What I Ate During Chemo

What I Ate During Chemo

TL;DR: I ate anything I could handle, but as you'll see below there aren't any rules.

Omgosh, it hasn't even been that long since my diagnosis and even I'm tired of hearing about it.

~snort~

But, chances are if you know someone going through chemo, you know someone who is having a hard time eating.

Graphic: what i ate during chemo

Cancer, Cancer, Cancer!

There is so much to learn for anyone going through cancer treatment, and one very important topic is nutrition.

Slaying this dragon is a complicated journey, but the best foods to eat while on chemo, shouldn't be complicated.

When you are diagnosed with cancer, any cancer, your life is swallowed whole by the beast, and you soon learn your number one goal is to stay alive and that means your biggest job is to eat.

Easier said than done for some.

 

My dearly departed Aunt Mimi and FIL ascribed to the philosophy that if you can eat, even when sick, you're going to be okay.

What Foods To Eat During Chemo  

So, what did I eat? What should a cancer patient eat during chemo (and radiation)?

ANYTHING I WANTED!

Well, that's partially true. 

Nutrition Is Important, But So Are Calories

While nutrition is important for overcoming chemo and offering fuel to repair cells, sometimes, a chemo patient simply needs calories.

Read that again.

No shaming folks into what's good for them, if all they can do is simply get something down.

The time will come again when they can eat nutritionally sound meals; until then - whatever it takes to get calories.

Casseroles and huge meals are fine for caregivers and family, but chemo patients need something altogether different.

Foods For Cancer Patients Vary

Not one approach is wrong.

Follow their lead. Chemotherapy isn't a one-for-all treatment. Each treatment is different and causes a unique set of side effects.

Gently offer a variety of foods, but listen to their needs.

Can I Eat Pizza During Chemo?

Did you know this is one of the most asked questions?

Our love of pizza runs deep, y'all!

The answer is simple: if your body can tolerate it, you can eat pizza!

Sometimes, its' the small things that bring the biggest comfort while in treatment.

My Chemo Diet

What follows is my experience and what I called my chemo diet.

For the first couple of days after my first chemo treatment, I was good.

Eating, napping, hydrating.  Repeat.

About three days post treatment, I developed chemo mouth.

Chemo Mouth Sores And Diet

Let's see if I can adequately describe chemo mouth sores:

* When my mouth was empty, it was sore and tender to the touch, but not horrible.

* When I drank water, my mouth let me know that I best trod carefully.  Don't be swilling stuff willy-nilly, yo.

* When I ate anything from tiny oyster crackers, that dissolved quickly, to mashed bananas and applesauce, my mouth protested by throwing kerosene around and lighting a match while running around knifing all the raw surfaces.

Yep, like that.

So what the hell to you feed someone going through chemo?

Doctor's Advice About What To Eat During Chemo

Is there a cancer diet that comes in a handout at your doc visits?

That's a big fat no.

Most docs have very little training in cancer patient nutrition, so you're left to your own understanding or research.

Which sucks - cause you're sick and now you gotta educate yourself - or have someone in your corner taking care of this piece.

My Simple Diet Approach

Here's how I approached what I ate during chemo:

#1: Everything that went in my mouth had to be nutrient-packed fuel to build new cells. Period.

#2: When #1 failed, I went with high calorie, soothing, foods. 

Calories are as needed as fuel to make sure my body had the energy to heal from chemo.

When I was at my sickest, when I could barely eat anything, when I was losing a pound a day - all that mattered was that I ate something.

Top 10 Foods I Ate During Chemo

These foods not only nourished my body, but they also fed my soul.

Foods That Taste Good During Chemo

  1. Strawberry Smoothies
  2. Mashed Bananas Covered In Cold Apple Sauce
  3. Naan
  4. Prunes
  5. Pudding
  6. Milk
  7. Scrambled Eggs
  8. Oatmeal
  9. Mac and Cheese
  10. Pureed Soups

1: Strawberry Smoothies

Strawberry Smoothie with red straw

This smoothie could also have added nut butters or anything else high in nutrition, including other fruits, as long as there were no chunks or even the hint of a chunk.

Chunk = pain. 

No chunks, pls...k...thx.

Using cold frozen strawberries helped ease my pain, and ensured nutrition and much needed fiber.

If you are lactose intolerant, use almond milk.

2: Mashed Bananas Covered In Cold Applesauce

Hello, baby food!

