Side Effect Management through Diet and Nutrition
Side Effect Management through Diet and Nutrition Side Effect Management through Diet and Nutrition
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 brands Aim for at least 6-10 billion CFUs (colony forming units) daily Lactobacilli and 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
1/15/2013<br />
Limit or avoid:<br />
Insoluble fiber<br />
Irritants such as Mg, caffeine, peppers, coffee<br />
Foods creating osmotic pull: dairy/lactose, sugar<br />
alcohols, concentrated sweets<br />
Increase:<br />
Soluble fiber<br />
Fluids: water, electrolyte drinks<br />
Psyllium fiber, guar gum<br />
Food sources of probiotics: tempeh, kimchi,<br />
kefir, yogurt<br />
Over the counter br<strong>and</strong>s<br />
Aim for at least 6-10 billion CFUs (colony forming<br />
units) daily<br />
Lactobacilli <strong>and</strong> bifidus with FOS<br />
7
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