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[Dysphagia] XRT to neck
Apart from the many ways of dealing with mucositis,
stomatitis etc. the thick, ropy mucus is a sign of
dehydration. I bet this lady would feel much better if
rehydrated ASAP. Also, has anyone checked her for the
anemia that usually follows radiation (and chemo)?
Irene.
--- wwasmith@comcast.net wrote:
>
>
> Hello all,
>
> I'm working with a 70ish lady who is s/p XRT to her
> neck area as well as chemo for lung CA. Both have
> recently concluded. She did not have surgery. I
> work in rehab and surprisingly she has not had a
> swallowing eval as yet (she was admitted for
> debility following her last chemo, a downhill course
> after each one, now she can barely walk). She is
> suffering from the usual constellation of side
> effects of both: feeling lousy, poor appetite,
> nausea, dry mouth, coughing, retching with oral care
> and that old ropey mucous problem. She is
> managing OK on thin lix and purees, other than her
> appetite is poor. No s/s of penetration or
> aspiration. No h/o pna.
>
> I have not treated a patient s/p chemo and RT in a
> while and am wondering what folks are using lately:
> my old tool box included: papaya enzyme mixed with
> food to soften the mucous, synthetic salivas,
> avoiding milk-based products, and lots of
> hand-holding. I recently stumbled on a website for
> LaClede oral care products: has anyone found that
> these are soothing to patients and worth the money?
> (I have had one patient who found that a spray
> bottle of water worked just as well). I also read
> an article by Logemann about the need for chronic
> life-long oral and neck exercises to minimize muscle
> fibrosis. Any comments, suggestions? Thanks for
> any input,
>
> Wendy
> _______________________________________________
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> Dysphagia@b9.com
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>
=====
Dr I Campbell-Taylor
Clinical Neuroscientist
Exclusive Distributor:
www.interactivetherapy.com
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