Nutrition Counseling and Care in the Management of Cancer
Nutrition is a process in which food is taken in and used by the body for growth, to keep the body healthy, and to replace tissue. Good nutrition is important for good health. Eating the right kinds of foods before, during, and after cancer treatment can help the patient feel better and stay stronger. A healthy diet includes eating and drinking enough of the foods and liquids that have important nutrients (vitamins, minerals, proteins, carbohydrates, fats, and water) the body needs.
Healthy eating habits are important during and after cancer treatment.
Nutrition therapy is used to help cancer patients keep a healthy body weight, maintain strength, keep body tissue healthy, and decrease side effects both during and after treatment.
For cancer patients, a dietitian nutritionist is an important part of the team of health professionals that help with cancer treatment and recovery. Our dietitian nutritionist will work with patients, their families, and the rest of the medical team to manage the patient’s diet during and after cancer treatment.



Cancer and cancer treatments may cause malnutrition:
Cancer and cancer treatments may affect taste, smell, appetite, and the ability to eat enough food or absorb the nutrients from food. This can cause malnutrition, which is a condition caused by a lack of key nutrients. Alcohol abuse and obesity may increase the risk of malnutrition.
Malnutrition can cause the patient to be weak, tired, and unable to fight infection or finish cancer treatment. Malnutrition may be made worse if the cancer grows or spreads.
Eating the right amount of protein and calories is important for healing, fighting infection, and having enough energy.
Anorexia and cachexia are common causes of malnutrition in cancer patients.
Anorexia is the loss of appetite or desire to eat. It is a common symptom in patients with cancer. Anorexia may occur early in the disease or later, if the cancer grows or spreads. Some patients already have anorexia when they are diagnosed with cancer. Most patients who have advanced cancer will have anorexia. Anorexia is the most common cause of malnutrition in cancer patients.

Cachexia is a condition marked by weakness, weight loss, and fat and muscle loss. It is common in patients with tumors that affect eating and digestion. It can occur in cancer patients who are eating well, but are not storing fat and muscle because of tumor growth.
Some tumors change the way the body uses certain nutrients. The body's use of proteins, carbohydrates, and fats may be affected, especially by tumors of the stomach, intestines, or head and neck. A patient may seem to be eating enough, but the body may not be able to absorb all the nutrients from the food.
Cancer patients may have anorexia and cachexia at the same time.
To find out the meaning of any word on this page, check it out on the NCI dictionary shown here.
Effects of Cancer Treatment on Nutrition
Cancer Treatment Options:
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Chemotherapy and Hormone Therapy
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Radiation Therapy
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Surgery
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Immunotherapy
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Stem Cell Transplant
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Alternative Treatments

Chemotherapy and hormone therapy affect nutrition in different ways.
Chemotherapy affects cells all through the body. Chemotherapy uses drugs to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Healthy cells that normally grow and divide quickly may also be killed. These include cells in the mouth and digestive tract.
Hormone therapy adds, blocks, or removes hormones. It may be used to slow or stop the growth of certain cancers. Some types of hormone therapy may cause weight gain.
Chemotherapy and hormone therapy cause different nutrition problems.
Side effects from chemotherapy may cause problems with eating and digestion. When more than one chemotherapy drug is given, each drug may cause different side effects or when drugs cause the same side effect, the side effect may be more severe.
The following side effects are common:
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Loss of appetite.
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Dry mouth.
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Sores in the mouth or throat.
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Changes in the way food tastes.
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Trouble swallowing.
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Feeling full after eating a small amount of food.
Patients receiving hormone therapy may need changes in their diet to prevent weight gain.
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