| Eating well |
| |
Dietary
recommendations for a cancer patient undergoing treatment are different
unless the patient has some gross medical problem. Unlike other
people cancer patients should eat more of high calorie diets with
protein and fat when active treatment is going on. Fresh fruits
can be eaten but raw vegetables, salads should be avoided. Eat or
drink more milk, cheese, and cooked eggs particularly the white
part of the egg. Avoid or eat less of high- fiber foods because
they can cause diarrhea or mouth ulcerations. Remember that in order
to counter the catabolic effects of the treatment you need to take
high calories and the required nutrients in small meals because
you might not have a good appetite or taste for large bland meals.
The diet should be tasty but at the same time non spicy so that
your mouth is not hurt. These dietary recommendations are of course
valid during the time of active treatment or when you are recuperating,
from the disease. Once you are cured, out of all treatment, and
have gone back to your normal life, you should follow the diet suitable
for your age and health. |
| |
| |
Your
eating might be affected in two ways. The treatment itself causes
loss of appetite, nausea, or indigestion either because the therapy
you are receiving also kill the cells of the linings of the gastrointestinal
tract and at times slow the activities of liver and kidneys or because
you had an operation that has altered the normal gastrointestinal
pathways. Or it may happen because you have become extremely anxious
or nervous. In either case remedies are available. Talk to your
doctor and tell him exactly what your problems are and ask for appropriate
medication. |
| |
| |
It
might be so that the degree of the problem will vary on different
days or different times of a day. In that case try to eat as much
as you can during the good time, particularly in the earlier part
of the day, and when you cannot eat well drink liquids with sufficient
calories. But do not begin to eat food that you are not habituated
with. It has been found out that the best diet is the one that has
evolved in a particular place over thousand of years of experimentation.
If it has been fish curry with turmeric and rice for you, stick
to it. Only tailor them to your need. No need to jump to ham or
pork sausages in search of extra calories. You never know what that
is going to do to your body immunity systems. Eat dinner early and
have some thing, either a drink or some snacks before going to bed.
A glass of milk is a good idea. |
| |
| |
| Sore Mouth or Throat |
| |
| |
Soreness
in the mouth and in fact the whole of the throat and food passages
is a common problem and that sometime leads to inability in taking
food. This can either be the direct effect of radiotherapy or chemotherapy
or might be due to infection, particularly fungal infection. The
last is a serious condition and always demands treatment. If you
have a sore mouth it is better to avoid foods that cause local irritation
like toast, uncut whole fruit with skin, citrus fruits and vegetable
salads. Rather eat foods that are easy to chew and swallow concoctions
of milk, rice and banana, cottage cheese, yogurt, custards, puddings,
soft boiled eggs. Use straws to drink liquids. Use some antacid
preparation mixed with anesthetics before taking food. |
| |
| |
Take
measures like frequent mouth wash with antiseptic gargles to prevent
infection. Do not use commercial preparations with astringents which
might actually cause harm. Later, if you had radiation to the mouth
area, you might develop dry mouth and change of taste. There is
no effective medicine available to counter this but make do by taking
frequent sips of water and eating foods that are slimy and sweet
and are prepared with gravy. If the problem is too much, try chewing
gums and artificial saliva preparations. |
| |
| |
To
counter nausea, use antiemetics liberally. If you are in a hospital
ward, avoid watching other patients when they vomit. That itself
might trigger nausea and vomiting. Nausea and loss of appetite are
common symptoms but they should go away once the treatment is stopped.
Should they persist, consult your doctor. |
| |
| |
If
you have diarrhea following chemotearpy, that is a serious condition
and needs urgent attention. Otherwise simple diarrhea without indigestion
should settle with simple medication and a little change of diet.
Only make sure that you are not developing lactose intolerance as
a result of taking lot of milk products or intolerance to high fiber
food. Eat plenty of sherbets and fruit juices to supplement loss
of salts from the body with liquid stool. |
| |
| |
Constipation
during therapy might be caused by pain killers, some antibiotics,
calcium supplementation, prolonged bed rest and lack of exercise.
Drink more fluid, do some asanas, and if required take laxatives.
Constipation can be a cause for apathy to take food. |
| |
| |
Weight
loss is normal with cancer patients particularly during a rigorous
therapy but some patients actually gain weight, particularly the
breast and ovarian cancer patients. It can happen because of hormonal
drugs and /or accumulation of more fluid inside the body. Check
with your doctor if you are gaining weight. |
| |
| |
| Sleeping Well |
| |
| |
Anxiety
and pain or discomforts are two brothers who coexist and encourage
each other. And both generally accompany the disease cancer and
its therapy and cause sleep disturbances. If you are not sleeping
well, take adequate drugs. Pain killers do not often act if they
are not taken regularly and in adequate dosage. Consult with your
doctor to prepare a proper pain medication chart and sedatives.
It is always less harmful to take medicines and rest well than to
try to avoid side effects of the medicines and remain awake and
tensed. Also take short naps during other times of the day than
relying on one long rest. Sleeplessness can also be caused by too
much inactivity. So take some exercises daily. |
| |
| |
| Staying well |
| |
| |
During
the course of the therapy and subsequently during the early phases
of recovery it is important that the patient makes all possible
and conscious efforts to stay well. It is important to avoid infection
by exposure to dirty conditions and food and water that might cause
infections. Light exercises are welcome but do not overstrain or
engage in activities that might cause bodily injuries. Measure your
diets and physical activities according to your physical condition
and increase them gradually rather than suddenly returning to the
normal life. Engage in activities that keep you amused and interested
rather than engaging into serious tasks that exhaust you. If need
be, consult doctors and take help to ward off any depression. Take
help of physiotherapy rather than to develop preventable disabilities
like arm edema, weakness of limbs, body ache etc. |
| |
| |
| Hair loss |
| |
| |
Hair
loss during therapy is a big worry for many patients. The comforting
news is that this hair loss is always temporary and Within four
to five months of stoppage of treatment, the hair not only comes
back but comes back healthier. Some believe that if one can reduce
blood flow to the scalp by applying ice or tourniquets, then the
drugs cannot reach the hair roots and cause them to fall out. But
most of the drugs remain in the blood circulation for a long time
and it is not possible to keep blood circulation to scalp reduced
for that long a time. It is better to accept hair loss and wear
a wig and scarf for the time being. |
| |
| |
| Prosthesis and surgical
techniques are available for most disfigurements. |
| |
| |