{"id":9001,"date":"2024-06-12T23:48:29","date_gmt":"2024-06-12T23:48:29","guid":{"rendered":"https:\/\/oncoalicia.com\/?page_id=9001"},"modified":"2025-07-04T08:38:05","modified_gmt":"2025-07-04T08:38:05","slug":"recommendations-for-loss-of-appetite-nausea-vomiting-taste-alteration-and-asthaenia-with-or-without-mucositis","status":"publish","type":"page","link":"https:\/\/oncoalicia.com\/en\/types-of-cancer\/gastric\/adjuvant-post-surgical-treatment\/recommendations-for-loss-of-appetite-nausea-vomiting-taste-alteration-and-asthaenia-with-or-without-mucositis\/","title":{"rendered":"Dietary Recommendations in Post-Gastrectomy Adjuvant Treatment"},"content":{"rendered":"
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WHAT DO WE RECOMMEND?<\/h2>\n<\/p><\/div>\n
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Ensure good hydration. <\/i><\/a><\/h3>\n
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It is recommended to consume about 1.5 litres of liquid per day, but because that is not always easy, it is preferable to try to reach the maximum that each person can tolerate.
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In many cases, water alone is not well tolerated, so other liquids should be drunk, such as broth, diluted juice or diluted vegetable and fruit smoothies.
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It is advisable to always drink outside of meals and in small amounts and sips, and not to drink within 30 to 60 minutes before or after meals.<\/p>\n<\/p><\/div>\n

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\n Some suggested recipes:<\/b>\n <\/div>\n<\/p><\/div>\n
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\n Ginger tea<\/p><\/div>\n<\/p><\/div>\n

<\/a>\n <\/div>\n

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\n Red fruits tea<\/p><\/div>\n<\/p><\/div>\n

<\/a>\n <\/div>\n

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\n Melon and yogurt smoothie\n <\/div>\n<\/p><\/div>\n

<\/a>\n <\/div>\n<\/p><\/div>\n

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\n Apple, carrot and pear juice\n <\/div>\n<\/p><\/div>\n

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\n Fruit and yogurt ice pops\n <\/div>\n<\/p><\/div>\n

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Ice creams and jellies can also be a good way to help hydrate, and a good choice for when taste is altered.<\/p>\n<\/p><\/div>\n

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\n Some suggested recipes:<\/b>\n <\/div>\n<\/p><\/div>\n
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\n Peach jelly<\/p><\/div>\n<\/p><\/div>\n

<\/a>\n <\/div>\n

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\n Kiwi and apple ice lollies<\/p><\/div>\n<\/p><\/div>\n

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\n Ginger and mint jelly<\/p><\/div>\n<\/p><\/div>\n

<\/a>\n <\/div>\n<\/p><\/div>\n<\/p><\/div>\n

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Sometimes carbonated beverages can lower the sensation of nausea (sparkling water, cola or ginger ale, etc.), although it will depend on each person\u2019s tolerance and the evolution of rapid gastric emptying (dumping syndrome). <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n

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Divide feeding into six or more small meals per day. <\/i><\/a><\/h3>\n
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It is important to eat more meals per day to ingest different foods and a higher proportion of nutrients. Thus, at a minimum, the feeding should be divided into breakfast, mid-morning snack, lunch, afternoon snack, dinner and after-dinner snack. In some cases, even more small meals eaten every two hours may be needed.
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Even if you have no appetite, it is essential to think about the need to eat. How much you eat in a single meal matters less than the total you have managed to eat by the end of the day, so it is important to set small goals that can be met throughout the day.
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It is advisable to avoid prolonged fasting, so ideally you should have a snack before bedtime in order to reduce the fasting time.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n

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Eat slowly and chew thoroughly. <\/i><\/a><\/h3>\n
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It is essential to chew food very well and mash it into a pur\u00e9e before swallowing. <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n

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Rest in a seated or semi-reclined position after meals.<\/h3>\n<\/p><\/div>\n
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Ensure that foods from most of the food groups are eaten throughout the day. <\/i><\/a><\/h3>\n
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Fruits, dairy, starchy foods (cereals, tubers, legumes*, etc.), protein-rich foods (eggs, fish, meat, tofu, tempeh, seitan, textured protein) and healthy fats (virgin olive oil, nuts**), depending on tolerance.
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Incorporate vegetables, in small amounts at first, since they are very filling and provide few calories.
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*Legumes should be incorporated in pur\u00e9ed form (creams, pur\u00e9es, etc.) or mashed with a fork to facilitate digestion.
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** Nuts should be incorporated ground or crushed.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n

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Progress with food little by little. <\/i><\/a><\/h3>\n
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It is common for a liquid diet to be eaten during the hospital stay and then to progress to a pur\u00e9ed diet when patient goes home. There, a diet with soft-textured foods can be started, which can be mashed if they are not tolerated in solid form. The type of food and textures needed may progress day by day, according to the specifications of the medical team.<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/p><\/div>\n

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Ensure that main meals are complete. <\/i><\/a><\/h3>\n
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Even in small amounts, always ensure the presence of starchy, protein-rich foods, vegetables in small amounts and fruit, as indicated in the plate method at lunch and dinner. A dessert dish can be used as the basis for a main course, a first or second course or a tapas-style meal.<\/p>\n<\/p><\/div>\n

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\n Some suggested recipes:<\/b>\n <\/div>\n<\/p><\/div>\n
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\n Chicken blanquette\n <\/div>\n<\/p><\/div>\n

<\/a>\n <\/div>\n

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\n Miso noodle soup\n <\/div>\n<\/p><\/div>\n

<\/a>\n <\/div>\n

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\n Cod and vegetable risotto\n <\/div>\n<\/p><\/div>\n

<\/a>\n <\/div>\n<\/p><\/div>\n<\/p><\/div>\n

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Keep in mind that vegetables provide few calories, so it is important to consume them in small amounts, and always well-seasoned and\/or accompanied by more nutritious foods. <\/p>\n<\/p><\/div>\n

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\n Some suggested recipes:<\/b>\n <\/div>\n<\/p><\/div>\n
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\n Green omelette\n <\/div>\n<\/p><\/div>\n

<\/a>\n <\/div>\n

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\n Orange omelette\n <\/div>\n<\/p><\/div>\n

<\/a>\n <\/div>\n

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\n Purple omelette\n <\/div>\n<\/p><\/div>\n

<\/a>\n <\/div>\n<\/p><\/div>\n

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\n Beetroot and yogurt cr\u00e8me of soup\n <\/div>\n<\/p><\/div>\n

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\n Turkey and vegetable savory flans\n <\/div>\n<\/p><\/div>\n

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\n Fish, potato and vegetable \u2018healthy eating plate\u2019 cooked in the microwave\n <\/div>\n<\/p><\/div>\n

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Ensure that all meals contain starchy foods. <\/i><\/a><\/h3>\n
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White rice, pasta, potato, carrot, toast, oatmeal or legumes.
Please note the following instructions:<\/p>\n