So lets just cut straight, this is my first entry about a neutropenic diet. Just spreading some knowledge about diet for cancer patients. Happy reading hearts :)
Neutropenia is a condition of the blood, in which white blood cells have a
low number of neutrophils. People with neutropenia have greater risk of
infections as body is not well-equipped to fight infections. People with weakened immune systems can practice a neutropenic
diet. This diet provide a protection from bacteria and other harmful organisms
found in some food and drinks. A special diet, neutropenic diet which is low in microbial
or low-germ diet,
is recommended when neutrophils are significantly lower than
normal. This diet is
to minimize exposure to food-borne bacteria and to decrease the risk of
infection. In other words, if immune system is not
working well, the body may encounter barrier to protect themselves from
bacteria.
Usually, doctors
often recommend this diet before and after certain types of chemotherapy and
other cancer treatments. Many cancer patients have a blood test called an
absolute neutrophil count (ANC) blood test which is done routinely. ANC helps
to determine the body’s ability to fight against infection. The patient is
often instructed to follow a neutropenic diet when the ANC is less than 500
cells/mm3. Neutropenic diet should be followed until the doctor tells the patient
to resume their regular diet.
Diet and nutrition can
be affected by cancer and its treatment in many ways. Different cancer
treatments can cause different side effects. Among them are fatigue, nausea/vomiting,
loss of appetite, changes in taste and smell, mouth tenderness or sores,
changes in bowel habits such as constipation and diarrhea. Another important
side effect to be aware of is low blood counts. Normally, it can be caused by
many chemotherapy drugs, and also sometimes by radiation therapy. A decrease in
white blood cells is not always accompanied by symptoms as white blood cells
are particularly vulnerable.
Normally, patients
undergoing allogeneic stem cell transplants typically follow this diet during
the pre-transplant chemotherapy. They will continue on it until they cease to
take immunosuppressive drugs. Patients undergoing autologous stem cell
transplants typically follow this diet during the pre-transplant chemotherapy.
They continue follow this diet for the first 3 or more months after transplant.
The transplant team will tell the patient how long to follow this diet.
Besides, people who have had an organ transplant or who are being treated for
HIV/AIDS also may need to follow this diet.
There are several foods to avoid in
a neutropenic diet. Examples are raw milk or raw milk products or any unpasteurized milk or milk
products, including cheese and yogurt made from unpasteurized milk. Next, hot
dogs, deli meats, or processed meats need to be avoided unless they have been
cooked or thoroughly reheated just before eating. Besides, raw or undercooked meat, fish, chicken, eggs, or
tofu, cold smoked fish, including lox, jerky, kippered, or nova-style fish.
Miso or tempeh products. Uncooked
vegetables and fruits or unwashed salad greens, uncooked grain products, vegetable
sprouts, such as alfalfa, bean, and others also need to be avoided. Lastly, unpasteurized
fruit or vegetable juices, unpasteurized, raw honey and raw nuts or nuts
roasted in their shells also among the foods that need to be avoided.
Besides,
another neutropenia self-care and precautions that
can be done to keep yourself healthy is to practice a neutropenic diet
in order to avoid bacteria and infection. Next, limit
exposure to people and pets and practice good hand-washing techniques.
While gardening, you should wear gloves to avoid punctures, cuts and bruises.
Another precaution that can be practiced is to always keep applying hand sanitizer when needed.
Next, do not forget to use antibacterial soaps and wipes to clean around the
house and lastly prepare and stare all the foods carefully to avoid mold and
bacteria.
Thank you for reading, take care loves!
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