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Suggest Diet When Undergoing Chemotherapy While Suffering From B Cell Lymphoma

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Posted on Tue, 7 Apr 2015
Question: My husband suffering from DLBCL stage iv. 8 chemos over. What to do to improve his health? what are the foods we can give to him?
doctor
Answered by Dr. Tushar Kanti Biswas (50 minutes later)
Brief Answer:
Supportive care for advanced DLBCL

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
Diffuse large B-cell lymphoma (DLBCL), the commonest type of high-grade non-Hodgkin lymphoma.Stage IV means advanced DLBCL i.e. lymphoma has spread to organs outside the lymphatic system or in the bone marrow.

Palliative or supportive care helps apart from chemotherapeutic approach to improve the quality of life and nutritional states.
Nausea and loss of appetite can be treated with drugs and high-calorie food supplements.
If the lymphoma has spread to the lungs, patients may get short of breath. Oxygen at home may be used to help treat this symptom.
When lymph nodes become enlarged, they may press on nerves and cause pain.
Pain medicines, ranging from ibuprofen and similar drugs to more potent medicines such as opioids (like morphine), may also be given.
Symptoms such as fatigue can be caused by low red blood blood counts. Sometimes, a patient will need blood transfusions or treatment with drugs that help make new blood cells.
Arrange for home visits by palliative care nurses, doctors, social workers, home health aides, occupational therapists and volunteers.
Nutrition plays an important role for NHL patients who undergo chemotherapy.
A major factor in the mysterious rise of non-Hodgkin's lymphoma is a diet high in meat, saturated fats, dairy products, and eggs and low in fiber, fruits, and vegetables.
Hence high fibre diets,fresh fruits and vegetables (not raw or undercooked) are recommended.
Patient often goes neutropenic following chemotherapy.
Diet restrictions may include avoiding raw/undercooked foods (e.g., meats, seafood, eggs, vegetables or unpeeled fruits) or unpasteurized dairy products.




Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Tushar Kanti Biswas (59 minutes later)
what is the survival rate for DLBCL STAGE IV PATIENTS? WHAT ARE THE VEGETABLES AND FRUITS TO BE GIVEN?
doctor
Answered by Dr. Tushar Kanti Biswas (1 hour later)
Brief Answer:
Prognosis-DLBCL

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
The chances for a favorable response to treatment are predicted by the IPI (International Prognostic Index) .For the 35% of patients with a low IPI score of 0–1, the 5-year survival is >70%, while for the 20% of patients with a high IPI score of 4–5, the 5-year survival is 20%. Kindly tell his IPI score.
What fruit and vegetables will be given depends on its availability and individual preference.It is better if you consult one nutritionist or dietitian.







Regards

Dr. T.K. Biswas M.D. XXXXXXX

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Tushar Kanti Biswas (7 hours later)
His IPI score is 4
doctor
Answered by Dr. Tushar Kanti Biswas (4 hours later)
Brief Answer:
IPI score & DLBCL

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.

As per IPI score of your husband (4), his 5-year survival is 20%. If your husband has received also rituximab to CHOP, numbers will improve by 15% i.e 5-year survival will be 35 %.

Regards

Dr. T.K. Biswas M.D. XXXXXXX
Note: For further queries related to kidney problems Click here.

Above answer was peer-reviewed by : Dr. Shanthi.E
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Answered by
Dr.
Dr. Tushar Kanti Biswas

Internal Medicine Specialist

Practicing since :1975

Answered : 1920 Questions

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Suggest Diet When Undergoing Chemotherapy While Suffering From B Cell Lymphoma

Brief Answer: Supportive care for advanced DLBCL Detailed Answer: Hi, Thank you for your query. I can understand your concerns. Diffuse large B-cell lymphoma (DLBCL), the commonest type of high-grade non-Hodgkin lymphoma.Stage IV means advanced DLBCL i.e. lymphoma has spread to organs outside the lymphatic system or in the bone marrow. Palliative or supportive care helps apart from chemotherapeutic approach to improve the quality of life and nutritional states. Nausea and loss of appetite can be treated with drugs and high-calorie food supplements. If the lymphoma has spread to the lungs, patients may get short of breath. Oxygen at home may be used to help treat this symptom. When lymph nodes become enlarged, they may press on nerves and cause pain. Pain medicines, ranging from ibuprofen and similar drugs to more potent medicines such as opioids (like morphine), may also be given. Symptoms such as fatigue can be caused by low red blood blood counts. Sometimes, a patient will need blood transfusions or treatment with drugs that help make new blood cells. Arrange for home visits by palliative care nurses, doctors, social workers, home health aides, occupational therapists and volunteers. Nutrition plays an important role for NHL patients who undergo chemotherapy. A major factor in the mysterious rise of non-Hodgkin's lymphoma is a diet high in meat, saturated fats, dairy products, and eggs and low in fiber, fruits, and vegetables. Hence high fibre diets,fresh fruits and vegetables (not raw or undercooked) are recommended. Patient often goes neutropenic following chemotherapy. Diet restrictions may include avoiding raw/undercooked foods (e.g., meats, seafood, eggs, vegetables or unpeeled fruits) or unpasteurized dairy products. Regards Dr. T.K. Biswas M.D. XXXXXXX