Nutritional supplementation for leukemia?
Dear Director,
My mother was diagnosed with leukemia in February of this year.
Her overall health has not been very good, and her condition has worsened due to the illness.
She is currently 70 years old, approximately 145 cm tall, and weighs about 38 kg.
Besides consuming small amounts of food three times a day (mainly rice porridge with side dishes like tofu, eggs, and sweet potato leaves), she also takes some nutritional supplements (about 2 bottles of Ensure daily) to compensate for her nutritional deficiencies.
I would like to ask the nutritionist for additional advice beyond her current diet.
Specifically, what natural foods should my mother increase her intake of? Are there any nutritional supplements that could help improve her health or manage her condition? What should be the standard daily intake for her diet? Additionally, can she consume health products like brown rice enzymes or flaxseed oil?
I sincerely look forward to your response and am very grateful for your assistance.
I apologize for adding to your workload and any inconvenience this may cause.
Wishing you good health and all the best.
Sincerely,
A concerned individual
Youxin, 40~49 year old female. Ask Date: 2005/04/22
Dr. Shi Guimei reply Nutrition
Hello! Here are the dietary recommendations for your mother:
1.
Adopt a frequent, small meal approach: Three main meals and three snacks.
The main meals should consist of natural ingredients, ensuring daily intake from the six major food groups (dairy, grains, meat, fish, eggs, legumes, vegetables, fruits, and fats).
Aim for a wide variety of foods rather than sticking to one type to achieve a balanced intake of nutrients.
Snacks can include nutritional supplements, such as the Ensure currently being used.
2.
Provide sufficient energy and protein: In addition to eggs and tofu mentioned, other animal proteins such as pork, beef, chicken, and lamb can provide high-quality protein.
3.
Experiment with mild seasonings and varied cooking methods, paying attention to the combination of color, aroma, and flavor to enhance appetite.
4.
During meals, consume solid foods first, followed by liquid soups or beverages.
5.
Maintain a relaxed and pleasant atmosphere during meals.
6.
Engage in moderate activity or consume a small appetizer before meals.
7.
Avoid eating when fatigued.
Minimize the patient's preparation of greasy foods, as this may affect appetite.
8.
Make an effort to eat to supplement nutrition.
9.
Follow medical advice regarding appetite-enhancing medications or appropriate vitamin and mineral supplements.
10.
Regularly monitor weight changes; if weight loss occurs, investigate the cause for improvement.
11.
Be cautious about believing in home remedies or health products claimed by manufacturers.
You can refer to the "Food Information Network" of the Department of Health for a list of approved health foods.
Sincerely,
Dietitian Shih Kuei-Mei, Director of the Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare.
Reply Date: 2005/04/22
More Info
Nutritional guidance for leukemia patients is crucial, especially for elderly patients like your mother, who is 70 years old and has a low body weight of approximately 38 kg. Given her current health status and dietary habits, it is essential to focus on enhancing her nutritional intake to support her overall health and recovery.
Recommended Nutritional Strategies:
1. Balanced Diet: It is vital to ensure that your mother consumes a balanced diet that includes all six food groups: dairy, grains, protein (meat, fish, eggs, legumes), vegetables, fruits, and fats. This variety will help provide the necessary vitamins and minerals that are crucial for her immune system and overall health.
2. Increase Protein Intake: Since protein is essential for healing and maintaining muscle mass, consider incorporating more high-quality protein sources into her diet. In addition to tofu and eggs, you can include lean meats (chicken, turkey, fish), dairy products (yogurt, cheese), and legumes (beans, lentils). If she has difficulty chewing or swallowing, these can be blended into smoothies or soups.
3. Frequent Small Meals: Encourage her to eat smaller, more frequent meals throughout the day rather than three large meals. This approach can help improve her appetite and ensure she gets enough calories and nutrients. Aim for five to six small meals or snacks daily.
4. Nutrient-Dense Foods: Focus on nutrient-dense foods that provide more calories and nutrients in smaller portions. Foods like avocados, nuts, seeds, and nut butters are excellent choices. Smoothies made with fruits, vegetables, and protein powder can also be a great way to increase caloric intake without overwhelming her.
5. Hydration: Ensure she stays well-hydrated, as hydration is crucial for overall health and can help with digestion. Water, herbal teas, and broths are good options. If she enjoys them, consider adding electrolyte solutions to help maintain her hydration levels.
6. Supplements: The use of nutritional supplements like Ensure or other high-calorie drinks is beneficial, especially if she struggles to meet her caloric needs through food alone. However, it’s essential to consult with her healthcare provider or a registered dietitian before introducing any new supplements, including those like brown rice enzymes or flaxseed oil, to ensure they are appropriate for her condition.
7. Avoid Processed Foods: Minimize the intake of processed foods, as they often contain unhealthy fats, sugars, and additives that can negatively impact health. Focus on whole, natural foods as much as possible.
8. Monitor Weight and Symptoms: Keep a close eye on her weight and any symptoms she may experience. If she continues to lose weight or has difficulty eating, it may be necessary to consult with a healthcare professional for further evaluation and possible adjustments to her diet.
9. Consult a Dietitian: Given her complex health situation, working with a registered dietitian who specializes in oncology nutrition can provide tailored dietary recommendations and support. They can help create a personalized meal plan that meets her specific needs and preferences.
Conclusion
In summary, your mother’s nutritional needs are critical in managing her leukemia and overall health. A focus on a balanced diet rich in protein, frequent small meals, and nutrient-dense foods will be beneficial. Always consult with her healthcare team before making significant changes to her diet or introducing new supplements. By taking these steps, you can help support her nutritional status and overall well-being during this challenging time.
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