Managing Nutrition and Side Effects During Cancer Treatment - Oncology

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Hong Cheng


Hello Dr.
Tseng, I have an uncle who is currently undergoing radiation therapy at the Veterans General Hospital.
He has been experiencing hair loss and has mentioned that his mouth and throat are sore.
During meals, he can only eat porridge (which he mostly drinks) and is consuming some milk (which is different from regular milk).
Is his nutritional intake sufficient? How should his diet be managed? He has also been drinking wheatgrass juice, but now he says it causes a painful, stinging sensation and he cannot tolerate acidic foods.
Any information you could provide on this matter would be greatly appreciated.
Thank you.

Dianliao zhihou, 10~19 year old female. Ask Date: 2003/07/25

Dr. Zeng Yuhua reply Oncology


Hello! When patients with head and neck tumors undergo radiation therapy, they may experience symptoms such as dry mouth, mucosal damage, sore throat, and changes in taste due to radiation exposure to the oral mucosa and salivary glands.
Therefore, it is advisable to avoid acidic, spicy, and fried foods, and to consume cool, semi-liquid foods such as meat porridge.
It is recommended to eat non-acidic, hydrating fruits like watermelon, while avoiding more acidic fruits like pineapple and oranges.
Best wishes for your health from Dr.
Tseng Yu-Hua, Department of Oncology, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2003/07/25

More Info


Managing nutrition during cancer treatment, especially when undergoing therapies like radiation, is crucial for maintaining strength, managing side effects, and supporting overall health. Your uncle's experience with hair loss and mouth and throat sores is common among patients receiving radiation therapy, particularly in the head and neck area. These side effects can significantly impact his ability to eat and drink, leading to concerns about adequate nutrition.


Nutritional Considerations
1. Soft Foods: Since your uncle is experiencing mouth and throat sores, it's essential to focus on soft, easy-to-swallow foods. Options include:
- Pureed Foods: Foods like mashed potatoes, applesauce, and pureed vegetables can be soothing and easy to consume.

- Smoothies: Blending fruits with yogurt or milk can provide nutrition without the discomfort of chewing.

- Soups: Broths or creamy soups can be nutritious and hydrating. Ensure they are not too hot, as heat can exacerbate mouth sores.

2. Hydration: Staying hydrated is vital, especially if solid food intake is limited. If your uncle finds it painful to drink, consider:
- Room Temperature or Cool Beverages: Cold drinks can numb the pain temporarily and are often more soothing.

- Nutritional Drinks: Products like Ensure or Boost can provide calories and nutrients in liquid form. These are especially useful if he struggles to eat solid foods.

3. Avoid Irritants: Since he is experiencing pain, it's important to avoid foods and drinks that can irritate the mouth and throat, such as:
- Spicy Foods: These can cause further irritation.

- Acidic Foods and Drinks: Citrus juices and vinegar-based foods can exacerbate soreness.

- Hard or Crunchy Foods: Foods like chips or raw vegetables can be painful to consume.

4. Nutritional Supplements: If your uncle's intake is insufficient, consider discussing with his healthcare provider the use of nutritional supplements. These can help bridge the gap in his diet and provide essential vitamins and minerals.


Managing Side Effects
1. Oral Care: Maintaining good oral hygiene is crucial. Gentle brushing with a soft toothbrush and using mouth rinses can help reduce discomfort and prevent infections. There are also specific mouth rinses designed for patients undergoing cancer treatment that can soothe sores.

2. Pain Management: If the pain is severe, it’s important to communicate this to his healthcare team. They may prescribe medications to help manage pain, making it easier for him to eat and drink.

3. Frequent Small Meals: Encourage your uncle to eat small amounts more frequently rather than three large meals. This can help manage nausea and make it easier to consume enough calories throughout the day.

4. Consult a Dietitian: It may be beneficial to work with a registered dietitian who specializes in oncology nutrition. They can provide personalized advice based on your uncle's specific needs, preferences, and treatment plan.


Conclusion
In summary, managing nutrition during cancer treatment requires a tailored approach that considers the patient's specific side effects and dietary restrictions. Focusing on soft, soothing foods, maintaining hydration, and avoiding irritants can help your uncle maintain his nutritional intake despite the challenges he faces. Regular communication with his healthcare team is essential to address any concerns and adjust his care plan as needed. By prioritizing nutrition and comfort, you can help support his overall health and well-being during this difficult time.

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