After radiation therapy for throat cancer, it feels like a chicken bone is stuck in the throat. What should I do?
After radiation therapy for throat cancer, it feels like there is a chicken bone stuck in the throat?
Fan Jiang, 50~59 year old female. Ask Date: 2008/02/12
Dr. Chen Sirong reply Oncology
Mr.
Fan-Jiang: Hello, you probably haven't undergone surgery and have only received radiation therapy, right? The treatment dose might be around 6660-7000 cGy.
How long has it been since the treatment ended? Is it 1-2 months? After treatment, local fibrosis or edema may occur, which can make you feel as if something is stuck in your throat.
This is a phenomenon that most patients experience to varying degrees; however, the intensity of the sensation can differ from person to person and may even affect the quality of your voice.
Please consult the ENT specialist you originally visited and have a nasopharyngoscopy done.
If there is no recurrence, it is generally fibrosis or edema.
May I ask if the physician has recommended a longer duration for medication? Most people tend to adapt, so there is no need to worry too much.
Thank you for your message, and I wish you a prosperous New Year.
Reply Date: 2008/02/12
More Info
Feeling like a chicken bone is stuck in your throat after undergoing radiation therapy for laryngeal cancer can be a distressing experience. This sensation may be attributed to several factors related to the treatment and the condition of the throat post-therapy.
Firstly, radiation therapy for laryngeal cancer often leads to changes in the throat's tissues. The radiation can cause inflammation, scarring, and fibrosis in the laryngeal area, which may result in a feeling of tightness or a foreign body sensation. This is commonly referred to as "radiation-induced dysphagia," where patients experience difficulty swallowing or a sensation of something being lodged in the throat. The mucosal lining can become dry and irritated, which can exacerbate the feeling of something stuck.
Additionally, the treatment may lead to changes in saliva production. Radiation can damage the salivary glands, resulting in xerostomia (dry mouth). Saliva plays a crucial role in swallowing and lubricating food, and a decrease in saliva can make swallowing more difficult and uncomfortable, potentially contributing to the sensation of a foreign object in the throat.
Another possibility is that the sensation could be related to the healing process after surgery or radiation. If there was any surgical intervention, the surrounding tissues might be sensitive or healing, which can also create discomfort or unusual sensations.
It’s essential to communicate these symptoms with your healthcare provider. They may recommend a thorough examination of your throat, possibly including a laryngoscopy, to visualize the area and rule out any complications such as strictures (narrowing of the throat), infections, or other issues that could be causing this sensation.
In the meantime, here are some strategies that may help alleviate the discomfort:
1. Stay Hydrated: Drink plenty of fluids to help keep your throat moist and aid in swallowing.
2. Use Humidifiers: Adding moisture to the air can help soothe dry throat tissues.
3. Soft Foods: Eating softer foods that are easier to swallow can reduce discomfort.
4. Saliva Substitutes: Over-the-counter saliva substitutes can help alleviate dry mouth symptoms.
5. Throat Lozenges: These can provide temporary relief from irritation.
6. Consult a Speech Therapist: They can provide exercises and techniques to improve swallowing and manage any dysphagia.
In summary, the sensation of a chicken bone stuck in your throat after radiation therapy for laryngeal cancer is likely related to the effects of the treatment on the throat's tissues and saliva production. It is crucial to discuss these symptoms with your healthcare provider to ensure appropriate management and to rule out any serious complications. Your comfort and quality of life are paramount, and there are resources and strategies available to help you navigate these challenges.
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