Can not take normal diet
My wife is a patient of olfactory neuroblastoma stage  III/IV since August, 2014,surgery done on 9th Dec.2014 at TMC, Mumbai after 4cycles chemotherapy, surgery followed by IMRT. During Its check up all was o.k. 2nd check up schedule is in the month of Oct. Can not take normal diet.Is there any chance to relapse?
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Dr. Chethan R S
General Physician 4 yrs exp Bangalore
Treatments for appetite loss and associated weight loss may include medications that increase appetite and medications that help move food through the intestine.  Medications that help food move through the intestine, nutritional supplement drinks, and tube feeding, which is the use of a tube that passes through the nose into the stomach, can also be helpful. Although you may not feel like eating, remember that getting good nutrition and keeping a healthy weight are important parts of your recovery. Eating well can also help you better cope physically and emotionally with the effects of cancer and cancer treatment. Consider the following tips for getting proper nutrition when your appetite is poor: Eat five to six small meals a day, and snack whenever you are hungry.Determine which times of day you are hungry, make sure to eat at those times, and do not limit how much you eat.Eat nutritious snacks that are high in calories and protein, such as dried fruits, nuts, yogurt, cheeses, eggs, milkshakes, ice cream, cereal, pudding, and granola bars.Keep your favorite foods on hand for snacking.Add calories and protein to foods by adding sauces, gravy, butter, cheese, peanut butter, cream, and nuts.Drink fluids between meals, rather than with meals. Drinking during a meal may make you feel full too quickly.Choose nutritious or filling drinks, such as milk or nutritional milkshakes or smoothies.Ask family members or friends to get groceries and prepare food for you when you are too tired shop or cook, and consider buying precooked meals.Try to eat in pleasant surroundings, and eat meals with family or friends.Try placing food on smaller plates rather than larger plates.If the smell or taste of food makes your nauseous, eat food that is cold or at room temperature to decrease its odor and reduce its taste.However, if you are having trouble tasting food, try adding spices and condiments to foods to make them more appealing.If you have changes in taste, such as a metallic taste in your mouth, sucking on hard candy like mints or lemon drops before eating a meal can be helpful.Ask your doctor about ways to relieve gastrointestinal symptoms, such as nausea, vomiting, and constipation or if you are having any difficulty with managing pain.Try light exercise, such as a 20-minute walk, about an hour before meals to stimulate your appetite. Consult your health care team before starting an exercise program.Exercise also helps maintain muscle mass.Meet with a registered dietitian for additional advice on meal planning.
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