Embed Size (px)
Citation preview
Patient package
Female Pelvis Radiotherapy
Educational Materials
This package has been prepared to help you to understand more of your radiation treatment. Please bring it with your initial visit to the department. Your health care staff will assist you to answer some of your concerns.
Contents:
1. Important phone numbers
2. My appointment notes
3. Empty bowel and full bladder instructions for pelvic radiotherapy
4. Radiotherapy to the female pelvis
5. Mental health and support services for cancer patients and their families
6. Good nutrition for cancer patients receiving radiation or chemotherapy
Important Phone Numbers
Radiotherapy department reception 4755 707-03
Radiotherapy clinic 03-7072780
Radiotherapy treatment area 03-7074762
Radiotherapy insurance office 03-7074761
Oncology clinic 03-7074101
Breast care Centre 03-7074796
Social worker 5146 707-03
Mental health and support services for cancer patients and their families
03-7074606
Oasis hotel (Tawam Hospital) 03-7682433
Diagnostic CT department 5224 707-03
Pet scan department 03-7041700
MRI department 03-7074677
My Appointment Notes
Date:
Time:
Healthcare staff I met with:
Question/s I have:
Answer/s I received:
You may want to make additional copies of this page
Empty bowel and full bladder instructions for pelvic radiotherapy *
* Full bladder instructions are NOT applicable for patient with bladder cancer
Patient and Family Education
Empty Bowel and Full Bladder Instructions
for Pelvic Radiotherapy
Because you are receiving radiation therapy to your lower abdomen area (pelvis), it is important to reduce its side effects on your bowels and bladder. You can help do this by emptying your bowels and filling your bladder.
Empty bowel (rectum) instructions:
Empty your bowel before the planning CT scan (computed tomography) and each treatment.
follow the instructions below in case your doctor has prescribed a laxative medication for you:
1. Take the prescribed laxative tablets for 3 nights before your planning CT scan appointment.
2. Take the prescribed laxative tablets for 3 nights before your first treatment appointment.
3. Then, take the prescribed laxative tablets every night during the course of your radiotherapy treatment.
Full bladder instructions:
You will be instructed to empty your bladder on the day you come for planning CT scan and on the day of every treatment
Then drink 500 milliliter of water 30 minutes before the planning CT scan /treatment
Your bladder should be comfortably full
You can empty your bladder when your treatment session is over.
Developed by Radiotherapy Department / Tawam Hospital
The information contained in this pamphlet is designed for educational and informational purposes only. It should not be used as a substitute for the advice of a professional health care provider.
© Copyright (04/2014) Track # 1492 E Radiotherapy
For inquiries and more information:
Please do not hesitate to contact the radiotherapy department on telephone number 03-7074755
If you get diarrhea, consult your doctor or nurse.
Radiotherapy to the female pelvis
Education will be done by our nursing staff in the 1st week of treatment.
Patie
nt a
nd F
amily
Edu
catio
n
Rad
ioth
erap
y to
th
e F
emal
e P
elvi
s
Pa
tient
and
Fam
ily E
duca
tion
Rad
ioth
erap
y to
the
fem
ale
pelv
is
p
age
10
© C
opyr
ight
(06/
2009
)
R
evis
ed (1
2/20
13)
T
rack
# 4
35 E
Rad
ioth
erap
y
O
verti
me,
the
treat
ed sk
in m
ay b
ecom
e da
rker
and
app
ear
tann
ed.
Th
e sk
in in
the
treat
ed a
rea
will
alw
ays b
e m
ore
sens
itive
.
D
evelo
ped
by th
e Ra
diot
hera
py D
epar
tmen
t/ T
awam
Hos
pita
l
Th
e in
form
atio
n c
onta
ined
in t
his
pam
ph
let
is d
esig
ned
for
ed
uca
tion
al a
nd
info
rmat
ion
al
pu
rpos
es o
nly
. It
shou
ld n
ot b
e u
sed
as
a su
bst
itu
te f
or t
he
advi
ce o
f a
pro
fess
ion
al h
ealt
h ca
re p
rovi
der
.
For
inq
uir
ies
and
mor
e in
form
atio
n:
Plea
se d
o no
t hes
itate
to c
onta
ct th
e Ra
diot
hera
py D
epar
tmen
t, on
te
leph
one
num
ber 0
3- 7
0747
55
Plea
se b
ring
this
book
let w
ith y
ou o
n yo
ur fi
rst d
ay o
f rad
iatio
n tre
atm
ent.
You
r nur
se w
ill e
xplai
n to
you
how
to ta
ke c
are
of
your
skin
to p
reve
nt o
r les
sen
poss
ible
side
effe
cts.
Patie
nt a
nd F
amily
Edu
catio
n
Rad
ioth
erap
y to
the
fem
ale
pelv
is
p
age
1
This
info
rmat
ion
is fo
r fem
ale p
atien
ts w
ho a
re g
oing
to re
ceiv
e ra
diot
hera
py to
the
pelv
is.
This
book
let is
ava
ilabl
e in
the
Radi
othe
rapy
Dep
artm
ent.
You
r hea
lth c
are
prov
ider
will
exp
lain
to y
ou o
n ho
w to
take
car
e of
the
treat
ed sk
in d
urin
g an
d af
ter t
he c
ours
e of
radi
othe
rapy
tre
atm
ent.
Tab
le o
f co
nte
nt
Pel
vis
rad
iati
on t
reat
men
t 2
Gen
eral
info
rmat
ion
ab
out
sid
e ef
fect
s of
tre
atm
ent
3
S
ide
effe
cts d
urin
g ra
diot
hera
py tr
eatm
ent
3
Long
term
side
effe
cts
6
Skin
car
e
8
Dur
ing
radi
othe
rapy
trea
tmen
t 8
Afte
r rad
ioth
erap
y tre
atm
ent
9
Pa
tient
and
Fam
ily E
duca
tion
Rad
ioth
erap
y to
the
fem
ale
pelv
is
p
age
2
Pel
vis
rad
ioth
erap
y tr
eatm
ent
Y
our d
octo
r has
reco
mm
ende
d th
at y
ou re
ceiv
e a
cour
se o
f ex
tern
al be
am ra
diot
hera
py.
E
xter
nal b
eam
radi
othe
rapy
use
s a sp
ecial
mac
hine
that
send
s ra
diat
ion
(hig
h-en
ergy
X-ra
ys) a
t a sp
ecifi
c pa
rt of
the
body
to
dest
roy
the
canc
er c
ells
Y
our r
adio
ther
apy
treat
men
t nee
ds to
be
plan
ned
by y
our
doct
or v
ery
care
fully
to e
nsur
e th
at th
e tre
atm
ent a
rea
inclu
des
the
entir
e tu
mor
(or w
here
it w
as) a
nd th
at a
s litt
le of
the
surr
ound
ing
healt
hy ti
ssue
is tr
eate
d.
E
xter
nal b
eam
radi
othe
rapy
is u
suall
y gi
ven
as a
n ou
tpat
ient
treat
men
t fro
m S
unda
y to
Thu
rsda
y.
A
cou
rse
usua
lly ta
kes f
rom
6 to
7 w
eeks
to c
ompl
ete.
