Diarrhea For Losing Weight
Diarrhoea is the passage of three or more loose or liquid stools a day or more than your normal. The Bristol Stool Chart is a recognised pictorial diagram used in healthcare that you can use to classify your stools. Type 5, type 6 and type 7 may indicate diarrhoea.
There are many reasons why you may have diarrhoea. The management and treatment of it usually depends on the cause. It is therefore useful to know the reason for your diarrhoea.

Diarrhoea can occur due to the cancer itself or as a result of damage or irritation to the digestive tract caused by some cancer treatments. Other reasons include;
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Although you may not feel like eating it is important that you do continue to eat and drink to keep yourself nourished and hydrated. Your body will lose a lot of water and salts if you have diarrhoea and youmay beat risk of becoming dehydrated.
It can help to include drinks other than water to replace the salts. Tea, coffee, milk, water, fruit juice, soda, diluting juice, beef stock all count towards your body'sfluid intake.
If you drink alcohol you can find more informationhereabout the low risk drinking guidelines and helpto cut down how much you drink
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This can help to identify food and drinks that are troublesome for you. You may wish to avoid these foods to see if this helps. If you don’t notice an improvement with avoiding certain food and drinks try reintroducing these back in to your diet. It is important to have a varied diet to make sure you get everything you need. Avoiding certain food and drinks long-term unnecessarily is not recommended.
As part of a healthy balanced diet the general population is encouraged to eat 30g fibre per day. This can be difficult to achieve particularly if you have a poor appetite.
If you are adding fibre to your diet do it gradually introducing 1-2 changes every few days. This will help your bowel adjust and avoid bloating and excess gas.
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Some people find reducing the fibre content of their diet when they have symptoms of diarrhoea can help. As a starting point see below for examples of higher and lower fibre containing foods.

A diet high in fat can contribute to diarrhoea. It may be worth considering reducing your intake or avoiding the following obvious sources of high-fat foods in the short-term:
Pancreatic exocrine insufficiency (PEI) can lead to malabsorption of fat and result in diarrhoea. There are effective treatments for this if this is the reason for your diarrhoea. Please discuss this with a healthcare professional for more information.
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Following a 'low-fat' diet without medical reason is not recommended when you have cancer. This canaccelerate weight loss and mean that you miss out on vital nutrients. Click here for more information on a healthy balanced diet.
Chemotherapy damages healthy gut cells. Lactose intolerance can occur as a result ofchemotherapy treatment. This normally resolves when you stop chemotherapy treatment.
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Following a lactose free diet during your treatment can help. If you choose to follow a lactose-free diet for the duration of your treatment please read the advice here to make sure you are taking in enoughcalcium.
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If you are having radiotherapy treatment, the evidence does not support following a lactose-free diet unless you have been diagnosed with lactose intolerance.
Cancer and cancer treatment can reduce your ability to fight infection. Probiotics contain live bacteria and so consuming probiotics with having a weakened immune system can increase your risk of developing an infection.
Probiotics have in some cases been found to limit the length of time you have diarrhoea for and there is evidence to support their use in those with irritable bowel syndrome however taking probiotics is not recommended for someone with cancer. To find out more about probiotics check out the British Dietetic Association fact sheet on Probiotics.
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Continue to eat as you usually would do. If you have diarrhoea consider your fluid intake, avoid known irritants and take your medication as prescribed. If your symptoms continue discuss changes to yourmedication with your healthcare team.Anantispasmodic medication could help.
If your diarrhoea is associated with colitis your healthcare team will manage this. You may also benefit from a referral to a dietitian.
He information on this page is not suitable for you if you have a stoma. Speak to your healthcare team if you are looking for advice specific to eating and drinking with a stoma.
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Anti-diarrhoeal medication can help your symptoms. Speak to your healthcare team if you do not have medication to help your symptoms, to discuss changes to current medications or if your symptoms persist despite medication.
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