Help with no gas, empty bowel diet during RT.

Posted by carlsbadguy @carlsbadguy, 1 day ago

I'm scheduled to have fiducial markers and SpaceOAR placed Aug 4/5 and 5.5 weeks of radiation treatment starting on Aug 17. I have a sample diet and eat/don't eat list of foods from my RT's Nutritionalist and have done plenty of research. However I had a partial colectomy 8 years ago due to severe bouts of diverticulitis and lost about 12 inches of my colon. As a result, I am a pretty gassy person, and my bowel almost always feels full or close to full, with 2 and sometimes 3 BMs a day. What foods/meals have worked best for those of you who have undergone RT? I'm tempted to just not eat during the morning/day before treatment, but I will only get each week's schedule the Friday before.

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Profile picture for surftohealth88 @surftohealth88

@jbristow3682

Thanks for sharing since our RO also told us that my husband should not change diet, that they do not do that with their patients since it brings more "unknowns" into equation and that it can cause digestive system to go berserk with so many changes.
They just want BM happening the morning of treatment and a full bladder.
Maybe it is California thing lol 🤷‍♀️ ! We are in the Bay Area - "Chill bro " lol lol

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@surftohealth88 not a California thing, maybe an individual RO's thing. I also live in SoCal, and will also be making about a 30 minute drive south, but down the 5 instead of the 15. My digestive system is already going berserk, I'm trying to calm it down. I eat healthy, but many of the foods I eat cause some of us an abundance of gas so I need to make a change. If your husband is lucky enough to be able to continue his present diet, get up and have a BM, retain no gas, and fill and hold his bladder through his treatment, he's blessed, at least in that regard!

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Profile picture for carlsbadguy @carlsbadguy

@heavyphil thanks, I was able to download and print a FODMAP food list. Easy now to understand why I have been so gassy. I have been eating a slice of 21 grain bread toasted with half an avocado every morning for years. Lunch is a smoothie with protein powder with frozen mango and frozen ripe banana. Dinner was lean meat or fish with rice or potato and always a large bowl of raspberries, blackberries, strawberries, peaches, etc. Pretty much everything I have been eating is on the restricted FODMAP list. We grocery shop on Fridays, so I will be drastically changing my diet starting Friday night.

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@carlsbadguy The biggest factor in the diet is the portion size; you really have to LIMIT the amounts of ‘good’ fiber rich foods.
Radiation tx. is a balancing act between having enough “oomph” to have a bowel movement and not too much of it to have gas. I used Healthy Fiber (Amazon) 3X/day with lots of water to keep regular; it is non fermentable guar gum based.
Phil

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Profile picture for heavyphil @heavyphil

@carlsbadguy The biggest factor in the diet is the portion size; you really have to LIMIT the amounts of ‘good’ fiber rich foods.
Radiation tx. is a balancing act between having enough “oomph” to have a bowel movement and not too much of it to have gas. I used Healthy Fiber (Amazon) 3X/day with lots of water to keep regular; it is non fermentable guar gum based.
Phil

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@heavyphil thank you again, I found the product on Amazon. The directions state use 1 scoop a day? If you took 3 scoops a day, how much water were you drinking? I'll be replacing a fair bit of fiber following a strict FODMAP diet, but I don't want so much fiber that I get backed up. Good that it's non fermentable, as it shouldn't bring any gas into the equation. I'm 6 ft and 190 lbs if it makes a difference.

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Profile picture for carlsbadguy @carlsbadguy

@surftohealth88 not a California thing, maybe an individual RO's thing. I also live in SoCal, and will also be making about a 30 minute drive south, but down the 5 instead of the 15. My digestive system is already going berserk, I'm trying to calm it down. I eat healthy, but many of the foods I eat cause some of us an abundance of gas so I need to make a change. If your husband is lucky enough to be able to continue his present diet, get up and have a BM, retain no gas, and fill and hold his bladder through his treatment, he's blessed, at least in that regard!

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@carlsbadguy
Oh I am so sorry to hear that your guts are acting up : (( - did it start just recently due to ADT drugs ? : ( Also, I see that you will have proton RT so perhaps there are differences there too, who knows. )

Mr. Surf is very regular in general with 2 to 3 BMs a day (same as me) because we eat Mediterranean diet from early childhood. Things that produce gas for us are known offenders - beans and cruciferous vegetables, but no bloating or anything even close. So, we will only eliminate them during RT to be on a safe side.

We will try to get appointment between 10 am and 1 pm and that will work really well for him. He will be driving about an hour in one direction if traffic cooperates , if not - it could easily take 2 . 😬 But he usually takes business calls on long rides so time flies faster.

"Lucky "- well he considers himself being lucky in many aspects 🥰 (and he is) , however having PC or anything connected with it can not be "lucky" lol BUT yes, it would definitely make things much easier during RT.

As you said in your previous post - every list on different websites will list somewhat different food items and it can be soooo confusing. So, it might be the best to stick with what works for you - you know your guts the best 👍.

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