Looking for resources on diet to help manage naseau during Chemo
Hey All-
I just spend 3 days in the hospital because I was so dehydrated and undernourished as a result of not being able to eat and feeling so naseau do to treatment. I plan on meeting with a nutritionist at the center I go to for some help but if there are any books or articles that have helped any of you please let me know. I really appreciate the advice!
Rene
Comments
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I piggy backed my anti nausea meds. I had three types. Drank alot of ginger tea or sleepy time tea. if it didn't look good, smell good or sound good, I didn't try it. I ate kix or soup crackers one right after another. I sniffed peppermint. Chewed gum. I could take swigs of very cold boost/ensure through out the day.
I'm so sorry you are going through this. It's personally the worst SE for me and I think the hardest to deal with. I found out that I always felt better after I puked.
If you find something that you can tolerate, just eat it. No matter if you've had it several times. Don't worry about the basic food groups, just whatever will stay down.
I also learned about Jin shin Jytsu right after I started chemo. I still try to practice today. I believe it gave my quality of life.
https://www.youtube.com/embed/videoseries?list=PL3R1sIQwcvVdQKSwXHjiKu9p_LtKyVFKs
Good luck.
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Have you read up on fasting yet? It's not a silver bullet answer, but I had some success with my last 2 rounds of chemotherapy (TCHP) by fasting about 40 hrs before infusion, and 24 hrs post. I had only water and a small amount of avacado. My GI symptoms were significantly improved!
Not for everyone I realize, but Worth reading up on.
https://news.usc.edu/103972/fasting-like-diet-turn...
Hang in there!
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This is not about diet but according to the Society of Integrative Oncology, accupressure or acupuncture can help with chemo-induced nausea and vomiting. (Sorry about the underlining.)
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Hi Rseman,
As well as the advice and recommendations offered by other members you may also find our main site content helpful for tips for healthy eating, what to eat when you're having treatment related side effects and planning meals during treatment.
Healthy Eating During Treatment
We hope this helps!
The Mods.
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Rseman,
Please check the chemotherapy section on this forum.
https://community.breastcancer.org/forum/69
There is a wealth of info. When I had chemo, I connected with other women starting chemo same time as me, so it was the "March chemo 2011" thread. We all shared tips and experiences and it was a godsend to have others to check in with who knew what I was going thru.
Not sure when you began chemo, but there are new threads started each month for those just beginning. I highly recommend it. It was a huge support for me.
Also, in that section is this thread. Read the original post, and then jump in there with your questions. You will find many great answers there.
Topic: More Tips (and a Shopping List) for Getting Through Chemo
https://community.breastcancer.org/forum/69
Best wishes to you.
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Pefect thank you
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Rseman -- one more helpful link for you from the main Breastcancer.org site: Eating When You Have Nausea or Vomiting.
We hope this helps!
--The Mods
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Hi Rseman. I hope you are feeling better. I wanted to jump in an tell you I was grateful when my team suggested Sancuso patches. They were a wonder that kept me out of the hospital and out of total misery.
I also used compazine as needed with the patches also. Zofran just wasn't working for me this last go around. I also used ginger tea, ginger beer (like root beer), peppermint tea, and peppermint candy. Like others have mentioned: I only ate what seemed good, for me it was a lot of potato soup.
Hang in there.
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Sounds awful, Rene. My MO once prescribed me Ativan to help with chemo nausea. I would take it, in addition to the standard Emend, as needed. It is a little known helper with nausea.
I also used to buy these square, chewy ginger bites from Whole foods or hard ginger candies and sucked on them all day long. I hated ginger before but grew to appreciate it because it did prevent me from vomiting in public.
Also, I had an easier time drinking apple juice or vitamin water in mini sips, little by little, than actual water when I was super nauseous.
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I am sorry to hear you are dealing with nausea, and you've received excellent input! Additionally, please ensure that your doctor and medical team are aware of your nausea.
Below from my MBC Guide is a list of remedies that may help.
I hope you feel much better in the near future!
-
- Acupressure
- Acupuncture
- Chewing Gum
- Ginger
- Massage
- Queasy Pops
- Sea Bands
- Acupressure: Acupressure is an ancient healing art that is
based on the traditional Chinese medicine practice of acupuncture. Finger pressure
is used to stimulate trigger points on the body (called acupoints). Pressing
these points can help release muscle tension and promote blood circulation.
Research suggests that it can also relieve many common side effects of
chemotherapy. A "how to" video on how
patients can reduce chemo-induced nausea by using acupressure is located at: https://www.mskcc.org/cancer-care/patient-educatio... - Acupuncture: Acupuncture involves the insertion of sterile,
hair-thin needles by a skilled practitioner into specific points on the skin,
called "acupuncture points," after which they are gently removed. In a study at Duke University, the use of
acupuncture was compared to the use of Zofran (chemical name: ondansetron), an
anti-nausea medication, before breast cancer surgery to reduce the nausea that
can occur after surgery. The acupuncture treatment was found to work better
than Zofran at controlling nausea. From: http://www.breastcancer.org/treatment/comp_med/typ...