If you know me, you know I despise a ripe banana.  I like 'em on the green side.

So, in order to eat a banana, and partake of its nutritional goodness, I had to let it get spots before mashing.

Still.

I looked at it in the bowl and thought I'd hurk, so I covered it in cold applesauce.

While not particularly delish, it worked.

I got it all down.

3: Naan

Yes, this flies in the face of "it needs to be mush" before I can eat it.

Yet, the softness of Naan allowed me to chew very small bites at the front of my mouth, before I swallowed.

It did produce a fiery pain, but it was worth the carbs!

4: Prunes

Moving your bowels during chemo treatments can be difficult because of the drugs they give you, and high fiber prunes got the job done.

Prunes were one the list of foods that weren't pleasant to eat because of texture and mouth sore, but ya gotta do what ya gotta do to poo!

You'd be surprised at how much attention is given to poo when you're going through treatment.

Ewwww! and YAY!!!!

5: Pudding

Some folks will develop an aversion to sweets while on chemo, but if they don't: pudding!

This cake filling is made with pudding and could be ideal!

cake filling in a blue bowl

It's extremely light, has lots of milk protein (build those cells!), and you can adjust the pudding to whatever flavor you prefer.

Or Jello, which I can't stand regardless of chemo.

With lots of whipped cream!

6: Milk

Milk has easy protein. Protein is essential for building cells.

Chemo kills dem cells, so you need an easy protein to rebuild.

7: Scrambled Eggs

Scrambled eggs were my BFFs during chemo mouth. 

Easy to digest. 

Easy to make. 

No chewing required.

If your patient can stand it, throw a bit of cheese in the mix, or some milk.

8: Oatmeal

Oatmeal is another meal high in fiber.

Throw in fruit puree and it's comforting for body and soul (if you're an oatmeal lover).

9: Easy Meals That Didn't Work For Me, But Have For Others:

* Ice cream bucket and one spoon.

* Pureed soups.

* Veggies pureed into soups.

10: Homemade Mac And Cheese

Mac and Cheese in bowl

Hold the crunchy breadcrumb topping.

The week prior to each chemo treatment, I would feel pretty good - on the upswing - so I'd make a few meals that could be eaten after chemo.

We lived on mac and cheese.

Lots of protein and carbs, but mostly it was a love hug that assured me I'd get through this storm.

Foods To Boost Immune System During Chemo

Many of the foods above will provide your body good nutrition through treatment.

When you're job is to eat through the worst physical time in your life, try getting most of your immunity boosters from your food.

  • Pureed Soft Fruits
  • Mashed Soft Veggies
  • Hard Boiled, Soft Boiled or Scrambled Eggs
  • Hummus
  • Mashed Beans
  • Full Fat Milk
  • Cream of Wheat
  • Oatmeal
  • Yogurt
  • Baked Potatoes

Soft Food Recipes For Cancer Patients

The recipes for soft foods are basically what we have already talked about.

If it's soft enough for a baby without teeth, it's great for a cancer patient that is struggling to eat.

Simply making sure the food is easy to digest, is packed full of nutrition, and the patient can keep it down.

One thing we haven't talked about is baby food.

Yep. 

There are people going through chemotherapy and radiation that find is super difficult to eat, so opening a small jar of baby food is doable and you can stick with flavors you like.

There are Non-Gmo and organic choices available.

Alcohol And Chemotherapy

You would think alcohol and chemotherapy would be a hard no, but my oncologist advised that an occasional drink, after I was feeling better, usually before the next round, was okay.

I personally didn't drink through treatment, mostly because I barely wanted to eat and alcohol added zero nutrition, but I have known others who have.

Foods To Avoid During Chemotherapy

Well, there's probably lots of things you wouldn't feel up to, there are a few foods best avoided while in treatment.

  • Anything raw or undercooked
  • Spicy or highly acidic foods
  • Big fatty meals
  • Certain Supplements (check with yer doc)
  • Hard or sharp foods, if mouth sores are present

Recipes For Cancer Patients With No Appetite

There are a few tricks for those patients that have no appetite:

  1. Snack - all day if necessary. Just make sure something of nutritional value is offered. These small eating periods are better than no eating.
  2. Less fluid intake during meals. More fluid = decreased appetite.
  3. Cold foods are more palatable and easier to get down. Even if it's plain vanilla ice cream - cold is good. Freeze a smoothie into ice cubes and as they melt they are easy to eat.
  4. Nut butters straight from jar if necessary!
  5. Natural juices, juiced at home if you can for optimal nutrition intake.
  6. Offer an array of foods, but maybe one option at a time because many patients develop smell aversions.

