Side Effect Management through Diet and Nutrition

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1/15/2013 Constipation (most common- don’t confuse with narcotic induced) Nausea Abdominal Cramps Diarrhea (Careful not to confuse with symptoms of inadequate enzyme use or chemotherapy or radiation treatment) Work closely with medical team (multiple causes of diarrhea) Treatment induced Hormone producing tumors (including certain types of neuroendocrine tumors) Lactose intolerance Pancreatic/digestive insufficiency Bacterial overgrowth 6
1/15/2013 Limit or avoid: Insoluble fiber Irritants such as Mg, caffeine, peppers, coffee Foods creating osmotic pull: dairy/lactose, sugar alcohols, concentrated sweets Increase: Soluble fiber Fluids: water, electrolyte drinks Psyllium fiber, guar gum Food sources of probiotics: tempeh, kimchi, kefir, yogurt Over the counter br<strong>and</strong>s Aim for at least 6-10 billion CFUs (colony forming units) daily Lactobacilli <strong>and</strong> bifidus with FOS 7
Page 1 and 2: 1/15/2013 Alexandra Vermillion MS,
Page 3 and 4: 1/15/2013 Endocrine and Exocrine
Page 5: 1/15/2013 Amount needed depends on
Page 9 and 10: 1/15/2013 Avoid high fiber foods
Page 11 and 12: 1/15/2013 Eliminate offending odor
Page 13 and 14: 1/15/2013 About 25% of patients wi
Page 15 and 16: 1/15/2013 Alleviate gas and bloati
Page 17 and 18: 1/15/2013 Plant based diet 2 ½ c

Side Effect Management through Diet and Nutrition

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