Medical Forum / Diseases and Disorders / Cancer / June 2006
best sources of protein for colorectal cancer patients?
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(optional) - 25 Jun 2006 19:31 GMT Hi All
Mom's had inoperable stage 4 CRC, diagnosed fall of 2002. Been very lucky with some treatments (CPT-11 + 5FU for almost two years) not so much with the others. We're out of conventional treatments now.
So because of past chemo or just the cancer or both, Mom is having trouble eating. Not so much eating of course, but digesting. She gets cramps, heartburn, gas and sometimes vomits. She has to stay home in case nature calls and often doesn't eat until after she's been out and about. Her weight is way down (20 pounds below ideal)
We're about to start a phase 2 clinical trial for ticilimumab, which as most of you probably know tries to get the immune system to see the cancer cells as invaders rather than as part of the body.
And to get to the point, her CBC shows deficient protein levels. I understand that protein is important to the immune system and am encouraging her to try whey powder to boost her protein, but she is understandably reluctant to try anything new, considering the trouble she is having.
Any suggestions of good sources of protein that might not upset her digestion too much?
TIA
Emily - 25 Jun 2006 23:17 GMT gottinhimmel@mittelsmerz.de said...
> Any suggestions of good sources of protein that might not upset her > digestion too much? Other people will have more inventive ideas I'm sure, but here are a couple to be getting on with in the meantime:
Can she eat fish? White fish like cod or plaice is usually fairly easy to digest; oily fish such as tuna have other benefits as well. If she can tolerate egg yolk she may be able to eat scrambled eggs or omelettes; how about some lean minced beef (unless she's vegetarian of course) and some well-cooked brown rice?
Pasta is often overlooked as a source of protein. It probably doesn't contain much, but its main ingredient is (I think) flour, which being derived from a grain should be pretty good...
 Signature Em
betsyb - 25 Jun 2006 23:29 GMT > gottinhimmel@mittelsmerz.de said... >> Any suggestions of good sources of protein that might not upset her [quoted text clipped - 12 lines] > contain much, but its main ingredient is (I think) flour, which being > derived from a grain should be pretty good... Em, protein in pasta is only 7gr, maybe peanutbutter might go down as easily.
betsy
Emily - 26 Jun 2006 00:03 GMT betsy959@TRASHoptonline.net said...
> > gottinhimmel@mittelsmerz.de said... > >> Any suggestions of good sources of protein that might not upset her [quoted text clipped - 17 lines] > Em, protein in pasta is only 7gr, maybe peanutbutter might go down as > easily. I wondered about peanut butter, but then it occurred to me that it might not be as easy to digest. Mind, it can be thinned down and used in a sauce over things like chicken or lean beef...
Steph - 26 Jun 2006 04:14 GMT > betsy959@TRASHoptonline.net said... >> [quoted text clipped - 23 lines] > not be as easy to digest. Mind, it can be thinned down and used in a > sauce over things like chicken or lean beef... For god's sake, let her eat what she fancies...........
(optional) - 26 Jun 2006 04:39 GMT >For god's sake, let her eat what she fancies........... YEs yes yes, and that's sort of what I'm trying to do. I'm looking for things that are high in protein and easily digestible. Of course I want her to be comfortable, but if there's something she would enjoy eating and digesting that would also increase her protein, I want to know what it is.
Thanks for the suggestions so far.
Steph - 26 Jun 2006 07:47 GMT >>For god's sake, let her eat what she fancies........... > [quoted text clipped - 5 lines] > > Thanks for the suggestions so far. Never mind the ulterior motive. Let her eat what she wants
Janet Wilder - 26 Jun 2006 14:44 GMT > YEs yes yes, and that's sort of what I'm trying to do. I'm looking > for things that are high in protein and easily digestible. Of course I [quoted text clipped - 3 lines] > > Thanks for the suggestions so far. How about egg custard? Milk and eggs. Protien and calcium with some fat and good vitamins as a bonus. Easy to digest. Easy to swallow.
I looked about but couldn't find a recipe I had to make it in the microwave. I'm sure you can find one on the Internet.
Hugs, Janet
 Signature ----------- Janet Wilder The Road Princess http://janetwilder.blogspot.com
betsyb - 26 Jun 2006 15:25 GMT >> YEs yes yes, and that's sort of what I'm trying to do. I'm looking >> for things that are high in protein and easily digestible. Of course I [quoted text clipped - 10 lines] > Hugs, > Janet MICROWAVE EGG CUSTARD
1 3/4 c. milk 1/4 c. sugar 1/8 tsp. salt 3 eggs, slightly beaten 1 tsp. vanilla
Heat milk in glass cup 3 1/2 minutes on high. Mix rest of ingredients and add hot milk. Pour into 6 custard cups. Microwave 9-12 minutes, power 4, or until set but not real firm. Cool room temperature.
