H&N RT Side affects

Question 1

What is the onset period for Mucositis?

Answer 1

2-3 weeks into treatment

Mucositis refers to inflammation and sores in the mouth.

Question 2

What are two recommended rinses for Mucositis?

Answer 2

• Salt and baking soda rinses
• Water with salt and baking soda

Use 1 quart of water, 1 teaspoon of salt, and ½ teaspoon of baking soda.

Question 3

What is the onset period for Xerostomia?

Answer 3

1-2 weeks into treatment

Xerostomia is the medical term for dry mouth.

Question 4

What should patients with Xerostomia avoid?

Answer 4

• Caffeine
• Alcohol
• Tobacco

These substances can worsen dryness.

Question 5

What is Dysphagia?

Answer 5

Difficulty swallowing

Dysphagia can occur mid to late in treatment.

Question 6

What is a recommended diet for patients experiencing Dysphagia?

Answer 6

• Soft foods
• Moist foods
• Small bites

Thickened liquids may be necessary if aspiration risk increases.

Question 7

What is the onset period for Odynophagia?

Answer 7

3-4 weeks into treatment

Odynophagia refers to painful swallowing.

Question 8

What type of foods can help soothe pain in Odynophagia?

Answer 8

• Cold foods
• Room-temperature foods

Topical anesthetics like lidocaine can also be prescribed.

Question 9

What is the onset period for taste changes (Dysgeusia)?

Answer 9

2-3 weeks into treatment

Dysgeusia refers to changes in taste perception.

Question 10

What should be avoided to prevent worsening skin erythema?

Answer 10

• Direct sun exposure
• Tight clothing

Mild, fragrance-free soaps and lotions are recommended.

Question 11

What is Moist Desquamation?

Answer 11

Skin peeling and weeping wounds

This condition typically occurs 4-5 weeks into treatment.

Question 12

What is a key recommendation for managing Moist Desquamation?

Answer 12

Keep the area clean and dry

Non-stick dressings like hydrocolloid or hydrogel should be used.

Question 13

What is a common side effect that occurs 3-4 weeks into treatment?

Answer 13

Hoarseness

Voice rest and hydration are crucial for management.

Question 14

What is Lymphedema?

Answer 14

Neck swelling from radiation damage to lymphatic flow

This can occur during or soon after treatment.

Question 15

What is Trismus?

Answer 15

Jaw tightness and limited mouth opening

This condition may progressively worsen during treatment.

Question 16

What is the onset period for fatigue during treatment?

Answer 16

Throughout treatment, peaking at 4-6 weeks

Light exercise and hydration are recommended.

Question 17

What is a rare but possible side effect of treatment?

Answer 17

Nausea and vomiting

This can occur if the brainstem is in the treatment field.

Question 18

What is Radiation-Induced Ear Pain also known as?

Answer 18

Otitis Media

This typically occurs 3-4 weeks into treatment.

Question 19

What should be monitored for in patients with throat inflammation?

Answer 19

Ear fullness or hearing changes

Saltwater gargles and honey tea are recommended for throat inflammation.

Question 20

What is a serious skin reaction to high-dose radiation called?

Answer 20

Radiation burns

This condition typically occurs 4-6 weeks into treatment.

Question 21

What are two recommendations for managing increased mucus production?

Answer 21

• Use a humidifier
• Saline rinses or gentle suctioning

Avoid thick dairy products that can increase mucus.

Question 22

What is the onset period for gag reflex sensitivity?

Answer 22

Mid-treatment

This can result from an irritated throat.

Question 23

What is a common side effect of radiation that affects the throat?

Answer 23

Cough

This typically occurs 3-5 weeks into treatment.

Question 24

What is a recommendation for managing dental sensitivity during treatment?

Answer 24

• Soft-bristle toothbrush
• Fluoride rinses

Avoid very hot or cold foods.

Question 25

What causes pain from tumor necrosis?

Answer 25

Tumor breaking down from radiation

This pain typically occurs mid to late treatment.