What About Supplement Drinks?

I tried both Ensure and Boost supplement drinks, but found them difficult to get down.

The texture was fine - it was the taste I found hard to stomach.

Vanilla is least offensive when it's cold.  Really Cold.  Very cold.

 

While my docs and I were on the same page about supplement drinks (eat real food first), if you're not getting your nutritional needs met, have a can.

My Experience With Fruits And Veggies

This is such a personal choice. I found it hard to eat salads or anything crunchy, but you should try and find a way to include them in your diet.

* Nothing Acidic

I love Cuties - through treatment, as I stated above, they were too acidic.

You think your mouth is trying to kill you now, throw in some salad dressing or BBQ sauce and see what the hell happens.

Yep, speaking from personal experience.

IIIEEEEEEEEE!

* Plain Baked Potatoes, Cut Into Small Bite-Sized Pieces

This was a favorite meal of mine.

You can try butter or sour cream, if you're feeling bold.

I couldn't handle pepper or any seasonings.

* Smoothies

Smoothies were a great way to incorporate fruits and veggies.

If you can handle a smoothie, here are a few to try (you can omit any offending ingredient and add soothing yogurt or bananas).

CAVEAT: Blend the holy hell outta that smoothie! No chunks!

Berry Smoothie

Berry Smoothie in glass

Green Smoothie

green smoothie in a glass

Strawberry Blueberry Smoothie

Strawberry Blueberry Smoothie with a red straw

Chemo Tips And Tricks

Tip #1: When you feel good, and you will, EAT!

Tip #2: When you don't feel good, try to eat; make it your job to eat.

Your body needs protein to replace the good cells that will aid in your recovery. Your body is still seeking nutrients, even when you don't feel like eating. Your body must be fueled properly for the fight.

Eating Through The Pain Of Chemo Mouth

Eating through chemo mouth proved to be almost the most difficult challenge I faced during chemo. 

I lost weight quickly simply because I couldn't tolerate anything in my mouth.

I started looking at eating as my job - because it became clear early on that if I didn't eat, my health was going to suffer immensely.

I tried to eat something every two hours, and every two hours I fought with myself, through tears of frustration and fear, to EAT. 

Cause you know, if I ate, everything was gonna be okay. I wanted to be okay, so I tortured myself to EAT.

Just Eat

While experiencing chemo mouth, most days it would take me an hour to eat one scrambled egg. So you can see why I say there is NO SHAME in getting anything into your body during treatment.

Obviously, this list is not exhaustive and is only based purely on my experience.

I know some of you probably have great suggestions to add to this list. 

Get to it!

Tell us what you ate during chemo.

#thefightison

My constant prayer for everyone who reads these words is full restoration of mind, body, and spirit. Fight the fear of what might be with the light of God within. 

You're stronger than you think.

Onward, my beautiful friends.

Original Post: July 3, 2015 ~ Updated Post: July 11, 2023

If this post was helpful, I hope these help as well.

Cancer Kind

Let us remember our own private suffering when confronted with the opportunity to be cancer kind.

 

Cancer Kind Graphic - blue words on a white background

What's So Funny About Cancer?

The worse things are, the more I am compelled to laugh.

Woman outdoors sitting in chair in a bikini top witha shaved head because of cancer

10 Rules Upon My Death

Oh, come on. This is kinda funny. Cancer does this to a person. You look at your mortality and think, "Hey, let's have some fun!"

10 rules upon my death text graphic

I hope this post about what I ate during chemo was useful, and I hope you had a laugh. Cancer's not funny. I am sorrowful that people suffer, but dadgumit, lI saw et's embrace the goodness in the awful.

Smooches to all!

Share It!

181 Comments

  1. What a bummer; I never heard of "chemo-mouth" before. And still your writing is upbeat and funny. You are SOMETHING, Lady. Hope you are back to eating whatever you want really soon.

    1. BOB! Thanks, bud. I feel like if the funny ever leaves me, then you best get out the funeral dress. There have some spectacularly funny cancer moments, but this ain't one of them. Thankfully, this side-effect lasts for about a week after chemo, so I have two weeks of catching up on my eating before the next round. 4 down, 2 to go.

