Bowel Changes

Navigating Bowel Changes During Cancer Treatment

At Missouri Cancer Associates, we understand that bowel changes, such as constipation and diarrhea, are common side effects of cancer treatment. We’re here to support you with strategies to manage these changes and improve your comfort during this time.

Managing Constipation

Constipation may involve difficulty passing a bowel movement, small or hard bowel movements, or no bowel movements at all. It can occur due to some cancer treatments, pain medications, and anti-nausea medications that may slow down your digestive system. Here are some steps you can take at home to manage constipation:

  1. Stay Hydrated: Fluids help keep stool soft. Aim for 8 to 10 glasses of fluid a day. Warm beverages can also be helpful. Try tea made with senna leaves, drinking one cup with food or after eating.
  2. Increase Physical Activity: Activity helps stimulate bowel movements. Consult your provider about appropriate physical activity during your treatment.
  3. High-Fiber Diet: Add fiber to your diet by incorporating bran into cereals or smoothies. Remember to stay hydrated while increasing fiber intake.
  4. Over-the-Counter Treatments: Stool softeners might be permissible during treatment. Ask your care team for recommendations.

Managing Diarrhea

Diarrhea may involve an increase in the number of bowel movements per day or an increase in the liquidity of your bowel movements. Here are some steps to manage diarrhea at home:

  1. Stay Hydrated: To avoid dehydration, drink at least one glass of non-caffeinated fluid after each bowel movement and aim for at least eight glasses a day.
  2. Diet Adjustments: Eat small, frequent meals throughout the day and track what you eat to identify problem foods and drinks. You may want to avoid:
    • Foods that produce gas
    • Spicy foods
    • Fried foods
    • Heavy meals
    • Caffeine
    • Sugar-free products made with reduced-calorie sweeteners
    • Concentrated sugars like jellies and fruit juices
    • Alcoholic beverages
  3. Incorporate Soluble Fiber: Foods like rice, bananas, bread, cereals, oats, potatoes, and applesauce can help manage diarrhea.
  4. Replenish Salt and Potassium: Adding sports drinks or bouillon to your diet can help.
  5. Reduce Discomfort: Sit in a warm tub of water, apply a water-repellent ointment like petroleum jelly to the anal area, and use dampened toilet paper or baby wipes to clean yourself.

Communicate with Your Provider

We know it may feel awkward to talk to your provider about your bowel movements, but tracking details like color, consistency, and frequency can help your team manage digestive issues during treatment. If you experience constipation for 2 to 3 days or diarrhea for more than 24 hours, contact your care team. We are here to help.

At Missouri Cancer Associates, our priority is your health and comfort. Don’t hesitate to reach out for support and guidance as you navigate these side effects.

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