D
urin
g th
e co
urse
of t
reat
men
t, m
ake
sure
you
kee
p up
with
yo
ur n
orm
al lif
esty
le ha
bits
:
Follo
w th
e re
com
men
ded
diet
Take
you
r med
icatio
ns a
s pre
scrib
ed u
nles
s adv
ised
othe
rwise
by
your
doc
tor
D
rink
plen
ty o
f flu
id/w
ater
.
Imp
orta
nt
It is
very
impo
rtant
that
you
do
not g
et p
regn
ant b
efor
e or
whi
le ha
ving
radi
atio
n th
erap
y.
Be su
re to
tell
your
doc
tor i
f you
are
pre
gnan
t or t
here
is a
cha
nce
to g
et p
regn
ant b
efor
e th
e ra
diot
hera
py tr
eatm
ent b
egin
s or a
t any
tim
e du
ring
treat
men
t.
Pa
tient
and
Fam
ily E
duca
tion
Rad
ioth
erap
y to
the
fem
ale
pelv
is
p
age
9
A
pply
only
crea
ms o
r lot
ion
reco
mm
ende
d by
you
r nur
se
or d
octo
r. Co
mm
ercia
l cre
ams,
lotio
ns, o
intm
ents
, talc
um
pow
der,
baby
nap
py ra
sh c
ream
, and
pet
roleu
m je
lly o
r ho
me
rem
edies
can
irrit
ate
the
skin
.
U
se o
nly
hosp
ital s
uppl
ied a
dhes
ive
tape
or d
ress
ings
as
inst
ruct
ed b
y yo
ur d
octo
r or n
urse
.
D
O N
OT
rem
ove
or re
-mar
k th
e tre
atm
ent s
ite.
O
nce
your
skin
dev
elops
a sk
in re
actio
n, it
is b
est n
ot to
sw
im in
salt
or c
hlor
inat
ed w
ater
.
It
is ad
visa
ble
to w
ear l
oose
fitti
ng-c
loth
ing
over
the
skin
in
the
treat
ed a
rea
and
avoi
d th
e tig
ht fi
tting
clo
thin
g. C
loth
es
that
com
e in
con
tact
with
the
treat
men
t are
a sh
ould
be
clean
.
Co
tton
pant
ies a
re p
refe
rabl
e as
they
allo
w th
e sk
in to
br
eath
e
D
O N
OT
app
ly ho
me
and
tradi
tiona
l rem
edies
on
the
treat
ed a
rea
such
as h
ot w
ater
bot
tles,
ice p
acks
or
tradi
tiona
l Ara
bic
burn
s.
Aft
er ra
dio
ther
apy
trea
tmen
t:
Sk
in re
actio
n in
the
treat
men
t are
a m
ay in
crea
se fo
r the
ne
xt 2
wee
ks fo
llow
ing
the
com
plet
ion
of tr
eatm
ent.
Th
e re
actio
n w
ill su
bsid
e gr
adua
lly w
ithin
4 w
eeks
of
com
plet
ing
treat
men
t.
Pa
tient
and
Fam
ily E
duca
tion
Rad
ioth
erap
y to
the
fem
ale
pelv
is
p
age
8
Skin
car
e
Sk
in re
actio
n is
a no
rmal
and
expe
cted
side
-effe
ct o
f rad
iatio
n tre
atm
ent.
O
n yo
ur fi
rst d
ay, y
our n
urse
will
exp
lain
to y
ou h
ow to
take
ca
re o
f you
r ski
n to
pre
vent
or l
esse
n po
ssib
le sid
e ef
fect
s.
Du
rin
g ra
dio
ther
apy
trea
tmen
t:
Y
ou m
ay ta
ke a
qui
ck w
arm
bat
h or
show
er (n
ot h
ot) o
nce
daily
for a
ppro
xim
ately
5 m
inut
es. D
O N
OT
show
er
dire
ctly
on th
e tre
atm
ent a
rea.
Y
ou c
an u
se a
n un
scen
ted
soap
whi
le ba
thin
g, a
nd a
void
us
ing
ordi
nary
or d
eodo
rant
soap
on
the
treat
men
t are
a.
U
se y
our h
ands
rath
er th
an a
was
h clo
th. D
O N
OT
scru
b,
scra
tch
or m
assa
ge th
e ar
ea b
eing
treat
ed.
Pa
t the
are
a dr
y w
ith so
ft to
wel
and
DO
NO
T ru
b it.
Ri
nse
with
wat
er –
whe
n us
ing
toile
t- pr
efer
ably
usin
g a
hand
held
show
er w
ith a
gen
tle sp
ray.
Avo
id u
sing
toile
t pa
per.
D
O N
OT
rem
ove
or sh
ave
the
pubi
c ha
ir or
use
hair
re
mov
al cr
eam
s or w
ax.
K
eep
the
skin
dry
and
exp
oses
to th
e air
whi
le in
door
s w
hene
ver p
ossib
le.
Pa
tient
and
Fam
ily E
duca
tion
Rad
ioth
erap
y to
the
fem
ale
pelv
is
p
age
3
Gen
eral
info
rmat
ion
ab
out
sid
e ef
fect
s of
tre
atm
ent
• M
any
patie
nts h
ave
few
or n
o sid
e ef
fect
s dur
ing
their
tre
atm
ent a
nd a
re a
ble
to c
ontin
ue w
ith th
eir n
orm
al ac
tiviti
es.
• E
very
pat
ient i
s diff
eren
t and
you
may
not
hav
e th
e sa
me
side
effe
cts a
s som
eone
else
.
• If
you
are
hav
ing
chem
othe
rapy
, thi
s can
mak
e yo
ur si
de
effe
cts m
ore
notic
eabl
e.
• D
urin
g tre
atm
ent,
your
radi
atio
n te
chno
logi
st o
r nur
se w
ill b
e ab
le to
ans
wer
any
que
stio
ns a
nd d
eal w
ith m
ost o
f you
r co
ncer
ns. H
owev
er, y
our d
octo
r is a
lso a
vaila
ble
to se
e yo
u du
ring
your
trea
tmen
t.
M
ost s
ide
effe
cts a
re te
mpo
rary
, las
ting
from
wee
ks to
mon
ths
afte
r you
r tre
atm
ent h
as fi
nish
ed.
Sid
e ef
fect
s d
uri
ng
rad
ioth
erap
y
1) T
he
bla
dder
Th
e tre
atm
ent m
ay ir
ritat
e yo
ur b
ladde
r, yo
u m
ay fe
el th
e ne
ed to
pas
s urin
e m
ore
ofte
n an
d yo
u m
ay fe
el a
burn
ing
sens
atio
n.
Y
ou c
an h
elp y
ours
elf b
y:
Pa
tient
and
Fam
ily E
duca
tion
Rad
ioth
erap
y to
the
fem
ale
pelv
is
p
age
4
1.
Drin
king
at l
east
2-3
lite
rs o
f flu
id e
ach
day
until
the
sym
ptom
s set
tle. D
on’t
drin
k a
lot o
f tea
, cof
fee,
fizzy
drin
ks, a
cidic
drin
ks (f
resh
ora
nge
juice
and
gr
apef
ruit
juice
) as t
hey
may
irrit
ate
your
bow
el an
d bl
adde
r.
2.
Avo
idin
g sm
okin
g, a
s the
y m
ay m
ake
the
sym
ptom
s of
blad
der i
rrita
tion
wor
se.
