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Parotid radiation

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Hey,

I had this, and have been very pleased with the cosmetic results. I no

longer look as if I am storing nuts for winter.

The downside is that my mouth does get a little dry sometimes; not

anything that drinking water doesn't fix, and it's not annoying.

JB

On Aug 18, 2004, at 7:42 AM, PozHealth wrote:

> I just saw consulted a doc for facial wasting and possible new

> fill/sculptura treatmensts. In addition to the new fill treatments he

> recommended seeing an oncologist for radiation treatments on my

> salivary

> glands to shrink the " gill look. " Has anybody heard of this?

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I had Hodgkin’s lymphoma and received

radiation therapy to reduce the tumors in my neck. It not only completely reduced my tumors, but also my

parotid glands (an added benefit).

I imagine that I received more radiation

than those who’ve had radiation treatment only for parotid gland

reduction. As a result of the

treatment, I have rather severe dry mouth that water alone doesn’t help. (People who are HIV- and have oral cancers

usually lose all salivary production after high-dose radiation treatment.)

However, there is a prescription drug that

stimulates salivary gland production for people who have had low-dose radiation

treatment. It’s called Evoxac and

it works tremendously. The usual

dose is 1 capsule every 8 hours (however I take 1 capsule every 6 hours). I’ve had no side effects at all with

the drug and I’m very grateful that my radiation oncologist prescribed it for

me.

I highly recommend Evoxac for those who are

bothered by severe dry mouth after radiation treatment.

Don

-----Original

Message-----

From: Barrow

Sent: Wednesday, August 18, 2004

10:37 AM

To: PozHealth

Subject: Parotid

radiation

Hey,

I had this, and have been very pleased with the cosmetic results. I

no

longer look as if I am storing nuts for winter.

The downside is that my mouth does get a little dry sometimes; not

anything that drinking water doesn't fix, and it's not annoying.

JB

On Aug 18, 2004, at 7:42 AM, PozHealth wrote:

> I just saw consulted a doc for facial wasting and possible new

> fill/sculptura treatmensts. In addition to the new fill treatments he

> recommended seeing an oncologist for radiation treatments on my

> salivary

> glands to shrink the " gill look. " Has anybody heard of this?

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I know this probably sounds too easy to be true... But I had swelling (both

sides) that made me look like a chipmunk and caused pain in my jaw area. It

was suggested that I try stimulating salivation with hard candy or something

first. I chose Juicy Fruit gum (always made my mouth water - but it is

loaded with sugar), and after two weeks of chewing the gum the problem

cleared up and hasn't returned.

Maybe I had a different condition, but it certainly wouldn't hurt to try

some sugarless candy or gum while waiting for the treatment, or even in case

of dry mouth afterward.

BG

> I just saw consulted a doc for facial wasting and possible new

> fill/sculptura treatmensts. In addition to the new fill treatments he

> recommended seeing an oncologist for radiation treatments on my

> salivary

> glands to shrink the " gill look. " Has anybody heard of this?

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I don't think you had the same thing.

JB

> I know this probably sounds too easy to be true... But I had swelling

> (both

> sides) that made me look like a chipmunk and caused pain in my jaw

> area. It

> was suggested that I try stimulating salivation with hard candy or

> something

> first. I chose Juicy Fruit gum (always made my mouth water - but it is

> loaded with sugar), and after two weeks of chewing the gum the problem

> cleared up and hasn't returned.

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  • 1 month later...

I thought I might add my own story about radiation to the head, since quite a few people have written in about their puffy parotid problem.

I had a squamous cell carcinoma in the inner corner of my right eye, with possible metastasis to the neck lymph nodes. I declined surgery as the outcome would probably have been cosmetically terrible and possibly would involve removing my right eye which was total unaffected although the tumor abutted the eye muscle.

just a note on the cancer: i have been positive for almost 20 years with no AIDS defining illnesses (although my t-cells have dipped below 200 a few times)and mild lipoatrophy. my doctors (i have about 5 different ones working on me..yay Kaiser) tell me that NASTY skin cancers are showing up more and more in long term HIV survivors. skin cancer does NOT usually grow rapidly and does not typically metastasize quickly if at all. SO, a bit of advice based on my own 2 year long horror story...PLEASE have skin damage and suspicious skin spots looked at and removed/treated before they go berserk and the doctors have to start hacking out large pieces of your flesh, especially your face.

back to the radiation...i had my maximum allowable lifetime dose from the neck up focussing on my lymph nodes and orbit tumor but pretty much my whole head got a good dose of lovely radiation. i think the parotid treatment is done over a shorter time and lower dose. anyway, at my dose, this experience was hellish. damaged taste buds (everything tastes like cardboard), dry, dry mouth, blisters in mouth, eye irritation, pain swallowing, constricted throat, bald patches and loss of all facial hair, and here's a funny one....puffy parotids!!!!! go figure?

anyway, i finished all that just over two months ago and the tumor is gone and the swollen lymph nodes are gone and am having CT and PET scans to determine what is going on. everybody is thrilled with the results although i have no tear duct left in the right eye and a dime sized depression/crater...both to be reconstructed early next year. the radiation side effects are improving...taste back about 75%, can eat normally again (after loosing about 30 lbs) and hair beginning to sprout back sporadically. I still have puffy parotids though so I guess there must be some sort of paradoxical reaction that will actually give you swollen parotids at high radiation doses rather than shrink them.

Sorry if this letter is slightly off point, but it felt good to write it and if one fellow HIV sufferer avoids the time and trauma I have gone through because of "skin cancer gone wild" it is worth the caution. Get your skin checked!

dB

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