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. I begin chemo next week. Got a wig had it and my hair styled similarly. Then I saw a video about losing eyelashes and brows, still seeking a few items, NOW SEVERE
    ITCHING, CHEMO MOUTH...DIARRHEA. IS IT WORTH IT????

    1. I'm so sorry that you're suffering, Cathy. All my hair, eyelashes and brows grew back, so that is temporary. I used a probiotic for diarrhea, and that worked wonders. Ask your doc if that is something you can try.

      The only person who can answer your question, is you. I pray you strength and peace.

      1. Hi Cathy, I'm between rounds 3 & 4 of chemo for breast cancer,. It is not fun however it is necessary. Hair will grow back, mouth sore get better, and all the other side effects will go away! I think of it as a bump in the road of my life, and this too shall pass! The Lord peace I pray for u as well! Stay strong!!!

  2. Thank you for your information. I got tomorrow for my port to be put in and will start chemo next week! I am more worried about the side effect of chemo then the chemo its self but I know it is necessary to kick cancers butt. I am working on my shopping list of must haves for my husband to have on hand when I start!

    1. My prayers go with you in this journey, Denise.

      When I was going to chemo, have a warm, yet light blanket helped, as did having a light snack and a good book. Lots of people slept or used ipads or their phones, so the time spent in the chair wasn't entirely objectionable.

    2. Hello my name is Pam and I’m newly diagnosed with breast cancer
      And I’m scared ? and confused.... reading these post have helped a lot
      I have a question about getting your port... did it hurt?

      1. I'm so sorry for your entry into the suckiest club in the world, Pam. The upshot is that there are amazing warriors counted as members.

        Getting the port was a bit uncomfortable for a few days, but if I'm remembering correctly, I went for a run within five days, so the discomfort passed quickly. Docs will tell you that the thinner you are, the more you will feel your port because there's not as much padding.

        I pray you a swift road to the best of health.

  3. One food I found most palatable during chemo mouth was Egg Custard. It might be thought of as a pudding, but to me it was silky protein. Find recipe for Easy Egg Custard on the Epicurious webste. I added one extra egg yolk and made five ramekins instead of six.

    1. While my taste buds refused anything sweet, I think egg custard is brilliant. Easy was to get the protein your body desperately needs during chemo.

  4. Hi there! I am in between chemo #1 and #2. I am so glad to have been able to read all the comments because that's EXACTLY how I feel! Thank you for the tips and food suggestions! I have 5 more treatments and wonder if I'll make it through. So I'll get off my pity bus and get on the "you're not the only one" bus!! Again thanks!

    1. Hang in, Tammy. All of us wondered at some point if we would make it. It's a tough road for sure, but it sounds like you have fight in you.

      I appreciate your comment and pray you renewed good health.

  5. I've got mouth issues from radiation to my neck ( breast cancer that moved to my cervical spine). My throat is on fire! I'm trying not to get discouraged. I've tried many of the foods you've suggested and they do help. Any cream-based soup works really well for me. I'm done with radiation (hopefully) and I'll start chemo pills in 10 days. I don't know what to expect, but I won't be surprised if it's more of the same for my mouth. Thank you for your suggestions!

    1. Oh, Mindy - I'm so sorry you're suffering. I pray you may find relief and that you tolerate the pills better than you expect.

  6. I have finished round #4 of chemo, and have the opposite side effect - cold sensitivity. If I touch anything cold, or Dear Lord try to drink anything cold, I feel thousands of tiny needles invading my hands, face, mouth, throat, etc. Try washing your hands in a public bathroom where warm, much less bot water is non existent. Thank goodness for the moist towelettes. I live in the Midwest where the temperatures forecasted for this 3rd week of July will be in the high 90's to low 100's. I have never liked coffee, and love iced tea. Oh, and those protein shakes are best tolerated ice cold. I spend 10 days at least with every chemo treatment trying to get enough liquid in me to stay properly hydrated. I have 8 more treatments to go. I'm planning on fighting this wicked disease with everything I've got. Cancer will be sorry it picked me to invade.

    1. The treatment can be as harsh as the disease. I'm so sorry for your pain. I got used to using alcohol swipes in bathrooms, and still carry them with me.

      Thanks for popping in. Now, go kick cancer's ass.

  7. I ate bowls of Chili with lots of cheddar cheese. I ate Healthy Choice Steamers. More Chili! Lemonade, water and more water. Tapioca pudding, rice pudding. Yes a whole year and a half on these foods. I was always real good with my numbers. I'm glad that part is over. Now if I can just get through this tomoxifen.

    1. Chili! Gave me the shivers thinking about it - there would have been no way I could have tolerated it, but I LOVE that you did! I pray you strength for the rest of the journey.

  8. Just got home from surgery. Looking at post-opt appt. in two weeks. After that, chemo may be in my future. Didn't know about chemo mouth. Thanks everyone for the information. Did anyone try yogurt or kefir?

    1. Some people get chemo mouth, others don't. I'll pray you don't, Ginnie. I couldn't tolerate yogurt.

  9. I have round 4 of 6 next week of my breast cancer chemo and I've had chemo mouth tne whole time. No sores, little pain but nothing and I mean nothing tastes right. Everything has a texture of corn meal or sand and sweet things are very bitter. I'm going to try eating ice chips during my next chemo and see if that helps. I'll try the plastic utensils tomorrow. I'm living on tomato soup and oatmeal, tne only things tolerable right now. I try to eat some Greek yogurt for protein. i can only eat small amounts but I need to eat every 2 hours. They say this will all end after chemo. Let's hope so 🙂

    1. I'm so sorry. On the bright side, you will (most likely) get your taste buds back, and what a glorious day that will be!

      Scrambled eggs were my go-to for protein. I resigned myself to the fact that nothing would taste good, so I tried like hell to eat the most nutrient-packed foods my mouth would allow.

      Hang in, Laura. We'll pray you through.

  10. Surviving my first cycle of chemo. Feeling weak and tired. I am grateful that I can eat. Do the side effects come as the chemo cycles continue? I have 5 more cycles to go and 3 radiation. Guess I will be finished by mid January 2018. Can hardly wait. Praying for all of you.

    1. My experience with chemo side-effects was that they got stronger with each cycle and my recovery was longer with each cycle. They would last about a weekish and then I'd feel a bit better, then back for another round. BUT - I was always able to live my life. Prayers go with you. Come on January!

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