Head and neck radiotherapy

I had radiotherapy  and chemotherapy  end of 2017. 

30 radio and 5 chemo

I still can not eat . I live on 8 furtisip a day . When I try to eat solid or very soft food I nearly choke as it just sticks to my throat. Will not move with a drink as drink just comes out of my nose as does the food . 

When I just drink water it comes out of nose . Takes over an hour to drink my furtisip . 3 bottles in pint glass topped up with milk . 

Any body heard of food and drink coming out of nose. Tried sipping  very slowly  end up with most  of my drink in bin with tons of kitchen  roll. 

Very sticky phlem  still 

Help 

 

  • Hi I don’t know if I can help much but I thought I would reply as I finished radiotherapy to my mouth 6 weeks ago and slowly starting to eat some more normal foods instead of the fortisips but I didn’t have chemotherapy. 

    When I was going through the radiotherapy I remember some of it coming back out my nose but it doesn’t do it now. Were you in contact with a speech and language therapist during or after your treatment? Mine recommended daily mouth exercises that helped with swallowing etc as they strengthen all those areas that you need to use? Also she recommended to swallow twice with every sip which is a pain taking even longer than normal to drink but it did help get it down. 

  • I’m going through a very similar problem...Having recently finished chem/rad treatment in January for cancer to base of tongue and neck, I’m now waiting for surgery to rectify the muscles in my throat which controls the swallowing.Apparently the side effects of so much radiation to this delicate area can cause difficulties in swallowing ( have to take everything through a R.I.G ), so after an X-ray they discovered my muscles had over healed and tightened, therefore not allowing any food to go down.

    You need to contact your team and explain your difficulty as you should be able to see some relief by now. I hope this helps

  • Hello,

    Yes this is called nasal regurgitation and along with choking and the 'sticking' feeling you describe is part of swallowing difficulties.

    You will hear the term 'dysphagia' used by medical professionals, it simply means swallowing difficulties. 

    I agree with the other posts that you should get in touch with your hospital's speech and language therapy service.

    They will be able to tell you more about dysphagia and pinpoint what exactly is going on as dysphagia can happen at different stages of the swallowing process and for different reasons, e.g. sometimes radiotherapy can cause scar tissue that causes narrowing of the throat.

    A speech and language therapist can look your throat and may also have a look at it while you swallow things of different levels of thickness.