NCCN Guidelines for Patients® | Caring for Adolescents and Young Adults - page 69

69
NCCN Guidelines for Patients
®
: Caring for Adolescents and Young Adults
Version 2013
Par t 6
Part 6: Coping with side effects
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Suck on ice chips or ice pops (not citrus!) before and during chemotherapy
to help prevent oral mucositis from developing.
Switch to the softest toothbrush possible, and brush your teeth within 30
minutes of every meal. If your mouth is very sensitive, try a sponge-tipped
swab.
Avoid products that contain alcohol, which can irritate and dry your mouth.
Try a specialty toothpaste—such as Biotene—that does not contain sodium
lauryl sulfate.
Rinse your mouth regularly with a lubricating mouthwash (such as Biotene)
or a diluted solution of baking soda and warm water.
Steer clear of spicy or acidic foods (such as chili and lemonade).
If you’re experiencing diarrhea, be sure to increase your intake of fluids to make
up for what you’re losing. To prevent diarrhea, try the following:
Eat several small meals a day,
Increase your intake of easy-to-digest foods such as bananas,
white rice, and applesauce,
Avoid high-fiber foods such as whole grains or raw fruits and vegetables,
and gassy foods like broccoli, and
Avoid spicy, fried, greasy, or rich foods, including dairy products.
Let your treatment team know if you have more frequent bowel movements or
severe diarrhea for two or more days in a row. If you become dehydrated you may
require fluid replacement, including IV administration of fluids.
Definitions
Chemotherapy:
Drugs
that kill all cells that grow
rapidly, including cancer
cells and normal cells
GI tract:
The group of
organs that food passes
through when you eat
Acronyms
GI=
Gastrointestinal
IV=
Intravenous
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