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[Dysphagia] xerostomia post rad and diet choices


  • Subject: [Dysphagia] xerostomia post rad and diet choices
  • From: dgrabo at nycap.rr.com (dgrabo@nycap.rr.com)
  • Date: Thu Dec 8 14:35:46 2005

Dear Kim,
  I find I am the least successful with post radiation patients.  All 
of the things you are doing seem appropriate.  Your patient may need 
an upper esophageal dilatation if there is no further progress.  If 
you and your patient are not already receiving the SPOHNC (Support for 
People with oral and Head and Neck Cancer) newsletter, I would 
strongly recommend it.  Their number is 1 800 377-0928, web site is 
www.spohnc.org.  There is a fee ($25.00) but it is definitely worth 
it.  They have just published "Eat Well, Stay Nourished: A recipe and 
resource guide for coping with eating challenges." ($17.50 plus S&H).  
I haven't ordered it yet but plan to do so soon.  Diane

----- Original Message -----
From: "Clarke-Goertz, Kim (PAPHR)" <kgoertz@paphr.sk.ca>
Date: Thursday, December 8, 2005 1:41 pm
Subject: [Dysphagia] xerostomia post rad and diet choices

> Hi all,
> I am writing to ask if any of you have any dietary suggestions for 
> a fellow
> I am following.  He is 4 mos post-radiation for scc of the tonsil. 
> He has
> experienced significant xerostomia since.  We trialed an oral 
> lubricantwhich was not well received.  
> I encouraged regular oral care with mouthwash (biotene) and 
> frequent oral
> hydration with water and thicker fluids as thin liquids are not well
> tolerated.
> He does have a PGJ so oral nutrition/hydration is by choice at 
> this point.
> He is anxious to wean and wants suggestions for oral intake.
> I have suggested adding sauces/liquids for ease of oral transfer 
> to any soft
> solids.  He reports trying scrambled eggs recently and having 
> difficultywith transfer b/c of the dryness.
> 
> What I guess I'm asking of the group is does anyone have any 
> prepared diet
> suggestions for folks who fit this criteria?  Or any suggested 
> resources?
> ps No, I have not done a video, as nausea has been an issue in the 
> recentpast and drinking barium is not an option at this point.  I 
> do believe the
> nausea is resolving.
> 
> Thanks in advance,
> Kim
> 
> 
> 
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