine and codine and 4 months after treatment i am only just coming off of the drugs I had loads of mouth ulsers and as my through had been fried to hell there was no way i could get liquid down my throat let alone food, so everything had to go in via the tube straight into my stomach, that was liquid, specialised milkshakes and drugs The medical team make you aware of how bad it gets being going through it is a totally different thing. AS I said I am now 4 months out of treatment , I cant taste a lot, still have bad mouth ulcer and i have only just got rid of my PEG. The mucus was terrible, although i made sure i did not lose my swallow mechanism, but it was a painful thing to keep going. You must make sure that you get a nebuliser from the hospital, I have used is since i finished treatment and am still using it twice a dayand am going to need it for a wil yet. the Mucus just make me wretch even now. You are going through a horrible time but it will get better, trust me but there is a lot you can do to ease the process, you must talk to your medical team though, do not suffer in silence. feel free to chat and ask whatever Iam always around Just beleive me ... it gets better although but it just takes time Merry Christmas Vatch
  • Hi Chris ...just checking in to see how you are this morning
  • Im sorrry, I dont know who I am replying to - as I sais using the internet is trialand error for me - but thank you for your response.  Well i am in despair.  Unlike you I done have a PEG but a naso gastric tube and have lost all swallow function since 13th November 20014.  I fear I will never get it back.  I cannot have a PEG line to stomach be cause of other medical problems.  I am in despair frankly.  Deeply depressed and suffering panic attacks because of the mucus blocking the throat and my nasal passages being blocked most of the time. Frankly- and I know nobody wants to hear this - but I do wonder why I am putting myself through this and pray (when I do manage to sleep) that I dont wake up.  Dont think Ive got the guts to do anything about this - yet.  I am looking for some crumbs of comfort  I suppose.  I just dont see any light at the end of the tunnel and it is not fair on survivors like yourself to have someone like me begging to have their hand held.  My oncology team at Guys Hospital have been dreadful and apart from getting me a nebuliser my leaving care plan was a sheet of paper showing swallong exercises.  My mucus so bad that I  had to arrange for a suction pump myself.  I have no faith in them whatsoever.  I have one more appointment at Guys on 31st December 2014 and they have handed me over to a local head and neck cancer team at a local hospice.  I guess my next appointment at Guys will be the 12 week pet scan.  I long to feel food in my mouth, swallow, chew, taste.  But no.  I was no big eater to begin with and quite underweight.  I thank you  for your help and I look forward to anything that will keep me to carry on.  Any glimmer of hope.  Any tips or advice.. So sorry to be such a downer at xmas - I am surprised that anybody wants to deal with someone who os in such a negative place,  but I will keep looking and thank you very much again.  Chris

  • See.  I told you I was a technophobe.  Sorry Vatch.  I realise that I am replying to you now.

  • Chris..you are no problem at all...we have all hard our dark times so I can relate in part to how you are feeling.....I went into my treatment in a positive mood but after 6 weeks of everyday treatment there was not a lot of me that was not poisoned or burnt from radiation....and I had some very bad burns....even with the amount of support I had there were times when i had had enough.....but i took comfort from the amount of support on here .... And I know it's had to believe at the moment, but there are people on here who are in a lot worse places ..... Chris it just takes time .... I am not going to tell you it will bebe ok in a week and even in a month there may only be slight improvemnts, but it's when those improvements start that you begin you road back to where you were or as near to.....it's early days for you yet....but it does get better and if you are like me the answer you want to know is when....everyone though goes through this differently ..... Keep hassling your medical team too I know it's a bind...so tell me a bit more about yourself then
  • Dear Chris, I am very sorry to hear that you are feeling so low after your cancer treatment.  Especially difficult at a time of year when everyone around us is in high spirits!  The only words of comfort I can offer are first and foremost that you are not alone.  I have found this site to be a wonderful source of friendship, encouragement, sounding board, vent for letting off steam and have even managed to share a few laughs along the way.  My cancer was also squamous cell, but of the tonsil, so I guess a bit 'further up the throat' than yours.  I had the same regime of radiotherapy (yes it certainly was brutal ) with weekly chemo sessions and during most of my treatment and several weeks afterwards I was fed by PEG tube into my stomach.   My treatment begain on 23rd December 2013 and ended on 31st January this year.  I still find that food is much less of a pleasure than it used to be.  I do a fair bit of moaning about my lack of food enjoyment, but what I can tell you is that without doubt I can look back on where I was on 31st January and know that I have come a very very long way since then.  I managed to get back to work part-time by April but it took till August/September till I felt reasonably well again.  I remember having some very dark thoughts during some dreadful bouts of sickness (as well as constantly feeling I was choking on mucous) and feeling I would never ever get through it. At the worst times I also questioned whether it was worth putting myself through that hell.  All I can say is that almost a year on, I thank my lucky stars that I did get through it and have just enjoyed a Christmas that was 100% better than last year's.   Hang on on there and I'm sure that you too will look back on this hellish time and realise that you have also come a long way.  'One day at a time' is very sound advice and about as much as I can really offer you but please don't feel bad about wanting to have your hand held - that's precisely what this forum is for and I hope that you will get lots of support from me and others who have been in similar situations.  Hang on in there Chris, we are all behind you every step of the way.  Lots of love, Irene x

  • Hi Chris,
    I can see that you're having a rough post-treatment ride. It's a shame that you don't seem to be getting the sort of after-care that you should expect. If you can't make demands for yourself can your GP assist? Also, I had to be admitted via A&E a couple of times during and post treatment - I was kept in on both occasions to be rehydrated - that tended to kick the cancer doctors and nurses into action. Don't be afraid to present yourself at you local A&E if things get really bad.
    Anyway, feel free to contact me for any specific advice - I developed throat cancer in early 2013 and commenced 6 weeks of chemo and radiotherapy in July 2013. At the end of treatment I was fairly rough but it got slowly worse over the next few weeks. Nothing unusual with me and I was very similar to many others - unable to speak for a few weeks. No food or drink by mouth for a couple of months. I would say that it took 3 or 4 months before I was able to get anywhere near normal in terms of day-to-day living. I returned to work in February this year and slowly increased to full hours over about 8 weeks. I was off work for 7 months in total.
    Immediately post treatment the mucus was one of the most troubling issues - where does all that stuff come from? Spent a few weeks clutching a bucket and kitchen roll. It does improve really slowly and it does disappear completely in time, but it is one of those side-effects that tends to linger, or it did for me in any case and I know that others were similar in this respect. I think my mucus issue stayed for a couple of months but was only really bad for 3 or 4 weeks.
    Nowadays I still have some lingering issues - can no longer eat bread, chips or anything containing black pepper or spices. Can't do refined sugar or anything too hot. I have night sweats and suffer from fatigue. Life is now good though (and will be even better once my final issues are sorted - I won't bore you with all of these).
    What I'm trying to put across is that life does improve but it can be incredibly slow - and sometimes it can be a case of one step forward - two steps back. I didn't really notice any progress day to day, or even week to week come to that. Progress is probably better measured on a month by month basis (or even longer). 

    Stick with this board - there are some great people on here. Some have drifted away following the recent 'improvements' to the site but it is worth sticking with it. 
    I will check in most days so please let me know if their is anything I can help with.
    Hang in there, Chris!!
    Simon XX