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Nutrition for the Person With Cancer During Treatment

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Nausea

Mouth or throat pain or sores

Some people with cancer may have a sore mouth, mouth sores, or a sore throat. These problems are usually caused by certain chemo drugs and radiation to the head and neck area.

If you have these problems, eating soft, bland foods and lukewarm or cool foods can be soothing. On the other hand, foods that are coarse, dry, or scratchy may make you feel worse. You may also find that tart, salty, or acidic fruits and juices; alcohol; and spicy foods are irritating.

Rinse your mouth regularly with a salt and baking soda solution (1 teaspoon of baking soda and 1 teaspoon salt mixed in 1 quart water). This helps prevent infections and helps your sore mouth feel better. Gargle with the mixture to relieve a sore throat.

What to do for a sore throat

  • Avoid tart, acidic, or salty foods, as well as pickled and vinegary foods, tomato-based foods, and some canned broths.
  • Avoid rough-textured or hard foods, like dry toast, crackers, chips, nuts, granola, and raw fruits and vegetables.
  • Choose lukewarm or cold foods that are soothing. Very hot foods can cause discomfort. Try freezing fruits, and suck on frozen fruit pops, fruit ices, or ice chips.
  • Stay away from alcohol, caffeine, and tobacco.
  • Avoid irritating spices like chili powder, cloves, curry, hot sauces, nutmeg, and pepper. Season foods with herbs like basil, oregano, and thyme.
  • Eat soft, creamy foods like cream soups, cheeses, mashed potatoes, yogurt, eggs, custards, puddings, cooked cereals, and canned liquid food supplements (see chart below).
  • Blend and moisten foods that are dry or solid. Mix them in with soups or sauces, gravies, and casseroles.
  • Avoid using mouthwashes that contain alcohol (which will cause burning).
  • Your doctor can prescribe a “swish and swallow” numbing mouthwash. Ask about this.
  • Puree or liquefy foods in a blender to make them easier to swallow.
  • What to eat or not eat when your throat is sore*

     

      Eat

      Foods that may cause problems

      High protein

      Soft, bland meats and casseroles like chicken and rice, macaroni and cheese, and tuna noodle casserole

      Ground meats

      Creamed soups

      Eggnog, milk, milk shakes

      Spicy foods like spaghetti, tacos, chili

      Whole meats if not well tolerated

      Breads, cereals, rice, and pasta

      Bread, if tolerated

      Cooked cereals, cold cereals with milk

      Crackers, hard-crust breads, salted rolls

      Fruits and vegetables

      Soft, non-acidic fruit and vegetables, if tolerated

      Citrus fruit and raw vegetables

      Drinks, desserts, and other foods

      Non-acidic juices like apple juice and pear nectar

      Decaffeinated coffee, tea, and soft drinks

      Non-chocolate pudding, cake, cookies (as tolerated), pie

      Gelatin

      Ice cream, sherbet

      Citrus juices (grapefruit, orange, lemon, and lime), tomato juice

      Caffeinated beverages, alcohol

      Chocolate desserts

      Pickles, vinegar, spices

      Potato chips, pretzels, popcorn, snack chips

    *Adapted from Eldridge B, and Hamilton KK, Editors, Management of Nutrition Impact Symptoms in Cancer and Educational Handouts. Chicago, IL: American Dietetic Association; 2004.

    What to do for mouth sores

  • Eat soft, bland foods like creamed soup, cooked cereal, macaroni and cheese, yogurt, and pudding.
  • Puree or liquefy foods in a blender to make them easier to swallow.
  • Serve foods cold or lukewarm, rather than hot, to reduce mouth irritation.
  • Tilt your head back to help foods and liquids flow to the back of the throat for swallowing.
  • Drink through a straw to bypass mouth sores.
  • Avoid irritating spices, seasonings, and condiments like pepper, chili powder, cloves, nutmeg, salsa, pepper sauces, and horseradish.
  • Avoid rough, dry, or coarse foods.
  • Eat high-protein, high-calorie foods to speed healing.
  • Look for yogurt made without citric acid.
  • Avoid alcohol, carbonated beverages, and tobacco.
  • Rinse your mouth often with a baking soda and salt mouthwash (made with 1 quart water, 1 teaspoon baking soda, and 1 teaspoon salt – shake well before each use) to help keep your mouth clean and make you more comfortable.
  • Your doctor can prescribe a “swish and swallow” mouthwash with a numbing agent if needed. Ask about this.
  • What to eat or not eat when you have mouth sores*

     

      Eat

      Foods that may cause problems

      High protein

      Ground, chopped, or blenderized meats, poultry, or fish

      Casseroles

      Egg, cheese, and bean dishes

      Milk shakes, yogurt, and commercial liquid nutritional supplements

      Whole meats, poultry, fish, dry meats

      Breads, cereals, rice, and pasta

      Moistened breads

      Cooked cereals, cold cereal soaked in milk

      Pasta and rice in sauce

      Dry toast, hard rolls, dry crackers, English muffins, bagels

      Fruits and vegetables

      Cooked or blenderized fruits; fruits and vegetables

      Fresh fruits and vegetables (unless very ripe, soft, and juicy, like applesauce, bananas, and watermelon); citrus fruit, pineapple, and other acidic fruits

      Pickled fruit; raw and pickled vegetables

      Tomatoes

      Drinks, desserts, and other foods

      Fruit nectars

      Flavored gelatin

      Ice cream, sherbet, pudding

      Butter, margarine, and vegetable oils

      Carbonated drinks

      Cookies and cakes unless soaked in milk

      Crunchy snacks like pretzels and chips

      Vinegar

      Condiments like pepper, pepper sauces, chili powder, cloves, nutmeg, salsa

    *Adapted from Eldridge B, and Hamilton KK, Editors, Management of Nutrition Impact Symptoms in Cancer and Educational Handouts. Chicago, IL: American Dietetic Association; 2004.


    Last Medical Review: 10/06/2011
    Last Revised: 10/06/2011

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