3.
Info
rmin
g yo
ur h
ealth
car
e pr
ovid
er if
the
burn
ing
sens
atio
n las
ts fo
r few
day
s.
2) T
he
bow
els
Th
e tre
atm
ent m
ay ir
ritat
e yo
ur b
owels
and
can
cau
se th
e fo
llow
ing
side
effe
cts:
1.
Loos
e bo
wel
or so
met
ime;
cons
tipat
ion
2.
Hav
ing
a cr
amp
pain
s in
your
tum
my
or
3.
Pass
ing
a lo
t of w
inds
Te
ll yo
ur h
ealth
car
e pr
ovid
er a
bout
any
bow
el sid
e ef
fect
s.
You
can
help
you
rself
b:
D
rinki
ng p
lenty
of f
luid
Alte
ring
the
food
you
eat
dur
ing
radi
othe
rapy
. The
di
etiti
ans c
an a
ssist
you
and
pro
vide
you
with
a
spec
ializ
ed d
iet.
You
r doc
tor c
an re
fer y
ou to
the
diet
itian
.
Pa
tient
and
Fam
ily E
duca
tion
Rad
ioth
erap
y to
the
fem
ale
pelv
is
p
age
7
H
orm
one
rep
lace
men
t th
erap
y
Y
ou m
ay h
ave
to ta
ke h
orm
onal
repl
acem
ent t
hera
py to
re
plac
e th
e ho
rmon
es y
our o
varie
s are
no
long
er
prod
ucin
g.
Th
e ho
rmon
e re
plac
emen
t the
rapy
can
impr
ove
your
m
enop
ausa
l sym
ptom
s and
pro
tect
you
r bon
es a
nd h
eart.
If
you
’ve
have
cer
vica
l or r
ecta
l can
cer,
ther
e’s n
orm
ally
no re
ason
why
you
shou
ldn’
t tak
e ho
rmon
e re
plac
emen
t th
erap
y. Bu
t som
e ca
ncer
for e
xam
ple
wom
b ca
ncer
, are
de
pend
ent o
n ho
rmon
es to
gro
w, s
o yo
ur d
octo
r may
not
ad
vice
this
type
of t
reat
men
t for
you
.
Pl
ease
disc
uss w
ith y
our d
octo
r if t
he h
orm
one
repl
acem
ent t
hera
py is
suita
ble
for y
ou.
Pa
tient
and
Fam
ily E
duca
tion
Rad
ioth
erap
y to
the
fem
ale
pelv
is
p
age
6
Lon
g te
rm s
ide
effe
cts
Afte
r com
plet
ion
of tr
eatm
ent,
it is
poss
ible
that
the
scar
tiss
ue
will
slow
ly de
velo
p in
the
vagi
na, r
esul
ting
in p
ossib
le
narr
owin
g of
the
vagi
na.
You
r doc
tor o
r nur
se w
ill d
iscus
s thi
s fur
ther
with
you
and
m
ay a
dvice
you
to u
se th
e va
gina
l dila
tor.
Pa
tient
info
rmat
ion
mat
erial
s on
vagi
nal d
ilato
r is a
vaila
ble
for
your
refe
renc
e.
E
arly
men
opau
se: r
adio
ther
apy
to th
e pe
lvis
stop
s the
ova
ries
from
wor
king
and
pro
ducin
g ho
rmon
es. Y
our p
erio
d m
ay st
op
and
you’
ll st
art t
he m
enop
ause
.
Sym
ptom
s of m
enop
ause
are
:
H
ot fl
ushe
s and
swea
ts
V
agin
al dr
ynes
s
Pa
ssin
g ur
ine
mor
e of
ten
A
ches
and
pain
M
ood
swin
gs a
nd p
oor c
once
ntra
tion
E
arly
men
opau
se c
an in
crea
se th
e ris
k of
bon
e th
inni
ng
(ost
eopo
rosis
).
If y
ou h
ave
any
vagi
nal
dis
char
ge
or b
leed
ing
ple
ase
info
rm
you
r h
ealt
h c
are
pro
vid
er
Pa
tient
and
Fam
ily E
duca
tion
Rad
ioth
erap
y to
the
fem
ale
pelv
is
p
age
5
3) T
ired
nes
s
It
is qu
ite c
omm
on to
feel
mor
e tir
ed d
urin
g yo
ur
treat
men
t and
for s
ever
al w
eeks
afte
r com
plet
ion.
Ti
redn
ess c
an b
e w
orse
if y
ou a
re a
lso re
ceiv
ing
chem
othe
rapy
.
It is
impo
rtant
to re
st w
hen
you
feel
the
need
to d
o so
and
as
k yo
ur fa
mily
and
frien
ds fo
r help
whe
n yo
u ne
ed it
.
You
will
gra
duall
y re
gain
you
r stre
ngth
and
be
able
to
resu
me
your
nor
mal
activ
ities
with
tim
e.
4) T
he
skin
Th
e sk
in in
the
treat
ed a
rea
may
bec
ome
dry,
red
and
itchy
.
The
skin
aro
und
your
rect
al ar
ea (b
utto
cks)
can
bec
ome
very
sore
, esp
ecial
ly if
you
have
diar
rhea
(loo
se b
owels
).
Th
e sk
in a
roun
d yo
ur v
agin
a m
ay a
lso b
ecom
e so
re.
If
you
r ski
n be
com
es u
ncom
forta
ble,
ask
your
nur
se o
r do
ctor
for a
dvice
.
5) T
he
vagi
na
Ra
diot
hera
py to
the
pelv
is ca
n m
ake
the
vagi
na le
ss
stre
tchy
and
dry
.
The
doct
or c
an p
resc
ribe
a tre
atm
ent t
o he
lp w
ith d
ryne
ss
and
vagi
nal n
arro
win
g.
Mental health and support services for cancer patients and their families
Patient and Family Education
Mental Health and Support Services for Cancer Patients and their Families
Mental health and support services focus on the psychology and behaviors of cancer patients and their families. It addresses the psychological responses that cancer patients and their families may experience at all stages of the disease, as well as the other factors that may influence the disease process such as depression, anxiety and fear.
Psychologist (mental health specialist) role:
To assess the oncology patients and give support during and beyond the disease and treatment.
To encourage, guide and support patients to develop self-help skills for coping with disease and treatment.
To enable cancer patients to achieve maximum independence and better quality of life.
Provide mental health treatment and occupational therapy (activities to improve independence with self-care and daily living skills) such as relaxation sessions and hand craft.
Tips for emotionally dealing with cancer:
Write down your thoughts and feelings: this will help you to understand your feeling and what you can do to cope with it. This can help you also to avoid negative thoughts.
Accept that your levels of energy, productivity or mood are temporary less than normal: set small goals for yourself, and congratulate yourself for the small tasks that you have completed.
Talk to other people: voice your feelings to others who are close to you, and reach out to others that are in similar situations. Remember that you are not the only having these feeling.
Your body as well as your mind are important: a healthy mind and healthy body go together. Remember to take regular exercise and drink plenty of water.
Learn relaxation techniques: such as meditation, muscle relaxation, or yoga.
Ask your doctor or nurse to refer you to the psychologist when you need help.
Developed by the psycho-oncology clinic / Tawam Hospital
The information contained in this pamphlet is designed for educational and informational purposes only. It should not be used as a substitute for the advice of a professional health care provider.
