Posted By: robin629 Starting to get afraid to eat - 07-24-2014 02:01 AM
My dad had PEG removed and is taking VHC Boost, but is having trouble going beyond the liquid to eating due to taste issues. Attempts to eat things from eggs, potatoes, ice cream, and soup resulted in experiencing such awful taste and texture sensations he had to spit found out. Now when we talk about trying something, the mere thought makes him nauseous. Also, his sense of smell is becoming very acute. Yesterday Mom baked chicken and Dad had to leave the house because the smell was sickening to him. Even on our walk around the neighborhood, he said all the flower bushes were so pungent (I couldn't smell anything).
Any suggestions?
Posted By: ChristineB Re: Starting to get afraid to eat - 07-24-2014 02:21 AM
The sense of smell can be affected by radiation treatments. Im sorry it is bothering him so much.

As far as the eating issues, I just responded to another member with an almost identical post. Here is what I advised....


The recovery phase can be full of ups and downs with a few good set backs thrown in for good measure. Being only 5 - 6 weeks posts rads, you still have a loonnngggg way to go with your recovery. Your sense of taste can take every bit of 2 full years until it is the best it will become. Most patients are doing much better with taste at about 4 months post rads with slight and gradual improvements straight to about the 2 year mark. One day something will taste great and 2 days later after the first bite it tastes horrible or it tastes like cardboard right from the first bite. This will be the norm for your for a few months.

Here is a list of foods that have a softer texture and should be easier to manage when relearning how to eat. If something doesnt taste right today, wait a few weeks and try it again. You really will get there, it just takes time. We are all impatient with the recovery process, it seems to take forever.

Easy to Eat Foods List

Best wishes!!!
Posted By: phrannie Re: Starting to get afraid to eat - 07-24-2014 05:04 AM
Eating is always dicey right after treatment...sometimes due to pain, sometimes due to tastelessness....sometimes (like your dad...tastes awful and texture is stinky). I know one person who didn't have anything but smoothies for 7 months post treatment, and then everything started working again. I wanted my Peg out so bad, I wore steel toed work boots for a weigh in....I suffered from the plaster board symptom...that's what everything tasted like to me.

High calorie smoothies might be worth a try...

p

PS...My nose was so good during radiation, I could have tracked a human across a field and found him smile.
Posted By: davidcpa Re: Starting to get afraid to eat - 07-24-2014 01:19 PM
It's funny how this treatment can affect us all differenty. I couldn't wait to start eating solids again. As soon as I felt I could stand the discomfort I asked my wife to go to KFC and get me some mashed potatoes with gravy and some mac n cheese. Of course it didn't taste anything like I remembered and it took forever to eat a small portion of each but I was so proud that I did it and relieved at the same time.
Posted By: David2 Re: Starting to get afraid to eat - 07-24-2014 03:55 PM
Robin, I can identify with your dad. I was one of those people phrannie mentioned, think it was 5 or 6 months until I could tolerate anything thicker than a shake. But he will improve. Until then, those nutritional drinks will keep him alive. I'm suggest not rushing the process until he's ready. And when he is, let him tell you what he's interested in eating. He can continue the VHC until he starts adding enough solids to maintain good nutrition.

Dunno if you've been mixing other stuff in with the Boost, but there's plenty of nutritious items that can share a blender - peanut butter, fruit, yogurt, etc., etc.

Good luck and keep us posted.
Posted By: davidcpa Re: Starting to get afraid to eat - 07-24-2014 07:05 PM
Even though I started eating solids appx 3 weeks post I still drank my VHC with every meal for at least my first year of recovery. I mixed it half and half with whole milk to add much needed calories because even though I was eating solids I couldn't eat like pre Tx as it didn't taste the same and it took far longer than it used to.
Posted By: travelottie Re: Starting to get afraid to eat - 07-24-2014 08:40 PM
I had to be careful to initially present very small portions. Otherwise my husband became overwhelmed and would be reluctant to even try the food. It's hard to remember, as he eats quite normally now, but he started with only a shot glass of soup or pudding at a time. His PEG was not removed until he could eat enough to maintain his weight.

It's a very complex process both physically and mentally and takes a long time. Some trial and error is involved and to some extent the patient has to be motivated enough to deal with the bad taste/smell/feel. Your father's acute sense of smell does sound extreme. I wish I had some suggestions for that.

Posted By: PaulB Re: Starting to get afraid to eat - 07-24-2014 11:48 PM
Treatments can cause smell, taste aversions, and sensitivities. As was done, is removing themselves from the environment when certain foods are being cooked, cooking elsewhere, not cooking certain foods etc. may be helpful. I couldn't take the smell of garlic my last two treatments, even on people's breath I could smell from a distance, even my own hands if touched weeks earlier, the smell lingered. I also had to spit out food due taste, texture, like potatoes, bread, which I didn't eat for a year or two, icecream just starting to taste sweet again, and not gritty after several years.

