Nasopharyngeal Issues: Signs of Possible Cancer Recurrence - Otolaryngology

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I'm sorry to hear about your father's situation. It sounds quite challenging, and I understand your concerns regarding the signs and symptoms he is experiencing. Let's break down the issues you mentioned and explore the possible implications.

Firstly, the presence of a growth or "granulation tissue" near the lower left teeth, along with the ulceration and bleeding, is concerning, especially given your father's history of oral cancer. It is not uncommon for cancer to recur in the same area, and the symptoms you describe could indeed be indicative of a recurrence. The pain in the jaw and the presence of a wound could be related to the cancer itself or could be due to other factors, such as infection or trauma.

The fact that your father is experiencing fluid (water or milk) coming out of his nose while drinking could suggest a few things. This phenomenon, known as "nasal regurgitation," can occur when there is a disruption in the normal swallowing mechanism. In patients with head and neck cancers, particularly those involving the oral cavity or nasopharynx, the anatomy and function of the swallowing process can be affected. This could lead to food or liquid entering the nasal cavity instead of going down the esophagus, which might explain why you see fluids coming out of his nose.

While this symptom could potentially be related to the recurrence of nasopharyngeal cancer, it is also possible that it is simply a result of the anatomical changes caused by the previous surgeries or treatments he has undergone. If the cancer has affected the structures involved in swallowing, it could lead to these kinds of complications.
Additionally, the pain and difficulty swallowing could be exacerbated by the presence of the ulceration and inflammation in the mouth, which might make it harder for him to manage liquids without them escaping into the nasal passages.
Given these symptoms, it is crucial for your father to be evaluated by his healthcare team as soon as possible. They may want to conduct imaging studies, such as a CT scan or MRI, to assess the extent of the disease and determine if there are any new developments in the nasopharyngeal region. Furthermore, a speech and swallowing therapist could provide valuable insights and strategies to help manage his swallowing difficulties.

In summary, while the symptoms your father is experiencing could be related to the recurrence of cancer, they could also stem from other causes related to his treatment history. It is essential to communicate these concerns to his medical team, who can provide a thorough evaluation and appropriate management. Early intervention can be critical in addressing complications and improving quality of life.
Please ensure that your father receives the necessary medical attention, and do not hesitate to ask his healthcare providers any questions you may have regarding his symptoms and treatment options.