Eating during cancer care

Posted by Bob, Alumni Mentor @grandpabob, Feb 26, 2023

During cancer treatment, I found it very difficult to eat healthy and in sufficient volume to maintain my strength. Lisa Speckhard Pasque, a writer with the Mayo Clinic Health Letter, has an excellent piece in the attached newsletter, with great tips on how to help us stay interested in food while undergoing cancer treatment.
I hope you find this information useful.

What tips and tricks do you use to insure you are eating healthy?

Shared files

MCHL202303-Grandpabob (MCHL202303-Grandpabob-1.pdf)

Interested in more discussions like this? Go to the Cancer: Managing Symptoms Support Group.

@baz10

My adult son was treated for Stage 3 Thyroid Cancer with Radiation and Chemo almost 4 years ago and still cannot eat food, only drinks Boost and Instant Breakfast. His taste buds were destroyed and he says that food feels like mush in his mouth and it makes him sick. He lives alone and I am so concerned about his health outlook, yet anything that I offer to fix for him he says no and I have bought him several items but he says that he just can't eat. He talks about how good food smells and how he wishes that he could eat. Do you have ANY suggestions that I might try. Blessings to all who are having to suffer with the side effects of cancer treatment. BAZ 10

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Hi Baz10, I can’t imagine living on Boost and instant breakfast for all those years. My heart goes out to your son…and you for the continuous worry!
Is your son able to swallow well or is this simply because he doesn’t like the consistency of the food? He could try making baby food. For a while I had horrible mouth sores. Chewing was impossible. We have a small Bullet food processor and my husband would take what he made for dinner and purée mine. At least that provided me with some well balanced meals without having to chew. Some things, of course didn’t taste very good whipped together so, bless his heart, he’d make me several pretty glasses of dinner! 😅

Not having taste buds really does mess with the mouth feel. Unless someone has gone through it themselves it’s almost impossible to describe. I used to love cheese, or cheese sticks. Going through chemo, I could no longer taste it and the cheese felt like I was sucking on a stick of butter. It was horrid. Food does feel like mush. Mashed potatoes that are ‘mush’ anyway, were the worst! You wouldn’t think that would be so offensive but it was.

Sometimes there are tricks we can do to distract ourselves while eating. My husband would tell me stories or we’d watch movies, play games that were mentally stimulating, etc… I’d keep occupied while mindlessly trying to eat. Deep breathing helped to quell the gagging reflex while eating.

Has your son tried any baby foods? There are so many different kinds now, not just Gerber! Even the dessert, if you could entice him to try that, has some nutrition, low sugar but fiber at least. If he would start with a purée and sees that it goes down ok, maybe he’d consider other foods later?
Also, another consideration if he is physically able to eat but just won’t, would be a nutritional therapist or even a psychologist to help him work through any issues he has with not eating.
What do his doctors say about his lack of solids and balanced diet?

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@nauden

Thank you for the information on eating. I’ve been struggling with food not sounding or tasting good and then started chemo last week and was nauseous last two days. Mayo Palliative Care nurse also said, let’s worry about getting high quality food down right now. We’ll worry about variety and balance when you feel better. I needed that pep talk as I’ve been a good balanced diet eater for years and realize that cancer, especially treatment, changed the rules. Right now I’ll do the best I can.

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It is important to keep up with the latest studies as thinking is changing on how to best mitigate nausea while enhancing efficacy of chemotherapy and radiation. I had stage II muscle invasive bladder cancer. I used proven holistics before and concurrent with chemotherapy and not only had no side effects like nausea, but also had enhanced effectiveness of the chemotherapy and am now cancer free.
Interestingly, on a trip to Brazil, I found that most oncologist recommend all their post cancer patients take i gram each of vitamin C and curcumin daily. The USA pushes pharmaceuticals instead, many of which have bad side effects.
Here are current studies:
https://bmccancer.biomedcentral.com/articles/10.1186/s12885-020-07256-8
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6514995/
Hope this is helpful.

