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Anyone have ideas on how to soothe a sore throat caused by radiation beam therapy to the neck?


We tried sprays to numb the throat, but he can't open his mouth wide enough to get the spray into the throat. (also lozenges, but they only take the edge off)

He is not able to eat like he should and in lots of pain. He is losing lots of weight, and still has about 6 weeks of treatment left.

The radiation team is trying to find something to help. What they have recommended so far, has not helped.

I am a Radiation Therapist, so I have a pretty good handle on this one. Extreme pain and dificulty swallowing ar ethe two most common (and awful) side effects of radiation therapy to the neck area. Lidocaine spays are sometimes effective but difficult once a patient reaches a certain level of pain. The most common treatment for this is often called "magic mouthwash". It can be made up at your local pharmacy but will require a prescription. It is a mixture of viscous lidocaine (to numb the throat), liquid benadryl (to lessen swelling) and liquid Maalox (to leave a soothing coating. The effect is temporary (about 2 hours) but will allow him to at least eat some soft foods. A second option is a painkiller lollipop (really) called Aqtiq. It is just narcotic in a sugar base but has shown some relief to local tissue. The third suggestion is to get access to a mouth wash with a benzydamine base. This has not been approved in the US but is available in Canada over the counter, so you may be able to order it from an online pharmacy. I worked on the clinical trial in the US and the benzydamine mouthwash helped to decrease the effect of radiation on the mucosal (inside the mouth and throat) tissue in patients being treated for head and neck cancer with radiation.

As a side note, your radiation oncology nurse should be carefully monitoring his weight. If he is unable to take solid food, you should be supplementing his diet with high calorie meal replacement shakes like Ensure. If you can't afford these, very often the company can provide low or no cost supplies while he is being treated. Please ask your oncology nurse or the department social worker to help you with these resources. As a last resort, a PEG (feeding tube surgically placed BELOW the area being treated) can be temporarily placed to allow him to receive adequate nutrition whil ehe is being treated and until the treated area heals.

Good luck.

may i suggest somme ice lollypops ,or ice cubes to suck on

Over the counter mouth wash called "Biotene". A bit hard to find but worth checking for. Also there is a presciption product called "Stomatitus coctail". You swish it and spit it out-usually used for sores in the mouth. Ask your doctor or Pharmacist(I find them very helpful).

Ask your oncologist for an RX for "magic mouthwash" which is a combination of prescription drugs designed just for sore throat caused by cancer treatments. OTC products probably won't help much.

You could also join the esophageal cancer listserv at
http://listserv.acor.org/archives/ec-gro...
and either ask for suggestions or look in the Archives for past recommendations. They currently have over 1700 members (patients and caregivers) so I'm sure you would find lots of suggestions here.

Sorry to hear that. Try milkshakes. Also give him something like ensure or boost to help replenish some nutrients. You could also try cold baby food, ice chips, and freeze pops. I hope that this will help. I'll be saying a prayer.

Aloe Vera Juice.

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