Nutrition
Nutrition is an important part of your treatment for stomach cancer. You need
the right amount of calories, protein, vitamins, and minerals to maintain your
strength and to heal.
However, when you have stomach cancer, it may be difficult to eat. You may be
uncomfortable or tired, and you may not feel like eating. You also may have
nausea, vomiting, constipation, or diarrhea from cancer treatment or pain
medicine.
Tell your health care team if you're losing weight or having any problems
digesting your food. A dietitian can help you choose the foods and nutrition
products that will meet your needs. Some people with stomach cancer are helped
by receiving nutrition by IV (intravenous). A temporary feeding tube is rarely
needed.
Nutrition after stomach surgery
A registered dietitian can help you plan a
diet that will meet your nutrition needs. A plan that describes the type and
amount of food to eat after surgery can help you prevent weight loss and
discomfort with eating.
After stomach surgery, you may need to take daily supplements of vitamins and
minerals, such as vitamin D, calcium, and iron. You may also need vitamin B12
shots.
Some people have problems eating and drinking after stomach surgery. Liquids
may pass into the small intestine too fast, which causes dumping syndrome. The
symptoms are cramps, nausea, bloating, diarrhea, and dizziness. To prevent these
symptoms, it may help to make the following changes:
- Plan to have smaller, more frequent meals (some doctors suggest 6 meals per
day)
- Drink liquids before or after meals
- Cut down on very sweet foods and drinks
(such as cookies, candy, soda, and juices)
- Ask your health care team if they can
suggest medicine to control the symptoms
You may want to ask a dietitian these
questions about nutrition:
- What foods are best soon after surgery?
How can I avoid dumping syndrome?
Are
there foods or drinks that I should avoid?
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Supportive care
Stomach cancer and its treatment can lead to other health problems. You can
have supportive care before, during, and after cancer treatment.
Supportive care is treatment to control pain and other symptoms, to relieve
the side effects of therapy, and to help you cope with the feelings that a
diagnosis of cancer can bring. You may receive supportive care to prevent or
control these problems and to improve your comfort and quality of life during
treatment.
You can get information about supportive care on NCI's Web site at
http://www.cancer.gov/cancertopics/coping and from NCI's Cancer Information
Service at 1-800-4-CANCER or LiveHelp (http://www.cancer.gov/help).