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Thanks to all for there responds,

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One thing I have added to my diet is Protein powder, like the muscle men take, and it seems to have helped me maintain my weight. I add it to everything and I have Protein pills I’m trying too for the days I can’t eat. Have only been taking it for a week but was loosing 5 pounds an week previously. Has remained even this week.
Also to all, if you are on chemo eat what you can all you can. Don’t worry eating “healthy’ eat what you can when you can. The longer your on chemo the harder it gets.

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@gingerw

@grandpabob Thank you for starting this conversation! Like many others, having a loss of taste and related senses can be so danged frustrating. As if we don't already have enough going on, we cannot see to find something appealing to us. And heavens forbid if things we smell might make us nauseous on top of it all, right?

Like others have mentioned, finding something to eat, regardless if it is "healthy" or "right" is what I can try for. My husband is not really on any restrictions. So, sometimes I want a little 1/2" piece of cheese, or something a bit spicy, or a piece of chocolate. Bread often goes bad for me, because I might want a slice, but then that's it. Maybe half a hard-boiled egg, with pepper on it. I do try to get protein powder into me to keep up my strength, and will fix a smoothie with greek yogurt, berries, almond milk, and flavored protein powder. I found a brand of greek yogurt called Zoi that is very creamy and has a great taste. They make several different flavors including orange cream and honey! I do need to temper my food based on kidney disease guidelines, so it is a constant challenge.
Ginger

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You are both courageous, I had stage 3 cancer and i am going to celebrate a year post surgery. A long road chemo, surgery, radiation (the most fatigue at week 4) foods were difficult to find. Rice crispy bars! But mostly 4 poached eggs a day plain. And cranberry juice diluted w/water. That is all I could tolerate. Then 14 more rounds of preventative chemo and targeted drugs - finished and starting survivorship program monitored w/ppt every 3 months first in April!
We all find courage and strength in finding our path.
Thinking of you.

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@lastround

Not sure what to add, but I’ve lost 90 pounds in the last 6 months on chemotherapy. Likely I was a fat guy! I have neuroendocrine Tumors ,NET, that started in my pancreas and spread to my liver.
I can’t eat anything, everything tastes metallic and no taste at all. I’m off of it now for about 3 weeks but no improvement with my taste and the neuropathy has never been this bad. My feet are killing me and I can’t feel the end of my finger tips.
Doctor had me talk to a Nutritionists who really didn’t have much to offer, eat more, no kidding. But, she did say that over 20% of people on chemo die of malnutrition not the cancer.

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Thank you for sharing your very difficult story.

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@loribmt

Hi Baz10, I can’t imagine living on Boost and instant breakfast for all those years. My heart goes out to your son…and you for the continuous worry!
Is your son able to swallow well or is this simply because he doesn’t like the consistency of the food? He could try making baby food. For a while I had horrible mouth sores. Chewing was impossible. We have a small Bullet food processor and my husband would take what he made for dinner and purée mine. At least that provided me with some well balanced meals without having to chew. Some things, of course didn’t taste very good whipped together so, bless his heart, he’d make me several pretty glasses of dinner! 😅

Not having taste buds really does mess with the mouth feel. Unless someone has gone through it themselves it’s almost impossible to describe. I used to love cheese, or cheese sticks. Going through chemo, I could no longer taste it and the cheese felt like I was sucking on a stick of butter. It was horrid. Food does feel like mush. Mashed potatoes that are ‘mush’ anyway, were the worst! You wouldn’t think that would be so offensive but it was.

Sometimes there are tricks we can do to distract ourselves while eating. My husband would tell me stories or we’d watch movies, play games that were mentally stimulating, etc… I’d keep occupied while mindlessly trying to eat. Deep breathing helped to quell the gagging reflex while eating.

Has your son tried any baby foods? There are so many different kinds now, not just Gerber! Even the dessert, if you could entice him to try that, has some nutrition, low sugar but fiber at least. If he would start with a purée and sees that it goes down ok, maybe he’d consider other foods later?
Also, another consideration if he is physically able to eat but just won’t, would be a nutritional therapist or even a psychologist to help him work through any issues he has with not eating.
What do his doctors say about his lack of solids and balanced diet?

