The importance of nutrition for mesothelioma patients
A proper nutrition diet is a critical component of care for individuals diagnosed with mesothelioma. The body needs ample energy and nutrients to endure aggressive treatments like chemotherapy, radiation, and surgery, which can weaken the immune system and cause significant fatigue. Some cancer treatments can also cause adverse side effects that directly impact appetite, digestion, and the ability to consume and process food. Therefore, understanding and controlling dietary intake is essential for managing symptoms, preserving muscle mass and strength, and improving overall quality of life. Just as certain foods can help, others can worsen side effects or pose infection risks, making it vital to know what to exclude from your diet.
Processed and red meats
Processed meats contain high levels of nitrates and other preservatives that can increase inflammation, which may negatively impact treatment efficacy and overall health. High salt content in these products can also contribute to fluid retention, potentially worsening shortness of breath.
Examples of processed and red meats to avoid:
- Bacon
- Sausage
- Hot dogs
- Deli meats (ham, bologna)
- Beef, pork, and lamb (limit intake)
Instead, opt for lean protein sources that support tissue repair and immune function, such as poultry, fish, eggs, and plant-based proteins like beans and lentils.
Sugary foods and beverages
Excessive sugar intake can lead to spikes in blood sugar, promoting inflammation and potentially impacting the immune system. Many sugary treats are also nutritionally empty, meaning they provide calories without essential vitamins and minerals needed to fight cancer.
Sugary foods and beverages to avoid:
- Soda and other sugar-sweetened drinks
- Candy
- Cakes, cookies, and other refined baked goods
- Sugary breakfast cereals
- Fruit juice that is not 100% juice
Raw and undercooked foods
Mesothelioma treatments can compromise the immune system, increasing the risk of foodborne illnesses from harmful bacteria. To minimize this risk, it is crucial to avoid foods that are not thoroughly cooked or pasteurized.
Foods to avoid for safety reasons:
- Raw or undercooked meat, poultry, and eggs
- Raw seafood, including sushi and sashimi
- Unpasteurized dairy products (milk, cheese)
- Unwashed fruits and vegetables
- Raw sprouts, like alfalfa
Foods that can aggravate treatment side effects
Certain foods can intensify common side effects of chemotherapy and radiation, such as mouth sores, nausea, and changes in taste.
Foods to avoid based on side effects:
- Acidic and spicy foods: Citrus fruits, tomatoes, spicy curries, and hot sauces can irritate mouth sores.
- Greasy and high-fat foods: Fried foods and fatty meals can worsen nausea and digestive issues.
- Hard and crunchy foods: Chips, pretzels, nuts, and crackers can be difficult to chew and hurt a sensitive mouth.
- Strong-smelling foods: If nausea is an issue, potent food smells can be off-putting.
- Alcohol: Can damage cells, interfere with medications, and worsen mouth sores.
Highly processed foods
Ultra-processed foods are often high in unhealthy fats, sugar, and salt, and low in fiber and nutrients. They are linked to chronic inflammation and metabolic issues, which can impact a patient’s overall health and treatment outcome. This category includes packaged snacks, instant soups, and frozen meals.
Comparison Table: Avoid vs. Embrace
| Food Category | Foods to Avoid with Mesothelioma | Nutrient-Dense Alternatives | 
|---|---|---|
| Protein | Processed meats (bacon, hot dogs), tough red meats | Lean poultry, fish, cooked eggs, beans, lentils | 
| Grains | Refined white bread, sugary cereals, white pasta | Whole grains (oats, brown rice), whole-wheat pasta | 
| Dairy | Unpasteurized milk and soft cheeses | Pasteurized milk, Greek yogurt, cottage cheese, hard cheeses | 
| Fats | Trans fats, excessive saturated fats (found in highly processed foods) | Healthy fats from avocados, nuts, seeds, and olive oil | 
| Snacks & Sweets | Chips, cookies, candy, sugary drinks | Fresh or frozen fruit, nuts, plain yogurt, smoothies | 
| Beverages | Alcohol, citrus juices (with mouth sores), sugary drinks | Water, herbal teas, broths, diluted fruit nectars | 
Safe food handling for immunocompromised patients
Strict food safety is essential for those with weakened immune systems to prevent infections.
- Clean: Always wash your hands, utensils, and surfaces thoroughly before and after handling food. Rinse all fresh fruits and vegetables under running water.
- Separate: Keep raw meat, poultry, and seafood separate from other foods to avoid cross-contamination.
- Cook: Cook all animal products to the proper internal temperature to kill harmful bacteria.
- Chill: Refrigerate or freeze perishable foods promptly. Never refreeze thawed food.
Navigating dietary challenges during treatment
Treatment-related side effects can make eating difficult, but there are strategies to help.
- Loss of appetite: Eat smaller, more frequent meals throughout the day instead of three large ones. Focus on nutrient-dense foods and eat whenever you feel up to it.
- Nausea: Bland foods like crackers, toast, and broth can be easier on the stomach. Avoid strong cooking odors and try colder foods.
- Mouth sores: Stick to soft, non-acidic foods and use a straw for drinking. Popsicles and ice chips can offer a numbing effect.
- Taste changes: Experiment with different seasonings and flavors. Using plastic utensils can help if food has a metallic taste.
Conclusion
Proper nutrition plays a significant role in managing mesothelioma and its treatments. Avoiding processed meats, sugary items, raw foods, and potential irritants is key to reducing side effects and lowering the risk of infection. A balanced diet rich in lean protein, healthy fats, and whole foods supports the immune system and maintains energy levels. It is important to work with your healthcare team and a dietitian to create a personalized nutrition plan that addresses your specific needs during and after treatment. For more information on managing diet during cancer treatment, consulting reputable resources like the Mesothelioma Center can be beneficial.