Malignant Intestinal obstruction - Post radiation fibrosis bowels.

Limit fibre intake to 10 to 15 grams

- Sepsis per day

What are symptoms? A low residue / low fibre diet is

- Nausea, vomiting
- Abdominal pain/ cramping
- Abdominal distension
- Inability to pass gas or stool
- Reduced stoma output
recommended:
- To give your digestive system a rest
- To reduces amount of undigested food
moving through your bowels
- To reduce the amount of bulk and
output of stool, ultimately to minimise
likelihood of experiencing unwanted
digestive symptoms

FOOD CHOICES
All foods are better tolerated if they are well
cooked, peeled , deseeded or in some cases
blended in a food processor.

GRAINS & STARCHES

Understanding Malignant Intestinal Eat Avoid
Obstruction  White bread  Brown rice
Small or large intestine is blocked at one or  White rice  Whole grains
more locations. It is a frequent complication in  Peeled baked/  Whole wheats
patient with advanced cancer, especially of mashed products
digestive or gynaecological origin. potatoes  Nuts
Diet modification (regular/  Granola
What are the causes? What is low- fiber diet? sweet)  Oatmeal
- Tumor within lumen causing blockage  Popcorn
- Intraluminal tumor causing edema/ A low- fiber diet reduced amount of
adhesion undigested food/ bulky material moving
- Adhesion due to surgery through your bowels and able to rest your
 VEGETABLES AND PROTEIN: DAIRY PRODUCTS AND OTHER FOODS Resources:
Eat Avoid Eat Avoid https://www.cancer.org/treatment/
 Vegetables that  All raw  Milk  Pickles, olives, survivorship-during-and-after-treatment/
are well to soft vegetables, leafy  Yoghurt popcorn, coping/nutrition/low-fiber-foods.html
cooked, non- vegetables and  Butter
stringy salads.  Cheese
vegetables such  Beans, peas,  Honey
as carrots, tough meats  Plain chocolate
eggplant (steak)  Smooth peanut
(skinless), butter
pumpkin
(seedless), Emergency self care plan for recurrence of
lettuce, intestinal obstruction:
cucumber
(seedless) If there is presence of
 Tofu, eggs, fish, obstruction symptoms as above,
suggest to fast for a day. (Allow
soft cooked
minimal clear fluid if needed)
meats/ poultry

FRUITS AND DESSERTS

Eat Avoid If symptoms resolved/ improves,
 Fruit juices  Prune juice, can consider taking nourishing
without pulp prunes, and fluid the next day, escalating to
 Honeydew, raisins low fibre diet subsequently.
watermelon,  Berries, dates,
papayas, small grapes, kiwi, raw
amounts of apples, oranges
well-ripened
If symptoms persistant/
banana
worsening despite fasting, to
 Ice cream seek for early medical help.
Penyumbatan Usus - Kesan sampingan dari radiasi rawtan Sayur-sayuran dan protein
radioterapi Disarankan Dielakkan
- Jangkitan kuman Sayur-sayuran yang Sayur-sayuran yang
dimasak sepenuhnya mentah, berdaun dan
Tanda-tanda usus tersumbat: (lobak, terung tanpa salad
- Mual muntah kulit, labu tanpa biji, Kekacang
- Sakit perut/ perut memulas timun tanpa biji) Daging yang separuh
- Perut kembung Tauhu, telur, ikan, masak
daging yang masak
- Sembelit/ kesulitan buang angin
sepenuhnya
- Pengeluaran najis melalui stoma
berkurang
Buah-buahan dan pencuci mulut
-
Disarankan Dielakkan
Apakah itu makanan rendah serat?
Jus buah tanpa serat Kismis, Jus prun, Plum
Tembikai susu Beri, kurma, anggur,
Makanan rendah serat dapat membantu Tembikai kiwi, epal, oren
proses percernaan dengan merehatkan usus. Betik
Mengehadkan pengambilan serat kepada 10- Pisang yang ranum
15gram dalam sehari Ais krim

Apakah itu usus tersumbat? Contoh- contoh makanan rendah serat Produk tenusu dan lain-lain
Usus tersumbat terjadi disebabkan oleh
Disarankan Dielakkan
penyumbatan usus kecil atau usus besar. Ianya Bijirin dan Kanji Susu Jeruk
adalah komplikasi kerap berlaku kepada Disarankan Dielakkan Yogurt Buah zaitun
pesakit menghidap kanser tahap akhir Roti putih Beras perang Mentega
terutamanya kanser yang berkaitan dengan Nasi putih Makanan penuh Keju
sistem pemakanan atau kanser sakit puan Kentang, Ubi rebus bijirin Madu
tanpa kulit Kekacang Coklat
Sebab-sebab berlaku usus tersumbat: Oatmeal Mentega kacang
- Ketumbuhan dalam usus Bertih Jagung halus
- Usus melekat disebabkan
pembedahan
Pelan Kendiri Kecemasan Usus Tersumbat

Jika terdapat gejala-gejala di atas, anda

disarankan untuk berpuasa sehari. (Air
putih dibenarkan jika perlu)

Jika gejala bertambah baik, anda boleh

mencuba makanan seperti jus buah
tanpa serat, sup pada hari keesokannya,
dan seterusnya makanan rendah serat.

Jika gejala bertambah teruk, anda

dinasihatkan untuk mendapatkan
bantuan perubatan awal