Healing Radiation-induced dysphagia is possible. Remember that the sooner you diagnose it and begin undergoing healing therapies, the better chance you have of healing your own.
The medical term for difficulty swallowing is dysphagia. During the fall of 1993, I developed a pain in my neck. What began as an annoyance became serious enough pain to get an x-ray. The x-ray led to surgery and the surgery led to a pathologist explaining that I had multiple myeloma. An incurable but very treatable blood cancer.
Surgery to remove the single plasmacytoma that was causing my neck pain, followed by local radiation to “clean up the area” led to Radiation-induced dysphagia, and difficulty swallowing.
Keep in mind that while both my dysphagia and xerostomia were caused by the same therapy, they are two different side effects, two different health challenges, etc.
In order to address my mantra “I wish I knew then what I know now” this post will define dysphagia, discuss the pros and cons of radiation in cancer therapy and finally, discuss possible therapies shown to heal or at least stabilize dysphagia.
Benefit of this therapy?
I developed full multiple myeloma less than a year after this diagnosis of a single bone plasmacytoma (SBP) as well as local radiation to my neck. I don’t see how radiation therapy could have provided any benefit to me. The negative aspects of dysphagia may lead to my complete inability to swallow food.
The blog posts linked below document this side effect, my therapies, coping mechanisms, etc for my dysphagia.
Like all my other long-term and late stage side effects,
I was not told about the likelihood of this side effect before I had this therapy
I had to figure out the side-effect, the seriousness or quality-of-life challenges that the side effect would cause and possible therapies to either heal or at least stabilize my dysphagia
I wrote about the experience in PeopleBeatingCancer.org over the months and years following treatment
In short, this post and links to my blog posts documenting this side effect is designed to address my mantra of “I wish I knew then what I know now-”
Alternatives to local radiation therapy?
Though I developed full-blown MM less than a year after my local radiation, I do believe that this therapy- local radiation- was needed. I have worked with many patients who have also been diagnosed with a single-bone plasmacytoma (SBP) and many live with this pre-myeloma diagnosis for years.
Therapies to heal radiation fibrosis that leads to dysphagia?
“Radiation therapy can also cause swallowing problems. The effects of radiation — including scarring and fibrosis — build over time, and can reduce the ability of the throat muscles to function properly, even long after treatment is finished. Radiation can also cause narrowing of the swallowing passage — a problem known as “stricture.”
Chemotherapy doesn’t generally cause lasting dysphagia, but it can make the effects of radiation worse. And though chemotherapy can also affect a patient’s appetite and desire to eat, those side effects are often temporary. The side effects of radiation are usually permanent…”
An adapted diet and functional rehabilitation can be proposed according to the degree of dysphagia. Many swallowing exercises have been described for patients treated by radiotherapy , , , …
… \New radiotherapy techniques allow a reduction of certain late toxicities without compromising tumour sterilization. The systematic use of dose constraints on structures involved in swallowing, according to the tumour site, will help to decrease the incidence of dysphagia…”
“The REVIVE trial will evaluate a new technique where researchers inject stem cells from a biopsy of patient’s thigh muscle into the patient’s tongue. The researchers hypothesize that the stem cells will fuse with existing muscle fibers to strengthen tongue muscles and improve ability to swallow…”
“Patient-reported symptoms of dysphagia were measured with the 10-item Eating Assessment Tool (EAT-10), which assessed issues such as difficulties with consistencies, food sticking, coughing, and swallowing-related weight loss. Participants also completed the Generalized Anxiety Disorder-7 (GAD-7) to assess for recent symptoms of anxiety and the Patient Health Questionnaire-8 (PHQ-8) to assess for recent symptoms of depression…
Patients who self-reported symptoms of dysphagia were also more likely to report symptoms of anxiety and depression. Overall, 23% of the participants reported symptoms of anxiety and 29% reported symptoms of depression. “When comparing anxiety and depression levels in survivors who reported symptoms of dysphagia versus those who did not, statistical analysis showed a substantial positive correlation between increased swallowing dysfunction and more severe symptoms of anxiety and depression,” the researchers reported…”
I had Radiation therapy for throat in 2018, 35 days of radiation and chemo treatment, developed Lymphedema, eventually ORN(Oralradioneucrosis), which required lower mandible replacement, using a bone from my fibula as source of bone. It required removal of a nerve from my mouth and bone was secured by steel encasements. My swallowing has deteriated to point a Speech Pathologist recommended a permanent feeding tube. I am looking for a miracle to prevent it, Any suggestions would be appreciated, thanks.Reply