For inquiries and more information:
Please do not hesitate to contact the mental health and support services for cancer patients and their families on telephone number 03-7074606
© Copyright (4/2017) Track # 1957 E Psycho-oncology
Good nutrition for cancer patients receiving radiation or chemotherapy
Patie
nt a
nd F
amily
Edu
catio
n
G
ood
nu
trit
ion
for
can
cer
pat
ien
ts
rece
ivin
g ra
dia
tion
or
chem
oth
erap
y
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 2
Intr
odu
ctio
n
Radi
othe
rapy
and
Chem
othe
rapy
may
caus
e tem
pora
ry p
robl
ems
relat
ed to
food
such
as lo
ss o
f app
etite
, nau
sea,
vom
iting
and
food
di
slike
s. A
ccor
ding
ly, yo
u m
ay lo
se w
eight
dur
ing
treat
men
t.
This
book
let w
ill ex
plain
how
you
can
mak
e sim
ple c
hang
es to
your
di
et, w
hich
will
help
you
to k
eep
your
weig
ht, s
tabl
e. Th
is bo
oklet
is
divi
ded
into
thre
e par
ts an
d is
inte
nded
to h
elp yo
u to
disc
uss t
ips o
n ho
w to
chan
ge yo
ur d
iet an
d to
incr
ease
your
ener
gy an
d pr
otein
in
take
and
to d
eal w
ith so
me o
f the
side
effe
cts o
f tre
atm
ent,
such
as
naus
ea, m
outh
pain
, bow
el tro
ubles
and
poor
appe
tite.
If
you
hav
e di
abet
es, d
iscus
s it w
ith y
our c
linica
l diet
itian
, as s
ome
mod
ifica
tions
hav
e to
be
done
to th
e di
et.
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 3
Tab
le o
f co
nte
nts
Hig
h-e
ner
gy h
igh
pro
tein
die
t 4
Add
the
follo
win
g fo
od to
incr
ease
ene
rgy
in y
our d
iet
4
Add
the
follo
win
g fo
od to
incr
ease
the
prot
ein in
you
r di
et:
5
Hav
e hi
gh e
nerg
y an
d pr
otein
snac
ks in
bet
wee
n m
ain
mea
ls 6
Nut
ritio
nal s
uppl
emen
ts
6
Recip
es fo
r hom
emad
e hi
gh e
nerg
y dr
ink
7
Eat
ing
pro
ble
ms
10
Loss
of a
ppet
ite
10
Pain
ful m
outh
and
swall
owin
g pr
oblem
s 13
Dry
mou
th
15
Nau
sea
16
Tast
e an
d sm
ell c
hang
es
19
Cons
tipat
ion
21
Diar
rhea
22
Lact
ose
into
leran
ce
23
Low
imm
un
ity
(Neu
trop
enia
)
24
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 4
Hig
h-e
ner
gy
hig
h p
rote
in d
iet
This
diet
is a
diet
hig
h in
ene
rgy
and
prot
ein, a
nd it
is
reco
mm
ende
d fo
r peo
ple
with
can
cer w
ho h
ave
lost
or a
re lo
sing
weig
ht o
r can
onl
y m
anag
e to
eat
a sm
all a
mou
nt.
Ad
d t
he
follo
win
g fo
od t
o in
crea
se e
ner
gy
in y
our
die
t
Ad
d
To
Who
le m
ilk o
r pow
der,
crea
m
or d
oubl
e cr
eam
milk
So
ups,
mas
hed
pota
to,
pudd
ings
, milk
shak
es, o
mele
t, or
scra
mbl
ed e
ggs
Ice
crea
m, y
oghu
rt or
cre
am
Frui
t, jel
lo, c
akes
, pies
, m
ilksh
akes
, pud
ding
, cer
eals
Oil,
but
ter,
ghee
, mar
garin
e o
r m
ayon
naise
Brea
d, m
acar
oni,
rice,
pota
to,
salad
s, m
akbo
us o
r bre
yani
, so
up, s
alona
, mea
t dish
es.
Use
fo
r fry
ing
food
Crea
m/g
rate
d ch
eese
, lab
enah
, ha
llaw
ah, h
omm
os, h
oney
, jam
, mol
lasse
s, H
azeln
ut
spre
ad, p
eanu
t but
ter
Brea
d, c
hipp
atis,
roti,
pan
cake
s
App
le sa
uce
or ti
nned
frui
t Y
oghu
rt, p
uddi
ng o
r ice
cre
am
Drie
d fr
uits
Ce
reals
, pud
ding
, bak
ing
or a
s sn
acks
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 5
Ad
d t
he
follo
win
g fo
od t
o in
crea
se t
he
pro
tein
in y
our
die
t:
Ad
d
To
Chee
se
A
s top
ping
on
pie,
sam
bosa
, m
ashe
d po
tato
es, r
ice, m
acar
oni,
vege
tabl
es
Boile
d eg
g, la
ban
or
yogh
urt
On
rice,
mac
aron
i, m
ashe
d po
tato
es,
brea
d
Mea
t, ch
icken
, hom
mos
, leg
umes
Ch
oppe
d in
to so
ups,
salo
na
Yog
hurt
Frui
t, de
sser
ts, c
usta
rds,
rice
pudd
ing
D
oubl
e m
ilk (s
ee p
age
8 )
Crea
m so
ups,
dess
ert,
milk
shak
es,
sauc
es, m
ince
d/pu
reed
/ m
eat,
fish,
ve
geta
bles
and
pas
ta
Milk
pow
der
Crea
m so
ups,
mas
hed
pota
to,
scra
mbl
ed e
ggs,
milk
shak
es,
dess
erts
, cer
eals
and
cust
ards
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 6
Hav
e h
igh
en
erg
y an
d p
rote
in s
nac
ks in
bet
wee
n
mai
n m
eals
D
ates
and
oth
er d
ried
frui
t
Ch
eese
Br
ead
with
hall
awah
, jam
, hon
ey, c
hoco
late
spre
ad o
r pea
nut
butte
r
Sa
ndw
iches
: mea
t, ch
eese
, ch
icken
, egg
, tun
a w
ith
may
onna
ise
Y
oghu
rt w
ith fr
uit o
r, fr
uit
yogh
urt
M
ilksh
akes
or s
uppl
emen
ts
La
ban,
flav
ored
laba
n, la
bneh
O
mali
, pud
ding
, rice
pud
ding
, ice
cre
am, c
ream
des
serts
an
d cu
star
ds
H
ot c
hips
, fat
ayer
,
Bi
scui
ts
Ora
l nu
trit
ion
al s
up
ple
men
ts
O
ral s
uppl
emen
ts m
ay b
e re
com
men
ded,
if fo
od a
nd
milk
shak
es a
lone
are
not
eno
ugh
to m
ainta
in y
our w
eight
. A
var
iety
of fl
avor
s are
ava
ilabl
e. Th
is w
ill h
elp in
crea
se
diet
ary
inta
ke to
pre
vent
ther
apy
asso
ciate
d w
eight
loss
an
d in
terr
uptio
n of
trea
tmen
t
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 7
Y
ou m
ay fi
nd th
at su
pplem
ents
tast
e be
tter w
hen
they
ar
e se
rved
chi
lled.
