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CANCER TREATMENT: Nutritional Management of Side Effects Lynn Goldstein, M.S., R.D., C.D.N. Nutritionist The Jay Monahan Center for Gastrointestinal Health.

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Presentation on theme: "CANCER TREATMENT: Nutritional Management of Side Effects Lynn Goldstein, M.S., R.D., C.D.N. Nutritionist The Jay Monahan Center for Gastrointestinal Health."— Presentation transcript:

1 CANCER TREATMENT: Nutritional Management of Side Effects Lynn Goldstein, M.S., R.D., C.D.N. Nutritionist The Jay Monahan Center for Gastrointestinal Health

2 We Will Talk About: What to do when you are feeling well Nausea Vomiting Constipation Diarrhea Loss of appetite

3 We Will Talk About: Taste changes Mouth sores Dry mouth Weight loss/increasing calories & protein Iron deficiency anemia Safe food handling

4 When You Are Feeling Well Maintain a balanced healthy diet Eat plant-based foods Get plenty of fruits and vegetables Choose lean meats, fish and poultry Avoid saturated and transfatty acids Avoid refined, processed foods Get plenty of water

5 Nausea Eat 5-6 small meals – avoid an empty stomach Eat bland and easy-to-digest foods Eat cold foods Suck on frozen ice pops or fruits, such as watermelon and grapes Try sour foods, such as granny smith apples Suck on hard candy – ginger root Try easy foods with low odor, such as canned peaches, pears, or fruit cocktail

6 Nausea Avoid foods with strong odors and hot foods Avoid drinking large quantities of fluids w/ meals Limit gas-producing foods, such as bean, cabbage, and broccoli Avoid sweet, fatty, fried, or spicy foods Avoid your favorite foods to limit food aversions Avoid warm/stuffy rooms

7 Vomiting Do not eat or drink until vomiting is under control Drink small amounts of clear liquids Once liquids are tolerated, try a soft diet with bland foods such as mashed potatoes, rice, pureed fruit, and yogurts Eat potassium, magnesium-rich foods, such as bananas, potatoes, OJ, and tomatoes

8 Constipation Have fiber with all meals Try kidney beans, chickpeas, lentils, fruits, vegetables, oatmeal, and high-fiber cereal Try dried fruit Try 2 tbsp flaxseed Drink plenty of fluids Avoid binding foods, such as cheese and chocolate Add exercise to your daily routine

9 Fiber Recipe for Constipation 3 parts wheat bran cereal 2 parts applesauce 1 part prune juice Mash mixture together Eat 3 times per day as needed Works well on toast

10 Diarrhea Drink plenty of fluid to prevent dehydration Drink fluid with electrolytes: Pedialyte Consume potassium-rich foods, such as orange juice, bananas, tomatoes, and potatoes Think BRATT: Bananas, Rice, Applesauce, Tea, and Toast Try canned fruits, plain pasta, noodles, cream of rice cereal, eggs, potatoes, lean meats

11 Diarrhea Avoid high-sugar beverages and snacks Avoid “sugar-free” candies and gum Avoid spicy, greasy foods Avoid dairy products if they are not tolerated Avoid insoluble fiber foods, such as raw fruit/vegetables, whole grains, nuts, seeds, popcorn, beans, lentils, and brown rice Avoid snack foods with Olestra (WOW)

12 Rice Congee Recipe for Diarrhea 1 cup long-cooking white rice Combine with 6-7 cups of water and one tbsp salt Cook for about 40 minutes This is a sticky/soupy mixture that really helps diarrhea

13 Loss of Appetite Eat by the clock rather than hunger Choose high-calorie/protein snacks Bring snacks with you when you go out Have your favorite foods on hand Have a friend or family member assist with meal preparation Make foods visually appealing and avoid unpleasant odors

14 Loss of Appetite Drink high-calorie/protein shakes Avoid liquids with meals to keep from getting full quickly Try a small amount of sherry or wine Get some fresh air Avoid stressful and unpleasant conversation during meal time Avoid warm, stuffy environments

15 Mouth Sores (Mucositis) Eat soft, bland, cool foods Puree and liquify foods in a blender Drink through a straw Suck on frozen fruit – avoid citrus, tomato Avoid irritating spices and seasonings Avoid rough, dry, course foods Avoid alcohol or tobacco Rinse mouth often with mild mouthwash

16 Taste Changes Season foods with tart flavors Chew lemon drops, mints, gum Flavor foods with onion, garlic, chili powder, basil, oregano, rosemary, BBQ sauce, mustard, or catsup Marinate foods in sweet juices Drink flavored instead of plain water

17 Taste Changes Serve food cold Rinse mouth w/ tea, ginger ale, salted water w/ baking soda before eating Eat frozen fruits, such as cantaloupe, grapes, oranges, or watermelon Select fresh instead of frozen/canned vegetables Use plastic utensils instead of metal

18 Dry Mouth Sip fluid every few minutes Try very sweet or tart foods & beverages Suck on hard candies, Popsicles, gum Eat foods with sauces, gravies, dressings Puree foods Use lip balm

19 Weight Loss/Increasing Calories and Protein Eat several small meals a day Eat favorite foods any time of the day Eat every few hours; eat on a schedule Keep easy-to-grab snacks on hand at all times, such as granola bars, fruit, nuts, single serving- size tuna cans, trail mix, puddings, and yogurt Focus on high-calorie foods Take advantage of your most energetic time

20 Weight Loss/Increasing Calories and Protein Exercise lightly to increase appetite Drink nutritional supplements Drink caloric fluids between meals Add fat, such as olive or sesame oil Add chopped nuts/seeds to meals Avoid low-fat or “diet” foods Add protein powders

21 Iron Deficiency Anemia Animal (heme) products are best source; the darker the meat, the higher the iron amount Dark green vegetables (non-heme) and dried fruit Iron-fortified grains/nuts/seeds Vitamin C to boost absorption of non-heme iron Calcium decreases iron absorption Coffee/tea/cola decrease iron absorption Cook acidic foods (tomato sauce) in cast iron pots and pans

22 Safe Food Handling Wash hands well with warm soapy water before preparing and eating food Do not use same cutting surface for meat and vegetables. Sanitize cutting surface before each use Keep hot foods hot and cold foods cold Never thaw foods at room temperature Eat only well cooked foods

23 Safe Food Handling Avoid raw egg products Avoid unpasteurized products Avoid salad bars Avoid fresh squeezed juices unless made at home Avoid raw fish

24 Ask for Help When You Need It!

25 Helpful Websites – Jay Monahan – American Cancer – American Institute for Cancer – National Cancer

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