What should a colon cancer patient eat

Colon Cancer: Proper Diet In Aftercare

Status: 03.02.2020 4:36 p.m. | archive

Colon cancer surgery is always a serious procedure. Depending on the size and location of the removed section of the intestine, irregularities in digestion occur in many cases. In addition, accompanying treatments such as radiation (radiation) and / or chemotherapy are necessary before and / or after the operation, some of which can have a significant effect on appetite and the supply of nutrients.

VIDEO: Follow-up care for colon cancer: strengthening good intestinal bacteria (13 min)

Nutritional therapy for colon cancer is very individual

Every patient has to struggle with different problems, which also change depending on the treatment phase. The diet must therefore be adapted to the respective situation just as individually and gradually. From the start of cancer therapy, accompanying nutritional advice is sensible and helpful in order to minimize the side effects of the treatment and to avoid malnutrition.

You can find help here

You can find nutrition experts in your area at the Oecotrophologie Professional Association (VDOE) and at the VDD.

The ILCO e. V. (self-help association for people with stoma and colon cancer) offers self-help groups for those affected in many places.

Consult a nutritionist

Back in everyday life, it makes sense to have your family doctor or professional nutritionist accompany you on your way to a well-functioning digestion. Because many patients suffer from the usual side effects such as diarrhea, flatulence, constipation and loud bowel noises. Occasionally, inflammation of the intestinal walls and impairment of the intestinal flora occur.

The health insurance companies also help to find suitable advice. In addition, there are self-help groups in many places where those affected and their relatives can exchange ideas.

Aim for a wholesome diet

The return to a normal, balanced everyday diet takes place in stages. Each phase can have a different duration. Those affected often have to be patient. Because it can take some time to find out which foods are well tolerated. This can change over time, so that adjustments are necessary again and again. In the long term, colon cancer patients should orientate themselves towards a Mediterranean, anti-inflammatory diet. That means: vegetables and lots of low-sugar fruit, high-fiber grain products (whole grain, no wheat) and legumes, few animal products - most likely fish.

Eat slowly and exercise enough

Three meals a day are best for the impaired digestive tract. In the breaks of several hours in between, the bowel can recover. In addition, warm meals are easier to digest. Every bite should be chewed thoroughly as digestion begins in the mouth. If symptoms keep recurring, a food diary can help track down the connections between food and symptoms.

It is also important to have a healthy lifestyle with sufficient exercise. Both overweight and underweight should be avoided at all costs.

Dietary supplements only by arrangement

Many patients fear a lack of vitamins and minerals. Since most of the nutrients are absorbed in the small intestine, which is rarely affected by colon cancer surgery, there is usually no risk of permanent shortage. However, treatments such as radiation or chemotherapy can very well affect nutrient absorption. Therefore, an analysis of vitamins, minerals or trace elements makes sense in these cases. In any case, dietary supplements should only be taken in consultation with a doctor.

In the case of complaints - depending on the situation - a microbiome analysis (examination of the composition of the intestinal flora) may be indicated. This can often be done by general practitioners. However, a stool analysis is not useful for every patient.

Tips for nutrition after colon cancer therapy

A balanced everyday diet can be based on the following information. Please note the individual tolerance and discuss changes with your doctor or nutritionist.

  • Three meal structure: 3 main meals, 4-5 hours break between meals (please set a nutritional schedule for a week).
  • To relieve the intestines several times a day eat warmChew, slowly and with pleasure, 30 times.
  • Mediterranean food: Increase vegetable portions and their variety, use herbs and olive oil for cooking, use good fats from avocado and sea fish (omega-3 fatty acids).
  • Significantly reduce animal products in the long term: Eggs, dairy products and especially processed meat such as Avoid sausage, ham and red meat (According to the World Health Organization, it is carcinogenic). Eat fish in moderation.
  • Anti-inflammatory diet: high-quality vegetable oils (omega-safe produced linseed oil, possibly with DHA / EPA additive, extra virgin olive oil, walnut oil), sea fish 1-2 times a week because of the omega-3 fatty acids, possibly algae, a lot vegetables, in particular broccoli, spinach, tomato, radish; low-sugar fruit, like berries like blueberries, strawberries, aronia; anti-inflammatory Spices and Herbs: Turmeric, ginger, curry; avoid fast carbohydrates Bake yourself (sugar, sweet drinks / juice, sweets, wheat products) and more - use old grains instead of wheat (spelled, emmer, einkorn).
  • Take in enough saturating protein (at least 1 gram per kilo of body weight per day, some cancer patients need more). Good vegetable sources of protein are nuts (soak them overnight for better digestion), mushrooms and - if tolerated - legumes.
  • Fiber gradually and very slowly increase; Goal: 30 grams / day.
  • Drink at least 2 liters per day: Water (still mineral water), unsweetened tea or broth, preferably blueberry tea. Do not drink with meals, no fruit juices and no soft drinks, no alcohol. Cut down on caffeine.
  • Have vitamin and mineral status tested if necessary, especially if you have frequent diarrhea. Many people have vitamin D deficiency, which delays healing and can lead to cancer. Those who live vegan or almost vegan should have their vitamin B12 level tested regularly; the vitamin may have to be substituted.

Detect and treat colon cancer

Colon cancer causes no pain and hardly any symptoms for a long time. Since it is hereditary in many cases, everyone with a family history should go to preventive care at an early stage. more

This topic in the program:

The Nutritional Docs | 02/03/2020 | 9:00 p.m.