One thing that may help the sensitivities or aversions is drinking a strong flavored drink like rootbeer, grape, the same with a hard candy. Some use herbs to mask flavors, some don't use. I have a problem with dried Thyme now.

It's also best to stick with familiar foods, rather than unfamiliar. Eat mild tasking foods, not too hot, spicy, sharp textured. More mild carbohydrates, rather than proteins that have strong flavors.

Eventually it gets better, back to near normal. What you don't like today you may like tomorrow, and vice versa. For some reason, I''m not eating eggs the past two months like I was befor for some reason. Whatever, I just move on to eat something else. There's plenty of food out there to tasted, and be liked.

Maybe try a buffet one day. Saves money, energy, to see what is liked and can be eating instead of wasting.

Good luck.
Posted By: OzMojo Re: Starting to get afraid to eat - 07-30-2014 01:20 PM
I had odd cravings. I found it had to be something I could visualise eating, something that smelled right and most importantly, always tastes the same. Processed meats like frankfurts or spam, they taste the same, every time you've tasted spam its the same. Take away foods, like KFC as David mentions above, can help too. Those things taste and smell exactly the same every time, and you can force your brain to smell it and make the connection even when the taste buds say no.

Don't be thinking it has to be soft to go down. Scrambled eggs made me gag, but vegetables, even crunchy things like fresh celery, go down fine. As suggested earlier try buffets. Not necessarily food courts. I remember my first outing to a food court, I spent 20 minutes going from place to place, then realised there was nothing I could eat at any of them, I sat in the corner and had a cry.

Buffets you try things, especially salad bars. You can try one gherkin or a spoon of cottage cheese or any number of things and if nothing appeals, go fill another plate.

Your Dad has a long way to go. Now that isn't the easiest thing to hear, and right now the last thing he's wanting to contemplate is another 2 years like this. It wont be. The important thing is to focus on how far he's come already. It won't improve overnight but every day will get slightly better. One by one he'll have victories over food and the confidence and spirits will rise with each one. One day, he'll stand like I did at a food court this week. I told myself "I CAN EAT ANYTHING HERE!" And I had a whole kebab. Eventually wink
Posted By: ChrisN Re: Starting to get afraid to eat - 07-30-2014 08:41 PM
Here in the states there is a chain called Red Lobster and every spring is "Lobsterfest". So for 8 weeks I drank Carnation VHC while watching 4 commercials per hour of someone dunking lobster tails in drawn butter. My first big meal after treatment involved said lobster tails. Couldn't taste them but it was really more about revenge for their torment.

Contrary to popular belief, revenge is a dish best served with little ears of corn, snow crab and drawn butter.
Posted By: davidcpa Re: Starting to get afraid to eat - 07-31-2014 12:46 PM
My moment of triumph came when I ate a whole slice of Pizza Hut pizza, crust and all, without taking a sip of liquid (I couldn't because we were in the car and didn't have any drinks but nonetheless). This was months post Tx but I was as proud of myself after that as I am completing a Century.
Posted By: JGD99 Re: Starting to get afraid to eat - 08-16-2014 11:41 AM
Hi folks.

I guess I am pretty lucky, compared to most in treatment. I have 6 more doses of radiation, and one more whack of Cisplatin, but I am still eating more or less normally. I can't taste any of it, and most nights, sitting down to dinner is a grim slog akin to "shoveling the driveway" for those who live where it snows: I must shovel and shovel until the area is clear, then I can rest. I do get hungry, but much less than normal amount of food solves the craving. I am augmenting with higher fat in general: whole milk in my cereal, light cream in coffee instead of half fat half & half, etc. I also do Ensures with a couple scoops of coffee ice cream in between, and have kept my weight within 10 pounds of starting weight. I am starting to get some strange throat symptoms: normal pills will sometimes get stuck while swallowing. This elicits a gag reaction and loud "gack!" which, curiously, resolves the issue by sending the med down the right way.

Also, I'm getting to be "Colonel's Extra Crispy" looking round my neck from the rads. What I thought was dirt on my neck was a layer of skin sloughing off. Yesterday it looked like it was going to blister, but calmed down after a dose of Aquaphor & Eucerin.

Most food is flat out tasteless. My sense of smell is pretty normal, and I could smell some great fresh pineapple, but could taste no sweetness, though my wife assured me it was "right on the money" --same with watermelon or other fruits. We bought a NutraBullet, but I never use it, as fruit or yogurt are both pretty awful right now. I do use it for ice cream & Ensures once or twice a day.

I was feeling energetic the other day and cooked a "Beef & Beer" Italian stew. My wife assured me it tasted great, and I have to take her word for it. It was tolerable to consume, but devoid of usual pleasure I'd get from it.

All in all though, reading here, I think I'm luckier than most.
Posted By: donfoo Re: Starting to get afraid to eat - 08-19-2014 12:58 AM
Fantastic JD! you are fairing far better than most so keep it up. The tasteless experience is common for all and turns the joy of eating into a chore. Hang in there, things will be getting better soon.
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