Thi
s may
be
usef
ul fo
r peo
ple
with
na
usea
, as o
ften
both
the
smell
and
tast
e of
ora
l su
pplem
ents
are
stro
nger
at r
oom
tem
pera
ture
.
A
ddin
g fla
vorin
g, ic
e cr
eam
, fru
it, e
tc. t
o su
pplem
ents
w
ill in
crea
se e
nerg
y co
nten
t and
enh
ance
flav
or.
O
nce
mix
ed a
ccor
ding
to in
stru
ctio
ns, a
ll su
pplem
ents
M
UST
be
stor
ed a
way
from
suns
hine
and
use
d w
ithin
8
hour
s if l
eft i
n ro
om te
mpe
ratu
re o
r with
in 2
4 ho
urs i
f st
ored
in th
e re
frig
erat
or. T
hrow
aw
ay a
ny u
nuse
d su
pplem
ents
afte
r 24h
ours
.
Su
pplem
ents
can
be
purc
hase
d fr
om p
harm
acies
or
supe
rmar
kets
. You
will
be
inst
ruct
ed re
gard
ing
the
supp
lemen
ts a
ppro
priat
e fo
r you
r nee
ds.
Reci
pes f
or h
omem
ade
high
ene
rgy
drin
k
R
emem
ber
:
H
omem
ade
blen
der d
rinks
spoi
l eas
ily.
K
eep
drin
ks re
frig
erat
ed a
nd th
row
out
afte
r 24
hour
s.
D
o no
t kee
p dr
inks
at r
oom
tem
pera
ture
for m
ore
than
2
hour
s.
D
oub
le m
ilk:
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 8
M
akes
1 li
ter -
dou
bles
the
prot
ein
U
se it
as a
milk
subs
titut
e.
This
can
also
be m
ade
with
laba
n.
Ingr
edie
nts
:
1
Lite
r who
le m
ilk
1
Cup
(250
mill
ilite
r) fu
ll cr
eam
milk
pow
der
Pre
par
atio
n
Po
ur li
quid
into
a d
eep
bow
l. A
dd m
ilk p
owde
r and
bea
t slo
wly
with
a b
eate
r unt
il di
ssol
ved.
Refr
iger
ate.
Bas
ic m
ilksh
ake
Ingr
edie
nts
:
1
cup
doub
le m
ilk
¾
cup
ice-
crea
m
P
rep
arat
ion
Bl
end
until
smoo
th.
Re
cipe
can
be e
nhan
ced
by a
ddin
g ½
cup
soft
frui
t suc
h as
ba
nana
, apr
icot,
date
pul
p or
a fl
avor
ing
syru
p-va
nilla
, bu
tters
cotc
h, st
raw
berr
y or
hon
ey.
M
ore
reci
pe
idea
s
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 9
H
ere
are
som
e no
urish
ing
drin
ks, w
hich
can
be
mad
e by
ha
nd u
sing
a fo
rk o
r whi
sk, o
r in
a bl
ende
r or f
ood
proc
esso
r.
U
se fu
ll fa
t milk
and
milk
pow
der i
n all
recip
es.
Eat
ing
pro
ble
ms
Fru
it y
ogu
rt d
rin
k F
ruit
sh
ake
½
cup
frui
t yog
urt
¾
cup
milk
1
tabl
e sp
oon
milk
po
wde
r
1
cup
milk
1
scoo
p ice
-cre
am
1
tabl
e sp
oon
milk
po
wde
r
1
tabl
e sp
oon
frui
t squ
ash
Ch
ocol
ate
ban
ana
milk
shak
e H
oney
war
mer
½
cup
ripe
ban
ana
1
cup
milk
1
tabl
e sp
oon
milk
po
wde
r
1
tea
spoo
n Co
coa
1
cup
hot m
ilk
1
tabl
e sp
oon
milk
po
wde
r
2
tea
spoo
n ho
ney
/sug
ar
to ta
ste
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 1
0
Whi
le un
derg
oing
ther
apy
you
mig
ht h
ave
som
e ea
ting
prob
lems.
The
advi
ces i
n th
is pa
rt of
the
book
let w
ill h
elp y
ou
to c
ope
with
the
follo
win
g ea
ting
prob
lems:
Lo
ss o
f app
etite
Pa
infu
l mou
th a
nd sw
allow
ing
prob
lems
D
ry m
outh
N
ause
a
Ta
ste
and
smell
cha
nges
Co
nstip
atio
n
D
iarrh
ea
La
ctos
e in
toler
ance
Los
s of
ap
pet
ite
Th
ere
may
be
times
dur
ing
or a
fter t
reat
men
t whe
n yo
u lo
se
your
app
etite
and
don
’t fe
el lik
e ea
ting.
H
ere
are
som
e su
gges
tions
to h
elp in
crea
se a
ppet
ite/
food
in
take
:
E
at sm
all a
mou
nts o
f ene
rgy
dens
e an
d nu
trien
t den
se
food
s mor
e of
ten
(6-8
feed
ing)
.
T
ry to
eat
a m
eal o
r sna
ck e
very
3 h
ours
. Avo
id sk
ippi
ng
mea
ls.
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 1
1
E
at h
igh
in p
rote
in fo
ods s
uch
as m
eat,
fish,
chi
cken
, eg
gs, c
hees
es a
nd m
ilk. D
esse
rts m
ade
with
egg
s and
milk
ar
e als
o hi
gh in
pro
tein
. Try
to in
clude
any
of t
hese
in
your
3 m
ain m
eals.
A
dd e
xtra
oil,
cre
am, m
ayon
naise
and
but
ter t
o sa
lona
or
soup
, coo
ked
vege
tabl
es a
nd sa
lad. T
op w
ith c
hees
e, cr
eam
y sa
uces
and
cho
pped
nut
s for
ext
ra e
nerg
y.
T
ry to
hav
e hi
gh c
alorie
supp
lemen
ts o
r milk
shak
es in
be
twee
n yo
ur m
eals.
Mak
e su
re th
ey a
re c
hille
d w
ell a
nd
sip th
em sl
owly.
(See
pag
e 7
for r
ecip
e id
eas)
.
T
ry n
ew re
cipes
, eat
you
r foo
d w
ith fr
iends
, go
to n
ew
plac
es, a
nd d
ecor
ate
or a
dd m
ore
colo
rs to
you
r dish
es.
T
ry d
iffer
ent d
ishes
eve
ry d
ay b
y ch
angi
ng th
e fla
vor,
or
addi
ng n
ew h
erbs
to y
our m
eals.
It is
impo
rtant
to a
dd
varie
ty to
you
r foo
d, si
nce
appe
tite
chan
ges f
rom
day
to
day,
wha
t you
mig
ht fe
el un
will
ing
to tr
y to
day,
you
mig
ht
wan
t to
try to
mor
row
.
O
ffer b
ite si
ze, b
ar-ty
pe, f
inge
r foo
ds
E
at y
our m
eal w
hen
you
feel
com
forta
ble.
It ha
s bee
n no
ticed
that
can
cer p
atien
ts h
ave
mor
e en
ergy
and
feel
mor
e re
laxed
in e
arly
mor
ning
s whe
re th
e ap
petit
e is
usua
lly b
ette
r dur
ing
that
tim
e. O
ffer f
avor
ite n
utrit
ious
fo
ods d
urin
g pe
riods
free
of t
reat
men
t.
