Foods to Eat When You Have Diarrhea From Chemotherapy

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Question: What foods are best to eat when you have diarrhea related to chemotherapy?

Ever since beginning chemotherapy last week to treat non-Hodgkins lymphoma, I have suffered from diarrhea. Surprisingly, I am able to eat and have a great appetite, but my bowel movements are very runny, loose, and sometimes completely liquid. Sometimes there is such a sudden urgency to go have a movement that I barely have time to make it to the bathroom.

I am hoping this passes as treatment continues, but I don't know how much longer I can tolerate it. I am hoping to continue working while undergoing treatment and I cannot perform my job if I have to use the restroom so frequently. Plus, I am worried that I will not make it to the bathroom. Please help! Are there any foods I can eat to help my diarrhea during chemotherapy?

Answer: Diarrhea During Chemotherapy is Common

Diarrhea is an extremely common side effect of chemotherapy. Digestive problems like diarrhea occur because of how chemotherapy drugs are designed to work. Cancer cells divide quickly -- faster than most of the cells in our body. Chemotherapy drugs work by targeting these rapidly dividing cells. But some normal cells in our bodies also rapidly divide, including our hair follicle cells and the cells in the lining of our stomach and digestive tract. Chemotherapy drugs simply cannot tell the difference between these normal, rapidly dividing cells and cancer cells, so the drugs attack these cells as well.

This is why we experience hair loss and digestive problems when undergoing chemotherapy.

First, you should know that reporting any side effects to your doctor is essential during treatment -- even those that you may find to be unrelated to treatment. Diarrhea can become serious, especially because it can quickly lead to dehydration.

When you have bowel movements like you describe, you are losing a lot of fluids with each episode. The good news is that your doctor can likely prescribe a medication to help prevent and treat diarrhea.

Eating Well During Chemotherapy

It is fantastic that you still have an appetite! Appetite loss is also very common and can occur anytime during treatment, so take advantage of it while you have it! Remember to eat well balanced meals that consist of lean protein, colorful fruits and vegetables, and lots of caffeine free liquids. 

Eating well is essential during treatment, especially when you suffer from diarrhea. There are foods that you can eat to help relieve it. The key is to consume foods that are low-fiber or have pectin, a soluble fiber. Potassium-rich foods are also good.

Recommended foods when experiencing diarrhea include:

  • bananas
  • white rice
  • noodles
  • creamed cereals
  • cottage cheese and yogurt are acceptable dairy foods, while others should be avoided.
  • applesauce, peach and apricot nectar and other cooked or canned fruit without skins
  • white bread
  • potatoes
  • skinless white meat including chicken, turkey or fish

If you continue to have diarrhea, avoid the following foods:

  • greasy, fatty foods
  • sugary foods to include jellies, candy, jams, and fruit juices
  • foods containing dairy (butter, milk, cheese, ice cream, etc)
  • carbonated beverages
  • beans, nuts and seeds
  • cruciferous vegetables
  • alcohol (can irritate the digestive tract; alcohol is generally not recommended during treatment)
  • coffee and tea
  • artificial sweeteners (can cause diarrhea in some people)

Just remember that your digestive system is very sensitive right now and will continue to be during treatment. Even though your appetite hasn't changed, you have to be careful of the foods you consume because they may upset your stomach, even if they didn't prior to treatment.

Staying Hydrated is Key When Experiencing Diarrhea

As mentioned above, when you have diarrhea, you lose vital fluids with each bowel movement. Replacing those lost fluids is essential and should be done by drinking clear fluids in addition to your recommended daily intake of water. Gatorade, Powerade, and even Pedialyte are excellent rehydration fluids because they contain glucose and sodium that will help regain adequate electrolyte levels. By drinking additional plan water to replace lost fluids, you may decrease sodium and calcium levels in the body, which can be dangerous.

Source:

"Diarrhea," American Cancer Society, 06/09/2015.

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