Approximately 2-3 weeks after your first radiation treatment, you may experience skin changes around your mouth and throat. These changes are an expected part of your therapy and are temporary. The following instructions are intended to help you care for these areas and minimize the effects of radiation.

• Do not remove the colored ink marks from your skin. These outline the area to be treated and must remain in place until treatments are completed. Wash with lukewarm water only and blot dry. Do not scrub.
• Avoid all soaps, lotions, ointments, cosmetics, and perfumed powders on the treatment area.
• Use only an electric razor to shave.
• Do not use heating pads or ice bags on the treatment area.
• Avoid exposing treatment area to sun.
• Skin changes such as redness, dryness, peeling, and tanning are to be expected. Itching and dryness may occur, but do not scratch. Please report any break in the skin to the doctor or nurse.
• Avoid tight-fitting clothing around you neck; rubbing may cause irritation.
• Wear dentures as little as possible.

Special instructions regarding dental care will be given by the doctor. You may be referred to a dentist for preventative care prior to your therapy. Careful dental care should be accomplished with a oft-bristle toothbrush after each meal and at bedtime. A mouthwash consisting of 1 teaspoon salt, 1 teaspoon baking soda, and 1 quart of water should be used once each hour. Do not use a commercial mouthwash at this time.

Avoid all irritants such as alcoholic and carbonated beverages, tobacco, acidic juices (such as orange juice), and highly seasoned foods. Also avoid rough, crunchy foods such as potato chips, nuts, and pretzels. Foods that are extremely hot or cold should also be avoided.

The saliva in your mouth may become thick or decrease as your treatments progress. Foods will be easier to chew and swallow if they are served with liquids such as gravy, broths, or sauces. Take plenty of liquids with your meal.

If mouth or throat pain requires special medication, it will be prescribed by the doctor.

Adequate caloric and protein intake are an essential part of your therapy so that you maintain your weight and benefit from your treatments. Unless otherwise indicated by some physical condition, you will be placed on a high-protein, high-caloric diet. The nurse will help you with this. Drink at least 8-10 glasses of liquid each day (not including coffee or tea). You are encouraged to discuss any problem concerning side effects, diet, or other aspects of your therapy with your physician or nurse.