Nutrition Tips for Cancer Patients Undergoing Chemotherapy

Nutritional Therapy for Diseases

Hello, my family member was recently diagnosed with fallopian tube cancer and is currently undergoing the first cycle of chemotherapy with paclitaxel.
I would like to ask: (1) What should be increased in the diet during chemotherapy? (2) What should be strictly avoided? (3) I've heard that appetite may decrease; can they take Wakamoto tablets to help increase appetite? Would this conflict with the medication or the disease itself? Thank you!

PVC, 40~49 year old female. Ask Date: 2015/05/03

Dr. Shi Guimei reply Nutrition

Dear PVC,
Hello! During chemotherapy, the immune system is weakened, so it is important to avoid raw foods.
Therefore, please refrain from consuming sashimi, raw vegetables (including sandwiches and burgers containing raw vegetables, as well as vegetable and fruit juices).
When it comes to fruits, choose those with skins, and make sure to wash them thoroughly before peeling.

The Norian tablets primarily contain probiotics, which should be carefully evaluated by a physician to assess whether intestinal function is normal, especially for patients undergoing chemotherapy who have weakened immunity, to avoid potential harm.

As for solutions to appetite loss, the following suggestions may be helpful:
1.
Eat more during times when you feel comfortable, such as before chemotherapy or between treatments.

2.
Keep snacks and beverages readily available to facilitate nutritional intake.

3.
Prioritize high-nutrient foods or foods you enjoy.

4.
Opt for small, frequent meals (small meals or snacks every 1-2 hours), having solid foods during meal times and liquid foods during snack times to avoid excessive fullness.

5.
Ask family or friends to help prepare meals to conserve energy and time.

6.
Create a pleasant dining environment by setting the table nicely, using attractive dishes, listening to music, or watching entertaining TV shows, and consider dining with family or friends, as a positive dining atmosphere can enhance appetite.

7.
Engage in daily activities as much as possible, and take a short walk before meals to promote gastrointestinal motility.

8.
As prescribed by your physician, consider using medications to control symptoms, such as antiemetics, before meals.

9.
If intake remains poor, consider using specialized nutritional products or commercial formulas.
Wishing you safety and health.
Sincerely,
Shih Kuei-Mei,
Director of Nutrition Department, Taoyuan Hospital, Ministry of Health and Welfare

Reply Date: 2015/05/03

More Info

When a family member is diagnosed with cancer and undergoing chemotherapy, such as with paclitaxel for fallopian tube cancer, nutrition becomes a critical aspect of their care. Here are some essential nutrition tips to consider during this challenging time:

1. What to Eat During Chemotherapy
High-Calorie, Nutrient-Dense Foods: Chemotherapy can lead to a decrease in appetite and changes in taste, making it essential to focus on high-calorie and nutrient-dense foods. Foods rich in protein, healthy fats, and carbohydrates should be prioritized. Examples include:
- Protein Sources: Lean meats, poultry, fish, eggs, dairy products, legumes, and nuts. Protein is crucial for healing and maintaining muscle mass.

- Healthy Fats: Avocados, olive oil, nut butters, and fatty fish like salmon can provide essential fatty acids and calories.

- Carbohydrates: Whole grains, fruits, and vegetables should be included for energy and fiber. Opt for easily digestible options if nausea is a concern.

Frequent, Small Meals: Eating smaller, more frequent meals can help manage nausea and improve overall caloric intake. Aim for 5-6 small meals throughout the day instead of three large ones.

Hydration: Staying hydrated is vital, especially if experiencing side effects like vomiting or diarrhea. Encourage the intake of fluids such as water, herbal teas, and clear broths. If solid food is challenging, consider smoothies or nutritional drinks.

2. Foods to Avoid
Raw or Undercooked Foods: Due to a weakened immune system during chemotherapy, it’s crucial to avoid raw or undercooked foods, including sushi, salads with raw vegetables, and unpasteurized dairy products. These can harbor harmful bacteria that could lead to infections.

Heavy, Greasy Foods: Foods that are overly greasy or spicy may exacerbate nausea and should be limited. Instead, opt for bland foods that are easier to digest.

Strong Smells: Foods with strong odors can trigger nausea. Preparing meals in a well-ventilated area and using mild seasonings can help.

3. Appetite Stimulants
Regarding the use of Wakamoto (Nogen) tablets, which contain probiotics, it’s essential to consult with a healthcare provider before introducing any new supplements. While probiotics can be beneficial for gut health, their use during chemotherapy should be evaluated based on the patient’s overall health status and any potential interactions with medications.

Additional Considerations
Consult a Dietitian: Working with a registered dietitian who specializes in oncology can provide personalized nutrition advice tailored to the patient’s specific needs, preferences, and treatment plan.

Monitor Symptoms: Keep track of any side effects from chemotherapy, such as nausea, vomiting, or changes in taste, and adjust the diet accordingly. If certain foods consistently trigger nausea, they should be avoided.

Emotional Support: Eating can be a social and emotional experience. Encourage family meals or sharing food with friends to create a positive atmosphere around eating, which can help stimulate appetite.

Conclusion
Nutrition plays a vital role in supporting cancer patients undergoing chemotherapy. By focusing on nutrient-dense foods, avoiding high-risk items, and considering appetite stimulants under medical guidance, patients can better manage their nutritional needs during treatment. Always consult healthcare professionals for tailored advice and support throughout the journey.

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