|Feeding and nutrition for blood and marrow transplants||1545.00000000000||Feeding and nutrition for blood and marrow transplants||Feeding and nutrition for blood and marrow transplants||F||English||Haematology;Immunology;Oncology;Nutrition||Child (0-12 years);Teen (13-18 years)||Body||Immune system||Healthy living and prevention||Adult (19+)||NA||2009-12-08T05:00:00Z||John Doyle, MD, FRCPC, FAAPChristine Armstrong, RN, MScN, NP Peds||8.00000000000000||67.0000000000000||432.000000000000||Flat Content||Health A-Z||<p>Learn about nutrition and how to store and handle food after your child's blood and marrow transplant.</p>||<p>Before your child’s blood and marrow transplant (BMT), doctors first destroyed all of your child's abnormal bone marrow cells. They did this by giving high-dose chemotherapy, with or without
<a href="/Article?contentid=1528&language=English">total body irradiation</a> (TBI). Both of these therapies put a lot of strain on the body’s organs and tissues. </p><p>To help repair the damage on any organ and tissue and fight fever, your child needs to eat more protein and calories after the transplant. Eating nutritious food will help keep the new marrow cells healthy. It is important that your child increases their calorie intake at least 30 to 50 days after the transplant.</p>||<h2>Key points</h2><ul><li>After a BMT, your child will need up to 50% to 60% more calories and twice as much protein.</li><li>Your child will be placed on a restricted diet to minimize the risk of infection.</li><li>If your child is unable to eat on their own, they may be given a nutrition mixture called total parenteral nutrition (TPN).</li></ul>||<p>Compared to children who are the same age and sex, your child may need to eat:</p><ul><li>up to 50% to 60% more calories </li><li>twice as much protein</li></ul><p>Every day, the nurse will count how many calories your child is taking in to make sure they are getting enough nutrients. Tell your nurse about what your child is eating and drinking. Encourage your child to eat and drink, even in small amounts to keep their digestive system working well.</p><p>After your child’s transplant, they will be placed on a restricted diet to minimize any risk of infection. This diet is called the low-bacteria diet. It is not difficult to follow, but it does require your child to avoid certain foods, especially if it is handled by others (for example, take-out restaurants).</p><h2>Food brought to the hospital and storing food</h2><ul><li>Never store food at room temperature for longer than two hours.</li><li>Seal and wrap any food you store in the patient fridge. Label it with the date and time when you stored it. Always use refrigerated foods within 24 hours, or the “best before” date.</li><li>Food prepared from home is allowed inside your child’s hospital room, as long as it is completely cooked, transported and stored properly.</li><li>Food that is commercially prepared and packaged is always allowed. </li><li>Please follow the
<a href="/Article?contentid=1546&language=English">low bacteria diet guidelines</a> before bringing food from home.</li></ul><h2>Total Parenteral Nutrition (TPN)</h2><p>There might be times when your child may not feel well enough to eat.
<a href="/Article?contentid=746&language=English">Vomiting</a> or
<a href="/article?contentid=7&language=English">diarrhea</a> can make it difficult for your child to tolerate food. To make sure your child continues to get enough nutrients, the nurse will deliver a special mixture of nutrients, which contains:</p><ul><li>protein </li><li>fat</li><li>sugar</li><li>vitamins and minerals </li></ul><p>This nutrition mixture is called the Total Parenteral Nutrition (TPN). The nurse delivers this TPN through your child’s central line into the blood stream. Your child can drink and eat while they receive TPN. However, do not force your child to eat or drink if they are feeling unwell. </p>||Feeding and nutrition for blood and marrow transplants|