› Forums › General Melanoma Community › Diet to help with colitis side effects from Yervoy?
- This topic has 15 replies, 5 voices, and was last updated 11 years, 10 months ago by
Patina.
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- January 14, 2014 at 1:54 pm
Hi Everyone! First thank you all for being on this site. It has been so helpful since my husband was diagnosed with stage 3C in early August. My husband finished his fourth round of Yervoy (3mg/kg) on Dec. 20th. Soon after he started having colon issues. They have him on prednisone to help but I am interested in knowing if anyone has been able to modify their diet to also help with the symptoms. Any and all advice is welcomed. And again thank you.
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- January 14, 2014 at 2:26 pm
I'm not sure diet will do a whole lot, but I also had some colitis issues from Ipi, though they never put me on steroids. I found that getting more nutrition from "liquid" or "low residue" foods was a big help- things like Ensure or Boost as a snack, I have my own home-made chicken stock, yogurt, even cheese, very simply flavored white meat chicken. Essentially anything low fiber so that most of it is absorbed in your (or his) small intestine and less gets passed on to the lower intestines to cause inflamation. Also, as I'm sure you've figured out- the less "seasoning" or "spice" the better- keep it bland. I know a lot of people suggest the BRAT diet, you could try that if you haven't already. Mostly (unfortunately) I think you just have to ride it out.
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- January 14, 2014 at 2:26 pm
I'm not sure diet will do a whole lot, but I also had some colitis issues from Ipi, though they never put me on steroids. I found that getting more nutrition from "liquid" or "low residue" foods was a big help- things like Ensure or Boost as a snack, I have my own home-made chicken stock, yogurt, even cheese, very simply flavored white meat chicken. Essentially anything low fiber so that most of it is absorbed in your (or his) small intestine and less gets passed on to the lower intestines to cause inflamation. Also, as I'm sure you've figured out- the less "seasoning" or "spice" the better- keep it bland. I know a lot of people suggest the BRAT diet, you could try that if you haven't already. Mostly (unfortunately) I think you just have to ride it out.
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- January 14, 2014 at 2:26 pm
I'm not sure diet will do a whole lot, but I also had some colitis issues from Ipi, though they never put me on steroids. I found that getting more nutrition from "liquid" or "low residue" foods was a big help- things like Ensure or Boost as a snack, I have my own home-made chicken stock, yogurt, even cheese, very simply flavored white meat chicken. Essentially anything low fiber so that most of it is absorbed in your (or his) small intestine and less gets passed on to the lower intestines to cause inflamation. Also, as I'm sure you've figured out- the less "seasoning" or "spice" the better- keep it bland. I know a lot of people suggest the BRAT diet, you could try that if you haven't already. Mostly (unfortunately) I think you just have to ride it out.
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- January 14, 2014 at 2:35 pm
Ipi-induced bowel problems can possibly lead to collitis, which is a very dangerous condition. The symptoms of bowel inflammation– diarrhea, bloating, cramping, nausea,etc. need to be taken seriously and treated aggresively. If predinizone has not brought these symptoms under control, you could try one of two drugs that are usually prescribed for Crohn's disease: Budesonide (trade name Entocort) which is a type of steroid in pill form that concentrates the steroid within the bowel rather than throughout the body, or Infliximab (trade name Remicade) which is a monoclonal antibody that has to be given IV. One or two doses of that usually does the trick.
Changing your husband's diet is not a bad idea and perhaps others here can offer specific suggestions. However, I would not trust diet alone to fix this. I would call my doctor and insist on a more effective treatment to stop the bowel irritation and THEN try changing the diet to prevent recurrence.
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- January 14, 2014 at 2:35 pm
Ipi-induced bowel problems can possibly lead to collitis, which is a very dangerous condition. The symptoms of bowel inflammation– diarrhea, bloating, cramping, nausea,etc. need to be taken seriously and treated aggresively. If predinizone has not brought these symptoms under control, you could try one of two drugs that are usually prescribed for Crohn's disease: Budesonide (trade name Entocort) which is a type of steroid in pill form that concentrates the steroid within the bowel rather than throughout the body, or Infliximab (trade name Remicade) which is a monoclonal antibody that has to be given IV. One or two doses of that usually does the trick.
Changing your husband's diet is not a bad idea and perhaps others here can offer specific suggestions. However, I would not trust diet alone to fix this. I would call my doctor and insist on a more effective treatment to stop the bowel irritation and THEN try changing the diet to prevent recurrence.
-
- January 14, 2014 at 2:35 pm
Ipi-induced bowel problems can possibly lead to collitis, which is a very dangerous condition. The symptoms of bowel inflammation– diarrhea, bloating, cramping, nausea,etc. need to be taken seriously and treated aggresively. If predinizone has not brought these symptoms under control, you could try one of two drugs that are usually prescribed for Crohn's disease: Budesonide (trade name Entocort) which is a type of steroid in pill form that concentrates the steroid within the bowel rather than throughout the body, or Infliximab (trade name Remicade) which is a monoclonal antibody that has to be given IV. One or two doses of that usually does the trick.
Changing your husband's diet is not a bad idea and perhaps others here can offer specific suggestions. However, I would not trust diet alone to fix this. I would call my doctor and insist on a more effective treatment to stop the bowel irritation and THEN try changing the diet to prevent recurrence.
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- January 16, 2014 at 7:40 am
This is a very critical thing to inform your Dotor on. I have known people that had to have opeerations and spend moths in the hospital because they did not followup with their Doc soon enough!
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- January 16, 2014 at 7:40 am
This is a very critical thing to inform your Dotor on. I have known people that had to have opeerations and spend moths in the hospital because they did not followup with their Doc soon enough!
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- January 16, 2014 at 7:40 am
This is a very critical thing to inform your Dotor on. I have known people that had to have opeerations and spend moths in the hospital because they did not followup with their Doc soon enough!
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- January 17, 2014 at 4:02 am
We are in close contact with all of our Docs. Local Oncologist, Oncologist at center where we received IPI and GI. They are trying out different meds and considering an IV option. But I was just trying to be helpful wife with the diet. thank you everyone for all the great advice.
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- January 17, 2014 at 4:02 am
We are in close contact with all of our Docs. Local Oncologist, Oncologist at center where we received IPI and GI. They are trying out different meds and considering an IV option. But I was just trying to be helpful wife with the diet. thank you everyone for all the great advice.
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- January 17, 2014 at 4:02 am
We are in close contact with all of our Docs. Local Oncologist, Oncologist at center where we received IPI and GI. They are trying out different meds and considering an IV option. But I was just trying to be helpful wife with the diet. thank you everyone for all the great advice.
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