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A MyMyelomaTeam Member asked a question 💭
West Newbury, MA
April 14
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Answer Summary

Members shared various strategies to manage diarrhea, with many recommending the BRAT diet (bananas, rice, applesauce, toast), probiotics like... Read more

Members shared various strategies to manage diarrhea, with many recommending the BRAT diet (bananas, rice, applesauce, toast), probiotics like yogurt, and activated charcoal supplements for quick relief. Several members emphasized staying hydrated with electrolyte-rich drinks like Pedialyte and clear broths, while avoiding dairy, caffeine, fried foods, and high-fiber items that can worsen symptoms. A recurring theme was that different approaches work for different people, with some finding relief through dietary changes and supplements like L-glutamine or psyllium husk, while others noted the importance of consulting a healthcare provider if symptoms persist beyond a few days.

A MyMyelomaTeam Member

Nick,
Sometimes the BRAT diet doesn’t work. I ate the BRAT diet for over 2 months with no change. Sometimes we have to try something else when that doesn’t work. Julie, I hope you find some relief.
Paula🌹

April 14
A MyMyelomaTeam Member

See Q&A for akkermansia

April 14
A MyMyelomaTeam Member

Paula,
You are a God Send! Great ideas I’ll try them and thank you so much!!!

April 14
A MyMyelomaTeam Member

@A MyMyelomaTeam Member,
Have you ever tried grinding your own flax. A teaspoon of freshly ground flax can make all the difference. Rehydrate prunes too. I avoid meat and starches when I get constipated. I eat more salads and vegetables.
Paula🌹

April 14
A MyMyelomaTeam Member

Effective supplements to manage or prevent chemo-induced diarrhea include probiotics (especially Lactobacillus and Bifidobacterium), L-glutamine, and soluble fiber, such as psyllium husk. These help restore gut flora, protect intestinal cells, and firm up stool consistency. Always consult a doctor before starting, particularly if immune-suppressed.Top Recommended SupplementsProbiotics: These are key for reducing the risk of chemotherapy-induced diarrhea, with studies 5 suggesting they help with 2 regimens using fluoropyrimidines or irinotecan. Key strains include Lactobacillus rhamnosus and Lactobacillus acidophilus.L-glutamine: Often recommended as it serves as fuel for intestinal cells (enterocytes) and helps maintain the structural integrity of the gut, reducing damage.Soluble Fiber: Supplements like Metamucil (psyllium husk) can help slow transit time and bind stool, but should be introduced slowly.Other Potential Aids: Vitamin D and fish oil are sometimes recommended to manage side effects, according to 5 supplements to treat cancer side effects.Important ConsiderationsProbiotic Selection: Using a combination of multiple bacterial species may offer better protection than single-strain, notes 12.Medical Guidance: It is crucial to check with an oncologist, especially if you have had a bone marrow transplant, as probiotics may carry risks.Dietary Support: In addition to supplements, ensure you eat low-fiber, bland foods (like bananas and rice) and stay hydrated with electrolytes [1, 4].

April 14

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