BetsyB
Janet Wilder - 26 Jun 2006 17:22 GMT > MICROWAVE EGG CUSTARD > [quoted text clipped - 9 lines] > > BetsyB Good job, BetsyB! Thanks.
Janet
 Signature ----------- Janet Wilder The Road Princess http://janetwilder.blogspot.com
betsyb - 26 Jun 2006 20:52 GMT >> MICROWAVE EGG CUSTARD >> [quoted text clipped - 13 lines] > > Janet Google has become my very bestest friend in the whole wide world.
(optional) - 27 Jun 2006 00:45 GMT Thank you betsyb!
>>> MICROWAVE EGG CUSTARD >>> >>> 1 3/4 c. milk turtletrot1 - 26 Jun 2006 20:51 GMT > Any suggestions of good sources of protein Egg white is pure protein. A soft meringue? Lots of possibilities. Make sure it is something she likes. I am sure with all the chemo her sense of taste is off. Let her guide you.
Blessings to all of you. Enjoy today - it is all we have.
Emily - 26 Jun 2006 22:38 GMT turtletrot1@bellsouth.net said...
> > Any suggestions of good sources of protein > > Egg white is pure protein. Yolk, surely?
turtletrot1 - 27 Jun 2006 14:08 GMT > turtletrot1@bellsouth.net said... > > [quoted text clipped - 3 lines] > > Yolk, surely? No, not the yolk. That has other nutritional values. Did you know the German word for protein is Eiweiß! Yep, Eier=Egg Weiss=White! As I said, the white is pure protein.
Janet Wilder - 27 Jun 2006 15:37 GMT >>turtletrot1@bellsouth.net said... >> [quoted text clipped - 7 lines] > German word for protein is Eiweiß! Yep, Eier=Egg Weiss=White! > As I said, the white is pure protein. I use egg whites to make sugar-free, low carb treats for DH who is Diabetic. There is a product called "Just Whites" that can usually be found in the baking aisle of the supermarket. It's powdered egg white that you reconstitute with warm water.
We were just throwing out the yolks before I found the powder. You might want to get some of this powder to add to shakes or even to enrich an egg dish with more protien.
Janet
 Signature ----------- Janet Wilder The Road Princess http://janetwilder.blogspot.com
bj - 27 Jun 2006 18:40 GMT > I use egg whites to make sugar-free, low carb treats for DH who is > Diabetic. There is a product called "Just Whites" that can usually be > found in the baking aisle of the supermarket. It's powdered egg white that > you reconstitute with warm water. Using the powder makes it easy to vary the "thickness" of the reconstituted whites. I've used JW for "scrambled egg" & usually make it with 3-egg-worth of water to 2-egg-worth of powder.
I *think* you can also get liquid JW in the egg aisle. bj
mimi2303 - 27 Jun 2006 11:19 GMT my husband has colon cancer and we are currentyly doing chemo. some suggestions they have given me are to add ice cream to regular milk as a drink, add heavy cream to whole milk as a drink, take a daily prenatal vitamin, at my local grocery i buy egg custard with a crust, they doctor explained to me that if you eat a well rounded diet, all numbers will go up. one food may be high in iron and still boost other numbers. your body knows when something is going wrong and it sorta effects other things too. small tiny bites very often. i have found if i don't make my husband eat at the dinner table and eat on a tray watching tv he seems to not think about it as much and eat better. my dr suggest cheese added to eggs and omelets. rita
> Hi All > [quoted text clipped - 22 lines] > > TIA Janet Wilder - 27 Jun 2006 15:32 GMT i have found
> if i don't make my husband eat at the dinner table and eat on a tray > watching tv he seems to not think about it as much and eat better. Rita, I have to cut my food into tiny pieces to chew it with half a tongue. I found that reading at the table helps. My late mother, may she rest in peace, must be frowning at me from the World to Come <g>, but it is very helpful to have something other than the eating process to occupy my mind especially when it takes so long to finish a meal. I think the TV tray is a great idea!
Janet
 Signature ----------- Janet Wilder The Road Princess http://janetwilder.blogspot.com
Tanada - 27 Jun 2006 22:57 GMT > Rita, > I have to cut my food into tiny pieces to chew it with half a tongue. I [quoted text clipped - 3 lines] > mind especially when it takes so long to finish a meal. I think the TV > tray is a great idea! When my youngest was a baby, we'd just throw a small portion of whatever we were having for dinner into the blender and puree (chopped it up later) so that we could not only save money, but so that she could have whatever we were having. She loved blended sweet and sour chicken.
Pam S. who recommends the chop cycle
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