- Chewing Gum (especially mint) can help to ease feelings of nausea.
- Ginger: Adding a quarter to a half teaspoon of ground ginger to hot water or food may help ease nausea.Additionally, ginger capsules are sold in grocery stores are pharmacies, and taking them as suggested on the label may help.Some people have reported that drinking ginger ale also helps, and others have found relief from eating candied ginger.
- Massage: Clinical studies show that massage can alleviate symptoms such as nausea, stress/anxiety, insomnia, pain, fatigue, and depression.From: http://www.mskcc.org/cancer-care/herb/massage-therapy
- Queasy Pops are lollipops especially manufactured to combat nausea, and are popular with some cancer patients.
- Sea Bands, which are elastic bands worn on the wrist that apply pressure to specific acupressure points for nausea.According to their website, Sea-Bands have been clinically proven to relieve motion sickness and morning sickness in addition to helping with post-operative and chemotherapy-induced nausea.
drugs that reduce nausea
Patients may need to try several different medications before they find one that works well for them. Some of the most common anti-nausea/vomiting medicines (grouped by drug type) are listed below.
- Antacids
- Anti-Anxiety Drugs
- Cannabinoids (including the newly-approved drug Dronabinol)
- Dopamine Antagonists
- Neurokinin 1 (NK1) Receptor Antagonists
- Olanzapine
- Serotonin 5-HT(3) Antagonists
- Steroids
- Antacids (H2 Blockers or proton pump inhibitors) may help.Common antacids include Prilosec and Tagament.These drugs decrease stomach acid and may help against queasiness.
- Anti-anxiety drugs such as Lorazepam (Ativan) and Alprazolam (Xanax) may alleviate nausea.
- Cannabinoids such as Dronabinol (Marinol) and Nabilone (Cesamet) which contain the active ingredient in marijuana, have helped some patients. They may be used to treat nausea and vomiting from chemotherapy when the usual anti-nausea drugs do not work, and may also be used to stimulate appetite.
- Dopamine Antagonists include Prochlorperazine (Compazine), Droperidol (Inapsine), Haloperidol (Haldol), Metoclopramide (Reglan), and Promethazine (Phenergan). These drugs are often used "as needed" to prevent nausea and vomiting.The patient will take the medicine at the first sign of nausea to keep it from getting worse. These drugs can also cause unplanned movements called extrapyramidal effects such as restlessness, tremors, sticking out the tongue, muscle tightness, and involuntary muscle contractions or spasms. Patients should let their doctor know right away if this happens. These side effects can usually be stopped with other medicines such as diphenhydramine (Benadryl). In some cases, it may be necessary to stop the drug and try another one.
- Neurokinin 1 (NK1) Antagonists such as oral Emend (Aprepitant), Fosaprepitant (the IV form of Emend), Varubi (Rolapitant) and Akynzeo (NEPA or Netupitant).Emend is especially good for treating delayed nausea and vomiting.When given intravenously as Fosaprepitant, one dose covers the next 3 days.When taken by mouth, the drug may be repeated for a total of 3 days.Varubi is an oral drug that was FSA-approved in 2015.Akynzeo is a "combination" drug comprised of the 5-HT(3) receptor antagonist Aloxi plus an NK1 antagonist.
- Olanzapine: This is an antipsychotic drug with relatively few side effects.It can be used "off label" to control nausea after other medications have failed to do so.
- Serotonin (5-HT3) Antagonists such as Ondansetron (Zofran), Palonosetron (Aloxi), Dolasetron (Anzemet) and Granisetron (Kytril or Sancuso) are given before chemotherapy to help prevent or minimize nausea, and then often are recommended a few days afterward. Palonosetron is usually given once before starting a 3-day cycle of chemotherapy; and its effects last longer than the other drugs in this group. This also makes Palonosetron a good drug to prevent delayed nausea and vomiting. These drugs are often given along with a steroid (below).
-
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I am sorry you are dealing with nausea, and you've received some excellent input! Please let your medical team know about your cute nausea.
