衛教資訊
Care Guidelines for Diarrhea in Cancer Patients 癌症病人腹瀉照顧指引
Care Guidelines for Diarrhea in Cancer Patients 癌症病人腹瀉照顧指引
2024/1/2
Diarrhea is characterized by watery bowel movements for at least 3 times each day. During diarrhea, intestinal mucosal cells secrete excess water and electrolytes. If diarrhea cannot be controlled, dehydration, imbalance of sodium and potassium and insufficient nutrition will occur. Therefore, we must know how to control diarrhea.
Causes of cancer patients prone to diarrhea
- Tumor cells produce hormones that interfere with the normal absorption and peristalsis of the intestinal tract, or radiotherapy and chemotherapy cause damage and inflammation to the intestinal cells, so the intestine cannot absorb nutrients, water and electrolytes for blood circulation.
- The surface of the intestine becomes smooth, allowing the peristalsis to become faster for absorption, and damage to the intestine is often the cause of infections in the body.
- Excessive use of antibiotics can also lead to diarrhea, and severe diarrhea can sometimes disrupt the treatment of cancer.
What should I do with diarrhea?
- Replenish body fluids, but do not drink carbonated drinks.
- Avoid caffeinated drinks because they increase diarrhea. Avoid milk or dairy products because lactose intolerance is the cause of secondary diarrhea.
- Apply a hot compress over the abdomen for comfort. Take a rest to restore physical strength. Take a sitz bath with warm water to maintain the integrity of the anal skin and keep the anal area clean. Wash hands thoroughly after toilet to reduce the spread of infection.
- Eat small meals. Pay attention to foods that cause diarrhea and avoid or carefully eat them to prevent the recurrence of diarrhea.
- Eat high-potassium foods such as bananas and mashed potatoes to supplement the potassium ions lost by diarrhea.
- Avoid spices and high-fat foods. Avoid raw vegetables and fruits to reduce intestinal irritation. Use nutmeg to reduce intestinal peristalsis.
- You should inform your nurse when you have any of the following conditions: 1) a fever; 2) severe colic; 3) an increase in frequency and amount of diarrhea; 4) weakness; 5) blood, pus and mucosae in your stool; 6) inability to eat or drink water.
- You must let your doctor or nurse know that you are taking any medication that can cause diarrhea.
- 蔡旻君、邱哲琳、楊雀戀(2018).癌症化學及放射線治療副作用的營養照護.臨床醫學月刊,82(6),730-733。https://doi.org/10.6666/ClinMed.201812_82(6).0134
- Andreyev, J., Ross, P., Donnellan, C., Lennan, E., Leonard, P., Waters, C., Wedlake, L., Bridgewater, J., Glynne-Jones, R., Allum, W., Chau, I., Wilson, R., & Ferry, D. (2014). Guidance on the management of diarrhoea during cancer chemotherapy. The Lancet. Oncology, 15(10), e447–e460. https://doi.org/10.1016/S1470-2045(14)70006-3
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電話:(04) 22052121 分機 17274
中國醫藥大學附設醫院暨體系院所