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Old 06-05-2011, 06:17 PM   #1
oregon
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Re: Trouble swallowing while on TDM1

Hi Belle,

I had difficulty with swallowing while Taxotere, so I thought. However we found out is was really my throat closing up on me and found out this is not uncommon, an anaphylactic reaction. I described it as I felt like my supplements were getting stuck in my throat. Often times the oncologists will up the steroids to try and stop the reaction. However, sometimes one's body just can handle certain chemos. I would suggest you check with the doctor to make sure it's not her throat closing versus a swallowing issues. My allergy doctor said this can be a serious reaction and not ignore it. I wish you the best.
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Old 06-06-2011, 01:55 PM   #2
belle
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Re: Trouble swallowing while on TDM1

Hi Chrisy and Oregon,

Thanks a lot for your advices. We have been to the doctor today. She said we need to wait and see if the next infusions will shrink her enlarged lymphnodes more and mom may eventually can eat better. The first two CT scans have shown stable so far.

In the agreement we signed for the trial, it is written that narrowing of the throat is one of the rare complicating side effects of TDM1. That's why we were also worried that it may need attention.

Our next infusion is on Thursday and we hope things get better.

My best wishes to you, too,
belle
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Old 06-07-2011, 05:17 AM   #3
Sheila
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Re: Trouble swallowing while on TDM1

Belle
Just wondering if she possibly has strictures or narrowing of the esophagus....it is not real common, but simple dilation of the esophagus can relieve it....the procedure may need to be repeated. Do the CT scans show the nodes pressing on that area? Hoping she will overcome this so she can stay on the TDM-1, but if she has to go off it due to side effects, Halaven might do the trick...several of us have had remarkable results with this new chemo.
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Hugs & Blessings
Sheila
Diagnosed at age 49.99999 2/21/2002 via Mammography (Calcifications)
Core Biopsy 2/22/02
L. Mastectomy 2/25/2002
Stage 1, 0.7cm IDC, Node Neg from 19 nodes Her2+++ ER PR Neg
6/2003 Reconstruction W/ Tissue Expander, Silicone Implant
9/2003 Stage IV with Mets to Supraclavicular nodes
9/2003 Began Herceptin every 3 weeks
3/2006 Xeloda 2500mg/Herceptin for recurrence to neck nodes
3/2007 Added back the Xeloda with Herceptin for continued mets to nodes
5/2007 Taken Off Xeloda, no longer working
6/14/07 Taxol/Herceptin/Avastin
3/26 - 5/28/08 Taxol Holiday Whopeeeeeeeee
5/29 2008 Back on Taxol w Herceptin q 2 weeks
4/2009 Progression on Taxol & Paralyzed L Vocal Cord from Nodes Pressing on Nerve
5/2009 Begin Rx with Navelbine/Herceptin
11/09 Progression on Navelbine
Fought for and started Tykerb/Herceptin...nodes are melting!!!!!
2/2010 Back to Avastin/Herceptin
5/2010 Switched to Metronomic Chemo with Herceptin...Cytoxan and Methotrexate
Pericardial Window Surgery to Drain Pericardial Effusion
7/2010 Back to walking a mile a day...YEAH!!!!
9/2010 Nodes are back with a vengence in neck
Qualified for TDM-1 EAP
10/6/10 Begin my miracle drug, TDM-1
Mixed response, shrinking internal nodes, progression skin mets after 3 treatments
12/6/10 Started Halaven (Eribulen) /Herceptin excellent results in 2 treatments
2/2011 I CELEBRATE my 9 YEAR MARK!!!!!!!!!!!!!
7/5/11 begin Gemzar /Herceptin for node progression
2/8/2012 Gemzar stopped, Continue Herceptin
2/20/2012 Begin Tomo Radiation to Neck Nodes
2/21/2012 I CELEBRATE 10 YEARS
5/12/2012 BeganTaxotere/ Herceptin is my next miracle for new node progression
6/28/12 Stopped Taxotere due to pregression, Started Perjeta/Herceptin
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Old 06-10-2011, 03:33 PM   #4
belle
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Re: Trouble swallowing while on TDM1

Sheila,

Thank you so much for the good tips. I'm afraid it really may be a stricture of the esophagus. Mom practically stopped eating:-( She received her recent infusion on Thursday. The doctor said she looks better (no more constant coughing and asthma-like shortness of breath while speaking are gone) and Pantroprazol should relieve the symptoms. If it doesn't get better this week we will talk to them about the esophagus dilation.

Our next CT scan is in 3 weeks. Halaven sounds great, we'll keep it in mind.

Thank you once again for the useful info.

Kind regards,
belle
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