Radiation enteropathy dietary management

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Radiation enteropathy or radiation enteritis is the syndrome that develops after the intestine is exposed to radiation.

Treatment options

  • Starting a low-fiber diet on the first day of radiation treatment can be helpful.
  • Avoiding the following foods may help with symptoms:
  • Alcohol and tobacco
  • Almost all milk products
  • Coffee, tea, chocolate, and soda drinks with caffeine
  • Foods containing whole bran
  • Fresh and dried fruits
  • Fried, greasy, or fatty foods
  • Nuts and seeds
  • Popcorn, potato chips, and pretzels
  • Raw vegetables
  • Rich pastries and baked goods
  • Some fruit juices
  • Strong spices
  • Foods and drinks that are better choices include:
  • Apple or grape juice
  • Applesauce, peeled apples, and bananas
  • Eggs, buttermilk, and yogurt
  • Fish, poultry, and meat that has been broiled or roasted
  • Mild, cooked vegetables such as asparagus tips, green or black beans, carrots, spinach, and squash
  • Potatoes that have been baked, boiled, or mashed
  • Processed cheeses, such as American cheese
  • Smooth peanut butter
  • White bread, macaroni, or noodles
  • Other ways to control the symptoms of radiation enteritis include:
  • Eat foods at room temperature
  • Eat small meals more often
  • Your doctor may suggest or prescribe certain medications:
  • Drugs that help decrease diarrhea, such as loperamide
  • Pain medications
  • Steroid foam that coats the lining of the rectum
  • Special enzymes to replace enzymes from the pancreas
  • Drink plenty of fluids (up to 12 8-ounce glasses) every day when you have diarrhea. Some people need fluids given through a vein (intravenous fluids).
  • Your health care provider may choose to stop or reduce the dosage of radiation for a short period of time.
  • There often are no good treatments for chronic radiation enteritis. Your doctor may discuss surgery to either remove or go around (bypass) a section of damaged intestine.

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