S
erve
mea
ls w
ith a
pos
itive
atti
tude
in re
laxed
, plea
sant
at
mos
pher
e
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 1
2
Pai
nfu
l mou
th a
nd
sw
allo
win
g p
rob
lem
s
Avo
id:
× A
void
flui
ds li
ke w
ater
, cof
fee,
tea
and
soft
drin
ks
imm
ediat
ely b
efor
e or
with
mea
ls an
d sn
acks
. The
y m
ay m
ake
you
feel
full
with
out g
ivin
g yo
u th
e nu
tritio
n yo
u ne
ed (e
xcep
t whe
n dr
inki
ng si
ps o
f wat
er is
nee
ded
to h
elp y
ou sw
allow
you
r foo
d).
× A
void
filli
ng u
p on
swee
ts, p
otat
o ch
ips,
choc
olat
es,
cake
s or b
iscui
ts a
s the
y ar
e no
t nut
rient
den
se a
nd
only
fill y
ou u
p an
d re
duce
you
r app
etite
furth
er.
× A
void
stro
ng sm
ellin
g fo
od a
nd if
pos
sible
avoi
ds
prep
arin
g m
eals
if yo
u fin
d sm
ell k
eeps
you
from
ea
ting.
Col
d fo
ods s
uch
as sa
ndw
iches
may
not
smell
as
stro
ng.
× D
o no
t rus
h m
eals.
Eat
at a
com
forta
ble
pace
and
eat
as
muc
h as
you
can
.
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 1
3
As a
resu
lt of
you
r tre
atm
ent,
you
may
hav
e so
me
prob
lems w
ith
mou
th p
ain a
nd sw
allow
ing
diffi
culti
es. R
emem
ber t
o te
ll yo
ur
doct
or o
r nur
se w
hen
this
begi
ns. S
ome
of th
e fo
llow
ing
tips m
ay
help
:
T
ry so
ft, sm
ooth
, blen
ded
and
crea
my
food
such
as e
ggs,
cust
ards
, yog
hurt,
soup
s, m
ilk p
uddi
ngs,
ice c
ream
, m
ilksh
akes
, jell
y, et
c. A
dd b
utte
r, gr
avy,
sauc
e, so
up,
yogh
urt,
or sa
lad d
ress
ing
to m
oist
en fo
od
C
ook
mea
t and
chi
cken
unt
il it
is so
ft an
d try
add
ing
extra
gr
avy
or sa
uce.
It m
ay b
e ne
cess
ary
to p
uree
mea
t and
ch
icken
with
bro
th, s
oup
or g
ravy
to a
chiev
e a
soot
her
cons
isten
cy.
T
ry d
rinki
ng li
quid
s thr
ough
a st
raw
.
T
ake
appl
e ju
ice, i
t is l
ess a
cidic
than
man
y ot
her j
uice
s an
d ca
n be
dilu
ted
with
wat
er.
C
omm
ercia
lly p
rodu
ced
baby
food
can
be
very
han
dy
espe
cially
whe
n yo
u do
not
feel
like
cook
ing
or h
ave
no
one
to p
repa
re fo
od fo
r you
.
U
se m
outh
med
icatio
n as
pre
scrib
ed.
C
lean
teet
h us
ing
wat
er a
nd a
bab
y to
oth
brus
h or
spon
ge
toot
h cle
aner
pro
vide
d by
nur
se.
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 1
4
R
inse
you
r mou
th e
ach
time
afte
r eat
ing
with
a
mou
thw
ash;
mou
th h
ygien
e is
impo
rtant
to p
reve
nt
infe
ctio
n an
d de
ntal
deca
y. Y
ou c
an p
repa
re y
our o
wn
mou
thw
ash
by d
ilutin
g 1
tea
spoo
n of
bica
rbon
ate
soda
in
1.5
liter
of b
ottle
d w
ater
(lar
ge w
ater
bot
tle).
Disc
ard
mou
thw
ash
afte
r 7 d
ays.
Dry
mou
th
T
ry su
ckin
g on
boi
led sw
eets
, and
sip
wat
er fr
eque
ntly.
Avo
id:
× A
void
acid
ic fo
od th
at m
ay st
ing
your
mou
th su
ch a
s or
ange
s, ki
wifr
uit,
pine
appl
e an
d gr
apef
ruit.
Bew
are
of
vine
gar a
nd le
mon
in sa
lad d
ress
ings
.
× A
void
spicy
, salt
y fo
od a
nd v
ery
hot o
r icy
col
d fo
od
and
drin
ks if
thes
e ca
use
pain
/disc
omfo
rt.
× A
void
roug
h an
d cr
unch
y fo
od su
ch a
s nut
s, po
tato
cr
isps,
and
hard
toas
t.
× A
void
salad
s; ra
w v
eget
ables
may
scra
tch
the
linin
g of
th
e th
roat
.
× A
void
tom
ato
in a
ny fo
rm –
raw
, pas
te, s
auce
or
juice
.
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 1
5
A
dd sa
uces
, milk
, cre
am, s
oups
and
gra
vy to
food
to
moi
sten
it.
H
ave
liqui
ds w
ith m
eals.
U
se a
mou
thw
ash
afte
r eat
ing.
U
se li
p ba
lm to
stop
you
r lip
s fro
m d
ryin
g an
d cr
acki
ng. I
f re
ceiv
ing
radi
atio
n tre
atm
ent t
o or
in th
e ar
ea a
roun
d yo
ur
mou
th/l
ips y
ou sh
ould
not
app
ly an
ythi
ng to
you
r lip
s un
less p
resc
ribed
.
U
se a
rtific
ial sa
liva
or c
hew
ing
gum
to st
imul
ate
the
flow
of
saliv
a.
D
rink
adeq
uate
flui
ds su
ch a
s clea
r liq
uids
(suc
h as
tea
and
war
m b
roth
) to
help
trea
t thi
ck sa
liva
issue
.
Nau
sea
Wha
t and
how
you
eat
may
mak
e na
usea
wor
se. H
ere
are
som
e sim
ple
reco
mm
enda
tions
to h
elp p
reve
nt a
nd c
ontro
l nau
sea:
T
ake
naus
ea re
ducin
g (a
nti-e
met
ic) ta
blet
s ½ h
our b
efor
e th
e m
eal.
T
ake
a sh
ort w
alk o
r rela
x be
fore
mea
ls to
redu
ce a
nxiet
y ab
out n
ause
a.
E
at 5
- 6
small
mea
ls du
ring
the
day,
as h
unge
r ofte
n w
orse
ns n
ause
a.
E
at y
our m
ain m
eal a
t the
tim
e of
day
whe
n yo
u fe
el be
st.
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 1
6
S
erve
you
r fav
orite
food
ofte
n, e
spec
ially
whe
n yo
u ar
e fe
eling
you
r bes
t. Tr
y to
avo
id th
em d
urin
g tim
es o
f acu
te
naus
ea.
T
ry fo
od th
at is
usu
ally
toler
ated
dur
ing
naus
ea li
ke,
toas
ted
brea
d, c
rack
ers,
dry
bisc
uits
, col
d m
eats
, fru
its,
pick
les, b
arley
or r
ice so
ups,
frui
t jui
ces a
nd fi
zzy
drin
ks.