  2. I'm just glad it's almost over for you! I think you have helped a lot of people with your tips and great humor. Long after this has gone away and becomes just an unpleasant memory, people who need your advice and support (who knows? maybe even me!) will come here to read about what to expect and take comfort from it all.

  3. So sorry for you having to go thru this. 3 yrs ago my husband was dx with head/neck cancer. at base of tongue so he had radiation..directly into mouth..with a little chemo served on the side. You describe the mouth issues perfectly. We tried all of the exact things you list too. To him, the chemo made everything taste like metal so I cooked only in my Dutch ovens or skillets with porcelain inside and used only plastic silverware & utensils. That helped a lot. Scrambled eggs were his easiest dish to eat also. For about a month he wanted sausage gravy or homemade creamed chicken (only tiny pieces of chicken...no biscuits to go with it! LOL) His oncologist had never heard of that before but wanted him to get all of the calories he could so he liked the idea. After 2 months of trying so many things every day, he had to have a feeding tube for 6 months. I am so happy to say it seems to be gone from every place. Scans are all clear but we count our blessings everyday and are so apprehensive when the PET scans are due. Wishing the best to you & I truly believe positive attitudes help so much. You certainly have this. Our philosophy for each day was to LISTEN TO YOUR BODY and TREAT THE SYMPTOMS FOR THAT DAY. One day at a time.

    1. I've been fortunate in the fact that my mouth issues only last about 7-10 days after chemo. Your poor husband. I'm glad you also included the fact that's he's through the worse. One day at a time!

  4. I read a book earlier this year with a character who is a chef for chemo patients. It was really thought-provoking! Glad you're more than halfway through your treatments, Patti. High five!

  5. Just a note to say hello, and so glad to hear you have already conquered 4 rounds of chemo. Amazing Patti!! This post was so interesting - I had not heard of chemo mouth. It sounds really rough, and I'm so sorry you are experiencing it. As Joyce said above, I think you are helping a lot of people with your tips and sense of humor. Keep it coming Patti!

    1. 5 rounds, with the last being next week! So nice to see you here, Haeley. We've gotten a handle on the chemo mouth issue, thank goodness. Thanks for the good thoughts!

  6. Just starting this journey but a lot of comments made already ring bells! So far, for me, scrambled eggs and ice cream (not together!) work but not much else stays down. Still working through the pros & cons. Just coming up to my 2nd round of chemo so time yet to get to grips with the right stuff for me!

    1. Oh, Janice, I'm so sorry to read this. I'll add you to my prayer book as you make this journey.

      I love fruits and veggies and I just couldn't eat them (much) during chemo. Too rough on the mouth. I needed very soft and easy to digest protein.

      I hope you find what works for you. Hydrate and protein, momma!

    1. Susan, I didn't, but have heard of this side-effect. I'm sorry you sister is dealing with shingles on top of treatment. She has been added to my prayers.

    2. I’m about to have my third of six FEC T rounds, it was postponed for a week as I have shingles pah! So painful. Just looked at the date of your post and hope your sister has finished her chemo and is fit and well by now.

  7. Going for round 2 of chemo tomorrow... thank you for the advice... I too had a hard time with the mouth... they got me l-yisine... not sure of the spelling... and a mouth rinse that has niacin and a numming agent... that really helped!!! Thanks for the good food tips... eating was tough for me bc it went right thru me which was also painful... that's when I got the probiotics and medicated aloe wipes that I carried with me everywhere!!!! All from from my Naturopathic doctor... I've also had itching issues... my legs were itching so bad... I couldn't stop... I would put lotion on top of lotion. They actually felt bruised from scratching... So we will see what happens now on round two!!! Keep up the good work... sharing is definitely caring!!!

    1. Asking for God's grace and protection for you, Tammy. Adding probiotics to my routine was a huge help; I'm glad you've found them. Thank you for the love. Keep focused on killing the beast within and the good days ahead.

  8. Hi Patti thanks for this! Starting my first of 4 rounds of chemo in the a.m. Steroids are keeping me awake so I decided to Pinterest! Learned a lot do's & don't from your post and from the others posting as well! Christ's blessing on you and your journey!

    1. Debi - May God bless you and keep you on your journey. May his hand be on all who treat and love you. IF there is anything I can help you with, please ask.

      If you're doc allows, start a good probiotic today. I should have done it from day one, but I was stubborn. Helped tremendously.

      Now, go kick cancer in the keester.

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