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[Dysphagia] xerostomia post rad and diet choices


  • Subject: [Dysphagia] xerostomia post rad and diet choices
  • From: kgoertz at paphr.sk.ca (Clarke-Goertz, Kim (PAPHR))
  • Date: Thu Dec 8 11:42:04 2005

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 lubricant
which 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 difficulty
with 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 recent
past 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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