Below from my MBC Guide is a list of remedies for nausea. I hope you feel better soon!
therapies other than drugs to reduce nausea
Below are several anti-nausea remedies other than drugs:
- Acupressure
- Acupuncture
- Chewing Gum
- Ginger
- Massage
- Queasy Pops
- Sea Bands
- Acupressure: Acupressure is an ancient healing art that is based on the traditional Chinese medicine practice of acupuncture. Finger pressure is used to stimulate trigger points on the body (called acupoints). Pressing these points can help release muscle tension and promote blood circulation. Research suggests that it can also relieve many common side effects of chemotherapy.A "how to" video on how patients can reduce chemo-induced nausea by using acupressure is located at: https://www.mskcc.org/cancer-care/patient-education/acupressure-nausea-and-vomiting
- Acupuncture: Acupuncture involves the insertion of sterile, hair-thin needles by a skilled practitioner into specific points on the skin, called "acupuncture points," after which they are gently removed.In a study at Duke University, the use of acupuncture was compared to the use of Zofran (chemical name: ondansetron), an anti-nausea medication, before breast cancer surgery to reduce the nausea that can occur after surgery. The acupuncture treatment was found to work better than Zofran at controlling nausea.From: http://www.breastcancer.org/treatment/comp_med/types/acupuncture
- Chewing Gum (especially mint) can help to ease feelings of nausea.
- Ginger: Adding a quarter to a half teaspoon of ground ginger to hot water or food may help ease nausea.Additionally, ginger capsules are sold in grocery stores are pharmacies, and taking them as suggested on the label may help.Some people have reported that drinking ginger ale also helps, and others have found relief from eating candied ginger.
- Massage: Clinical studies show that massage can alleviate symptoms such as nausea, stress/anxiety, insomnia, pain, fatigue, and depression.From: http://www.mskcc.org/cancer-care/herb/massage-therapy
- Queasy Pops are lollipops especially manufactured to combat nausea, and are popular with some cancer patients.
- Sea Bands, which are elastic bands worn on the wrist that apply pressure to specific acupressure points for nausea.According to their website, Sea-Bands have been clinically proven to relieve motion sickness and morning sickness in addition to helping with post-operative and chemotherapy-induced nausea.
drugs that reduce nausea
Patients may need to try several different medications before they find one that works well for them. Some of the most common anti-nausea/vomiting medicines (grouped by drug type) are listed below.
- Antacids
- Anti-Anxiety Drugs
- Cannabinoids (including the newly-approved drug Dronabinol)
- Dopamine Antagonists
- Neurokinin 1 (NK1) Receptor Antagonists
- Olanzapine
- Serotonin 5-HT(3) Antagonists
- Steroids
- Antacids (H2 Blockers or proton pump inhibitors) may help.Common antacids include Prilosec and Tagament.These drugs decrease stomach acid and may help against queasiness.
- Anti-anxiety drugs such as Lorazepam (Ativan) and Alprazolam (Xanax) may alleviate nausea.
- Cannabinoids such as Dronabinol (Marinol) and Nabilone (Cesamet) which contain the active ingredient in marijuana, have helped some patients. They may be used to treat nausea and vomiting from chemotherapy when the usual anti-nausea drugs do not work, and may also be used to stimulate appetite.
- Dopamine Antagonists include Prochlorperazine (Compazine), Droperidol (Inapsine), Haloperidol (Haldol), Metoclopramide (Reglan), and Promethazine (Phenergan). These drugs are often used "as needed" to prevent nausea and vomiting.The patient will take the medicine at the first sign of nausea to keep it from getting worse. These drugs can also cause unplanned movements called extrapyramidal effects such as restlessness, tremors, sticking out the tongue, muscle tightness, and involuntary muscle contractions or spasms. Patients should let their doctor know right away if this happens. These side effects can usually be stopped with other medicines such as diphenhydramine (Benadryl). In some cases, it may be necessary to stop the drug and try another one.
- Neurokinin 1 (NK1) Antagonists such as oral Emend (Aprepitant), Fosaprepitant (the IV form of Emend), Varubi (Rolapitant) and Akynzeo (NEPA or Netupitant).Emend is especially good for treating delayed nausea and vomiting.When given intravenously as Fosaprepitant, one dose covers the next 3 days.When taken by mouth, the drug may be repeated for a total of 3 days.Varubi is an oral drug that was FSA-approved in 2015.Akynzeo is a "combination" drug comprised of the 5-HT(3) receptor antagonist Aloxi plus an NK1 antagonist.
- Olanzapine: This is an antipsychotic drug with relatively few side effects.It can be used "off label" to control nausea after other medications have failed to do so.
- Serotonin (5-HT3) Antagonists such as Ondansetron (Zofran), Palonosetron (Aloxi), Dolasetron (Anzemet) and Granisetron (Kytril or Sancuso) are given before chemotherapy to help prevent or minimize nausea, and then often are recommended a few days afterward. Palonosetron is usually given once before starting a 3-day cycle of chemotherapy; and its effects last longer than the other drugs in this group. This also makes Palonosetron a good drug to prevent delayed nausea and vomiting. These drugs are often given along with a steroid (below).
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