C
hoos
e fo
od, w
hich
doe
s not
hav
e a
stro
ng sm
ell. C
old
food
and
food
at r
oom
tem
pera
ture
gen
erall
y ha
ve a
mild
sm
ell c
ompa
red
to h
ot fo
od. T
ry c
old
mea
ts; c
hopp
ed
mea
t or c
hick
en in
veg
etab
le sa
lad, s
andw
iches
, jell
y, cu
star
d, m
uhala
bia,
crem
e ca
ram
el, y
oghu
rt, o
mele
t, m
ild
chee
se o
r lab
neh.
T
ry fo
od it
ems t
hat c
onta
in g
inge
r, lik
e gi
nger
bisc
uits
, tea
br
ewed
from
fres
h gi
nger
to re
duce
nau
sea.
T
ry sh
arp
tast
ing
food
like
lem
ons,
limes
, pick
les,
grap
efru
it an
d sa
lty fo
ods l
ike
nuts
.
T
ry su
ckin
g ca
rdam
om o
r cin
nam
on.
E
at y
our m
eals
in a
well
- ven
tilat
ed ro
om o
r try
eat
ing
outs
ide.
C
hop
food
into
bite
size
pie
ces t
o m
ake
chew
ing
less o
f an
effo
rt.
C
hew
food
well
to m
ake
them
mor
e ea
sily
dige
sted
.
E
at a
nd d
rink
slow
ly.
T
ake
your
min
d of
f foo
d by
eat
ing
with
fam
ily o
r frie
nds,
wat
chin
g te
levisi
on o
r rea
ding
whi
le ea
ting.
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 1
7
W
ear l
oose
clo
thes
and
try
not t
o lie
dow
n im
med
iately
af
ter e
atin
g.
E
at 3
to 4
hou
rs b
efor
e th
erap
y th
at is
ass
ociat
ed w
ith
naus
ea.
Not
e:
Patie
nts r
eceiv
ing
head
and
nec
k ra
diat
ion
shou
ld sp
eak
to th
e cli
nica
l diet
itian
or t
he n
urse
as s
ome
of th
e ab
ove
sugg
estio
ns
shou
ldn’
t be
used
.
Tas
te a
nd
sm
ell c
han
ges
Avo
id:
× A
void
stro
ng sm
ellin
g fo
od. C
ut d
own
on c
ooki
ng
smell
s by
usin
g th
e ov
en o
r a p
ress
ure
cook
er. I
f you
ca
n, g
et so
meo
ne e
lse to
coo
k fo
r you
.
× Li
mit
item
s tha
t will
fill
you
up a
nd d
ull y
our a
ppet
ite
with
out b
eing
nutri
tious
, suc
h as
cof
fee,
swee
ts e
tc.
× A
void
fried
of f
atty
food
.
× A
void
sauc
es a
nd g
ravi
es a
nd tr
y no
t to
drin
k flu
ids
durin
g yo
ur m
eal.
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 1
8
You
r tre
atm
ent m
ay c
ause
tem
pora
ry c
hang
e in
sens
e of
tast
e or
sm
ell a
nd y
ou m
ay n
ot li
ke fo
od th
at y
ou o
nce
enjo
yed.
Her
e ar
e so
me
idea
s to
help
with
this
prob
lem.
A
rran
ge y
our f
ood
attra
ctiv
ely to
enc
oura
ge e
atin
g.
Exp
erim
ent w
ith c
olor
s and
text
ures
of f
ood.
Add
frui
t or
frui
t pur
ee to
ice
crea
m, j
ellies
, cus
tard
s, m
ilksh
akes
or
pudd
ings
to a
dd e
xtra
flav
or.
C
hoos
e fo
od, w
hich
doe
s not
hav
e a
stro
ng sm
ell. C
old
food
and
food
at r
oom
tem
pera
ture
gen
erall
y ha
ve a
mild
sm
ell c
ompa
red
to h
ot fo
od.
E
xper
imen
t with
flav
orin
gs su
ch a
s lem
on ju
ice, h
erbs
, sp
ices,
chut
neys
and
pick
les to
impr
ove
the
tast
e of
food
. (n
ot a
pp
rop
riat
e fo
r h
ead
an
d n
eck
pat
ien
ts r
ecei
vin
g ra
dia
tion
th
erap
y)
T
ry su
ckin
g on
pep
perm
int o
r sou
r sw
eets
bef
ore
mea
ls if
you
expe
rienc
e a
met
allic
tast
e in
you
r mou
th (a
nd h
ave
no m
outh
ulc
ers)
.
I
f you
hav
e lo
st y
our t
aste
for m
eat,
try m
arin
atin
g m
eat
in so
y sa
uce,
hone
y, gi
nger
or f
ruit
juice
bef
ore
cook
ing.
Tr
y ca
nned
or f
resh
fish
, chi
cken
, egg
s, be
ans,
nuts
, len
tils,
chee
se o
r lab
neh
inst
ead.
I
f you
r tas
te fo
r salt
is in
crea
sed
(and
salt
does
n’t c
ause
an
y pa
in) e
at m
eats
such
as c
orne
d be
ef, s
ausa
ges,
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 1
9
lunc
heon
mea
t, sa
lty p
astri
es, o
lives
, tin
ned
or sm
oked
fis
h, sm
oked
chi
cken
or c
hees
e su
ch a
s fet
a, ha
loum
i.
A
dd g
ravy
and
sauc
es to
mea
ls.
Y
ou m
ay lo
se y
our t
aste
for s
wee
t foo
ds a
nd b
ever
ages
. A
dd sa
lt to
food
s tha
t tas
te to
o sw
eet a
nd su
gar t
o fo
ods
that
are
acid
ic or
too
salty
.
R
inse
you
r mou
th w
ith th
e su
gges
ted
mou
thw
ash
solu
tion
befo
re a
nd a
fter e
atin
g.
T
ry b
aby
food
as a
mea
l sub
stitu
te (t
empo
raril
y).
Con
stip
atio
n
Avo
id:
× K
eep
away
from
the
kitc
hen
if co
okin
g sm
ells p
ut y
ou
off e
atin
g.
× A
void
cho
colat
e, te
a an
d co
ffee
if yo
u ex
perie
nce
a bi
tter t
aste
.
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 2
0
D
rink
6-8
cups
of f
luid
per
day
. Cho
ose
from
wat
er, w
eak
coffe
e, di
lute
d fr
uit j
uice
, veg
etab
le ju
ice, s
oups
, milk
, and
no
n-ca
rbon
ated
soft
drin
ks (l
eave
it o
pen
for a
t lea
st ½
ho
ur to
redu
ce th
e bu
bbles
). Ta
ke a
hot
bev
erag
e in
the
mor
ning
or e
veni
ng.
E
at re
gular
mea
ls.
E
at fo
od w
ith p
lenty
of f
iber
. Who
le gr
ain c
erea
l, br
own
brea
d or
who
le gr
ain b
read
, who
le w
heat
bisc
uits
, nut
s, se
eds,
lentil
s and
drie
d be
ans a
re so
me
exam
ples
for h
igh
fiber
food
. Add
bra
n an
d hi
gh fi
ber i
tem
s gra
duall
y to
yo
ur d
iet.
U
se w
hole
mea
l flo
ur fo
r bak
ing
or in
sauc
es.
