What to eat when you don’t feel like eating.
With more and more people taking an active interest in nutrition, you might hear plenty of “research” from your loved ones about what you should be eating—or not eating—during your lung cancer treatment.
As well-intentioned as these tips may be, it’s important to remember that your loved ones are (probably) neither registered dietitians nor oncologists. It’s also crucial to never make extreme dietary changes to your diet during lung cancer treatment without first discussing it with your doctor.
“You will hear things. You will see things on the internet,” says Jorge Gomez, MD, lung oncologist at Mount Sinai Hospital. “What’s important is to have a healthy, balanced diet to be able to maintain weight during treatment.”
Dealing with Loss of Appetite During Lung Cancer Treatment
“Oftentimes a lung cancer patient may have experienced a significant amount of weight loss,” says Kevin Sullivan, MD, lung oncologist at Monter Cancer Center, Northwell Health.
Lung cancer patients tend to experience more severe loss of appetite and malnutrition than patients with other types of cancer, according to a 2016 article from Lung Cancer: Targets and Therapy. This malnutrition during treatment is associated with a poorer outcome, possibly due to a weakened immune system and poor lung and heart function.
Loss of appetite is common during lung cancer treatment, but it can be caused by a variety of factors:
Proteins secreted by tumors
Nausea and vomiting caused by chemotherapy or other treatments
Sore throat caused by radiation
“Nutrition is very important—not specific nutrition, but nutrition that will help a patient maintain their weight,” says Dr. Gomez. “In some patients who have no appetite, high-calorie foods are extremely important.”
There are many healthy high-calorie foods to choose from (think avocados and nuts), but even ice cream and Oreos are useful tools to keep weight up during lung cancer treatment. For people with extremely low appetites, any calories are better than no calories.
“If a patient has a significant amount of weight loss, we usually like to start with having the patient at least eat what is appealing to them to begin with,” says Dr. Sullivan. “Sometimes we can supplement that with certain nutritional supplements or [meal] replacements.”
To get more nutrients during lung cancer treatment, try these tips from the American Lung Association:
Eat whenever you’re hungry, even if it’s not a typical meal time.
Avoid low-calorie foods.
Eat several small meals a day.
Try liquid or pureed meals if a sore throat is preventing you from eating.
Drink mint and ginger teas to soothe nausea.
Eat bland foods if you have upset stomach, such as oatmeal, white bread, applesauce, eggs, broth, or low-fat dairy products.
Drink plenty of water, which can also help prevent dehydration if you are vomiting.
If you’re still struggling, doctors might also prescribe certain medications that can help increase your appetite, according to Dr. Sullivan.
Tips for Caregivers
If you’re caring for a lung cancer patient, you might feel a lot of pressure to give your loved one the best nutrition possible. This can be further complicated by their stunted appetite.
“Watch what they’re eating and how much they’re eating,” says Dr. Gomez. “If patients are losing weight, or if they’re not eating, it’s important to talk to your doctor because there are things that can be done to improve that.”
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You will hear things,
you will see things on the Internet.
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You will have friends or friends or
friends who will tell you about foods that
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you need to avoid, or
foods that you need to eat.
00:00:12,605 --> 00:00:15,305
But what's important,
is to have a healthy,
00:00:15,305 --> 00:00:19,264
balanced diet to be able to maintain
your weight during treatment.
00:00:19,264 --> 00:00:24,165
00:00:24,165 --> 00:00:28,196
Oftentimes a lung cancer patient may
have experience a significant amount of
00:00:28,196 --> 00:00:28,946
00:00:28,946 --> 00:00:32,281
That can be due to the loss of appetite,
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to underlying depression or there
are also factors in the disease itself.
00:00:36,674 --> 00:00:41,576
The tumor can secrete certain things into
the body that make a patient lose their
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appetite and also to lose weight, as well.
00:00:44,294 --> 00:00:48,410
So significant weight loss actually
is a poor prognostic factor.
00:00:48,410 --> 00:00:54,085
And if a patient has experienced more
than 5% weight loss from their baseline,
00:00:54,085 --> 00:00:56,677
that can indicate a poor prognosis.
00:00:56,677 --> 00:01:01,138
Patients who have lost the significant
amount of weight are less likely to be
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alive at one year than patients who have
not lost the significant amount of weight.
00:01:06,034 --> 00:01:09,240
And so nutrition is very important.
00:01:09,240 --> 00:01:15,431
Not specific nutrition but nutrition that
will help a patient maintain their weight,
00:01:15,431 --> 00:01:19,427
and usually the best diet is a balanced,
00:01:19,427 --> 00:01:21,737
But in some patients who have no appetite,
00:01:21,737 --> 00:01:24,248
high calorie foods
are extremely important.
00:01:24,248 --> 00:01:28,558
If a patient has a significant amount
of weight loss, we usually like to start
00:01:28,558 --> 00:01:32,826
with having the patient at least eat
what is appealing to them to begin with.
00:01:32,826 --> 00:01:34,547
I think that's always
a good starting point.
00:01:34,547 --> 00:01:39,053
And then sometimes we can supplement that
with certain nutritional supplements or
00:01:39,053 --> 00:01:43,751
meal replacements, particularly on those
scenarios where a patient doesn't seem to
00:01:43,751 --> 00:01:45,182
have much of an appetite.
00:01:45,182 --> 00:01:50,000
Additionally, clinicians might consider
certain medications that might help
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promote an appetite where
a patient have lost one, as well.
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As a caretaker,
00:01:54,409 --> 00:01:58,261
it's important to watch what the patient
is eating and how much they're eating.
00:01:58,261 --> 00:02:01,920
If patients are losing weight, or if
they're not eating, it's important to talk
00:02:01,920 --> 00:02:05,125
to your doctor because there are things
that can be done to improve that.
00:02:05,125 --> 00:02:14,740
Cranganu A, Camporeale J. Nutrition aspects of lung cancer. Nutr Clin Pract. 2009 Dec;24(6):688-700.
Kiss N. Nutrition support and dietary interventions for patients with lung cancer: current insights. Lung Cancer (Auckl). 2016;7:1-9.
Nutrition during lung cancer treatment: infographic. Baltimore, MD: Johns Hopkins Medicine. (Accessed on August 14, 2018 at https://www.hopkinsmedicine.org/health/articles-and-answers/wellbeing/nutrition-during-lung-cancer-treatment-infographic.)
Nutrition for lung cancer patients. American Lung Association. (Accessed on August 14, 2018 at http://www.lung.org/lung-health-and-diseases/lung-disease-lookup/lung-cancer/patients/treatment/stay-healthy/nutrition.html.)