Coping With Diarrhea Related to Chemotherapy
When ]]>chemotherapy]]> affects the cells lining the intestine, it can cause ]]>diarrhea]]> (watery or loose stools). If you have diarrhea that continues for more than 24 hours, or if you have pain and cramping along with the diarrhea, call your doctor. In severe cases, the doctor may prescribe a medicine to control the diarrhea. If diarrhea persists, you may need intravenous (IV) fluids to replace the water and nutrients you have lost. Often these fluids are given as an outpatient and do not require hospitalization. Do not take any over-the-counter medicines for diarrhea without asking your doctor.
Tips to Help Control Diarrhea
Some of these tips may help:
- Drink 8-12 cups of clear fluids a day. This will help replace fluids you have lost through diarrhea. Mild, clear liquids, such as water, clear broth, sports drinks such as Gatorade, or ginger ale, are best. If these drinks make you more thirsty or nauseous, try diluting them with water. Drink slowly and make sure drinks are at room temperature. Let carbonated drinks lose their fizz before you drink them.
- Eat five or six small meals throughout the day instead of three large meals.
- Unless your doctor has told you otherwise, eat potassium-rich foods. Diarrhea can cause you to lose this important mineral. Bananas, oranges, potatoes, peach, and apricot nectars are good sources of potassium.
- Ask your doctor if you should try a clear liquid diet to give your bowels time to rest. A clear liquid diet does not provide all the nutrients you need, so do not follow one for more than 3-5 days.
- Wipe yourself gently after a bowel movement. Consider using baby wipes or a spray bottle of water to clean yourself after bowel movements.
- Tell your doctor if your diarrhea lasts for more than 24 hours or if you have pain and cramping along with diarrhea.
- Eat low-fiber foods. Low-fiber foods include white bread, white rice or noodles, creamed cereals, ripe bananas, canned or cooked fruit without skins, cottage cheese, yogurt without seeds, eggs, mashed or baked potatoes without the skin, pureed vegetables, chicken, or turkey without the skin, and fish.
- Avoid foods or drinks that cause gas. These include dried beans, cabbage, broccoli, and soy products.
- Avoid high-fiber foods, which can lead to diarrhea and cramping. High-fiber foods include whole grain breads and cereals, raw vegetables, beans, nuts, seeds, popcorn, and fresh and dried fruit.
- Avoid hot or very cold liquids
- Avoid coffee, tea with caffeine, alcohol, and sweets. Stay away from fried, greasy, or highly spiced foods, too. They are irritating and can cause diarrhea and cramping.
- Avoid milk and milk products, including ice cream, if they make your diarrhea worse.
American Cancer Society
National Cancer Institute
BC Cancer Agency
Canadian Cancer Society
National Cancer Institute. Chemotherapy and you: support for people with cancer. National Cancer Institute website. Available at: http://www.cancer.gov/cancertopics/chemotherapy-and-you.pdf. Updated May 2007. Accessed April 2, 2010.
Last reviewed April 2010 by ]]>Brian Randall, MD]]>
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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