E
at so
me
frui
t or v
eget
ables
eac
h da
y, ra
w o
r coo
ked.
Y
ou m
ay n
eed
to a
void
veg
etab
les w
hich
may
cau
se
flatu
lence
such
as c
abba
ge, o
nion
, cuc
umbe
r.
T
ry so
me
exer
cise
such
as w
alkin
g.
Dia
rrh
ea
Avo
id:
× A
void
food
s con
tain
ing
a lar
ge p
ropo
rtion
of w
hite
su
gar s
uch
as c
akes
with
icin
g, sw
eets
.
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 2
1
D
rink
plen
ty o
f flu
ids t
o re
plac
e flu
id lo
ss; d
ilute
d fr
uit
juice
s, no
n-ca
rbon
ated
soft
drin
ks, v
eget
able
juice
, sou
ps,
wea
k te
a an
d w
eak
coffe
e ar
e go
od c
hoice
s.
E
at sm
all fr
eque
nt m
eals.
M
ake
sure
that
all
food
are
pre
pare
d hy
gien
ically
. Was
h yo
ur h
ands
thor
ough
ly be
fore
pre
parin
g m
eals.
If y
our
doct
or p
resc
ribes
med
icatio
n to
con
trol d
iarrh
ea,
rem
embe
r to
take
it a
s pre
scrib
ed.
C
onsu
me
well
coo
ked
and
soft
mea
t with
out a
ddin
g ex
tra
oil.
Lac
tose
into
lera
nce
Avo
id:
× D
ecre
ase
the
fiber
in y
our d
iet. L
imit
the
use
of
who
le gr
ain c
erea
ls an
d br
ead,
fres
h fr
uit a
nd
vege
tabl
es w
ith se
eds o
r ski
ns, n
uts a
nd d
ried
frui
ts. U
se re
fined
cer
eals,
whi
te b
read
, can
ned
or
stew
ed fr
uits
and
well
coo
ked
vege
tabl
es w
ithou
t sk
ins o
r see
ds.
× A
void
re-h
eate
d fo
ods,
pre-
prep
ared
salad
s and
un
past
euriz
ed d
airy
prod
ucts
.
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 2
2
Milk
con
tain
s a su
gar n
amed
lact
ose,
and
som
e pe
ople
may
be
tem
pora
rily
unab
le to
toler
ate
milk
or m
ilk p
rodu
cts.
If la
ctos
e is
not b
roke
n do
wn
by th
e di
gest
ive
syst
ems,
cram
ping
, gas
or f
urth
er
diar
rhea
may
occ
ur.
I
f you
are
abl
e to
toler
ate
small
am
ount
s of m
ilk; l
imit
your
milk
inta
ke to
no
mor
e th
an ½
cup
at a
tim
e. yo
ghur
t, bu
tterm
ilk a
nd c
hees
e ar
e ve
ry lo
w in
lact
ose
and
are
bette
r tol
erat
ed.
I
f you
hav
e pr
oblem
s tol
erat
ing
milk
, try
usin
g so
ya-b
ased
m
ilk, o
r a so
ya b
ased
infa
nt fo
rmul
a fo
r chi
ldre
n.
Y
ou w
ill b
e ab
le to
dig
est l
acto
se a
gain
afte
r diar
rhea
has
co
mpl
etely
stop
ped
and
milk
can
be
re-in
trodu
ced
then
.
Low
imm
un
ity
(Neu
trop
enia
)
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 2
3
Radi
atio
n th
erap
y an
d so
me
chem
othe
rapy
med
icatio
ns c
an a
ffect
th
e bo
ne m
arro
w, d
ecre
asin
g its
abi
lity
to p
rodu
ce n
ew W
hite
Bl
ood
Cells
(WBC
). W
BC a
re p
art o
f you
r bod
y’s im
mun
e re
spon
se a
nd h
elp y
ou b
ody
fight
aga
inst
infe
ctio
ns.
If y
ou h
ave
low
imm
unity
you
shou
ld fo
llow
a “
low
mic
robi
al” d
iet
to re
duce
you
r risk
of i
nfec
tion.
Co
ok a
ll m
eat/
poul
try/f
ish u
ntil
they
are
well
don
e. D
o no
t ea
t raw
or u
nder
cook
ed fo
od.
A
ll m
ilk a
nd d
airy
prod
ucts
shou
ld to
be
past
euriz
ed. B
oil
fres
h m
ilk a
nd a
void
drin
king
if it
is u
npro
cess
ed o
r has
not
be
en b
oiled
.
E
at c
ooke
d ve
geta
bles
. Avo
id ra
w v
eget
ables
and
fres
h sa
lads.
A
ll fr
uits
hav
e to
be
well
was
hed,
pre
fera
bly
eat f
ruit
that
yo
u ca
n pe
el th
e sk
in fr
om a
nd th
en e
at li
ke a
n or
ange
or
bana
na.
Ch
eck
for e
xpiry
dat
es. D
o no
t eat
food
with
mou
ld o
r tha
t ha
s spo
iled,
exa
mpl
e; br
uise
d fr
uit o
r veg
etab
les.
K
eep
food
at s
afe
tem
pera
ture
s, co
ok h
ot fo
ods a
nd e
at
imm
ediat
ely, a
nd re
frig
erat
e co
ld fo
ods a
ppro
priat
ely.
D
o no
t eat
unp
rese
rved
food
s tha
t hav
e be
en k
eep
out o
f th
e re
frig
erat
or fo
r mor
e th
an 2
hou
rs.
Patie
nt a
nd F
amily
Edu
catio
n G
ood
nutr
itio
n fo
r ca
ncer
pat
ient
s
pag
e 2
4
© C
opyr
ight
(6/2
00
9)
Rev
ised
(5
/20
16
)
Trac
k #
01
4 E
Cl
inic
al N
utrit
ion
D
o no
t drin
k di
rect
ly fr
om c
ans o
r bot
tles,
was
h th
e op
enin
g an
d th
en p
our i
nto
a cle
an c
up.
M
ainta
in a
hea
lthy
diet
and
drin
k pl
enty
of f
luid
s.
Rem
emb
er:
E
nsur
e th
ose
prep
arin
g fo
od w
ash
their
han
ds w
ith so
ap
and
wat
er b
efor
e ha
ndlin
g fo
od. A
lso th
at se
para
te
chop
ping
boa
rds f
or m
eat/
chick
en/f
ish a
re u
sed.
A
void
eat
ing
take
away
food
s, de
li fo
ods a
nd fo
ods t
hat h
ave
been
rehe
ated
.
Dev
elope
d by
Clin
ical N
utrit
ion
Dep
artm
ent /
Taw
am H
ospi
tal
Th
e in
form
atio
n c
onta
ined
in t
his
pam
ph
let
is d
esig
ned
for
ed
uca
tion
al a
nd
info
rmat
ion
al p
urp
oses
on
ly. I
t sh
ould
not
be
use
d a
s a
sub
stit
ute
for
the
ad
vice
of
a p
rofe
ssio
nal
hea
lth
car
e p
rovi
der
.
For
inqu
irie
s and
mor
e in
form
atio
n:
Plea
se d
o no
t hes
itate
to c
onta
ct y
our d
octo
r to
refe
r you
to th
e di
etiti
an