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He just won't eat. Has tried a few times to eat a burger or piece of pizza but throws it out. As for what the doctors say, he doesn't tell us much of anything about appointments, if any with doctors and his "regular" is a Physician assistant that doesn't have a very good reputation and I don't believe he has seen her in probably 3 years! He is single and lives alone, sleeps most all day doesn't want anyone to visit. He applied, on his own for SSD and was denied and refuses to hire an attorney to file for him. Our hands are tied because he is an adult, 50+ years old. He is our only "child."
Thank you for sharing and caring. I will try to talk to him about what you have shared. A hug to you.
baz10

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@baz10

He just won't eat. Has tried a few times to eat a burger or piece of pizza but throws it out. As for what the doctors say, he doesn't tell us much of anything about appointments, if any with doctors and his "regular" is a Physician assistant that doesn't have a very good reputation and I don't believe he has seen her in probably 3 years! He is single and lives alone, sleeps most all day doesn't want anyone to visit. He applied, on his own for SSD and was denied and refuses to hire an attorney to file for him. Our hands are tied because he is an adult, 50+ years old. He is our only "child."
Thank you for sharing and caring. I will try to talk to him about what you have shared. A hug to you.
baz10

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This sounds like depression has really gotten its grips into your son. His life must have changed drastically over the course of his treatment and recovery. You’re really in between a rock and a hard spot if he isn’t willing to make any changes in his life to try to eat or get some emotional help.
I really don’t know what you can do to encourage him to open his doors to friends, to try different ‘liquid’ foods that might entice him to actually eat solids again or to even get some professional help with his depression. Without being able to eat, isolating himself from family and friends, sleeping most of the day away…he has very little quality of life. As a parent this is gut wrenching when you can see solutions in front of you but he’s not willing to make changes.
At 50+ my guess is that you’re not going to change him. Think about how difficult it is for us to make changes in our own personality…it’s almost Herculean to do it with someone else.
I’m sure you’ve attempted several approaches to this. Let me guess, as an adult he gets more belligerent the more you try. ☺️ Buy a couple of tasty looking baby food purées and give him a gift bag and leave it on his table…he can make the decision. Don’t even try to talk to him about it! The consistency isn’t much different than drinking a can of Boost!! He might like it.

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@raremiracle2

Bob, Alumni Mentor @grandpabob thank you for your healthy tips or eating. Eating I don't have problem. But lack of eating is sign to watch for; my mom, several of her sibling, brother-in-law, neighbor, best friend husband died of Cancer Cachexia (didn't know the name until my hematologist told me watch for signs and symptoms)
AGAIN: Thank you for sharing this information. My sister was diagnosed with MS, then she was diagnosed with cancer (we pushed MS side and thought it was misdiagnosis of the cancer. After researching this, watching Youtube videos and reading; https://www.mayoclinic.org/diseases-conditions/multiple-sclerosis/symptoms-causes/syc-20350269
My sister for 20 years; one eye (black spot) see around it or blurry vision; can't see for ours, days
Temporary paralysis; she broke her leg walking, going for walk, her one leg (stopped working) fell
Couldn't dress herself, husband had to dress her (her hands stopped working) but she could do it the next day
She went to store, couldn't physically open door, store called her husband and family came and got my sister
Many times my sister was cleaning house , her body stopped, fell on floor and had to wait for husband to come home, laying there for hours and couldn't move. She tried to pick up things and couldn't if her life depended on it. I thought "I'm not as bad as my sister" but reading MS; I am showing signs but blaming it on cancer
This Mayo Clinic Health Letter is what I needed and will share this with my sister, who struggled with MS for years. It's something to think about THANK YOU BOB

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My name is Kim Moeller. Soon to join the group with Pancreatic Cancer and will have biopsy for staging next week.
For your sister - look up Mobile Help. And never have to be scared about her falling. It works. Been using 2 years now. "Part of "help, I've fallen and can't get up" system. It is a medical alert system.

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Hi , I so sick nausea,I couldn't eat anything. But they me on thc pills and they really made difference ..

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