Feeding and nutrition for blood and marrow transplantsFFeeding and nutrition for blood and marrow transplantsFeeding and nutrition for blood and marrow transplantsEnglishHaematology;Immunology;Oncology;NutritionChild (0-12 years);Teen (13-18 years)BodyImmune systemHealthy living and preventionAdult (19+)NA2019-05-29T04:00:00ZJohn Doyle, MD, FRCPC, FAAP;Christine Armstrong, RN, MScN, NP Peds;Rivanna Stuhlur, RD9.4000000000000062.20000000000001168.00000000000Flat ContentHealth A-Z<p>Learn about nutrition and how to store and handle food after your child's blood and marrow transplant (BMT).</p><p>The treatment your child received right before their blood and marrow transplant (BMT), which consisted of high-dose chemotherapy, with or without <a href="/Article?contentid=1528&language=English">total body irradiation (TBI)</a>, destroyed the abnormal bone marrow cells in their body. Both the chemotherapy and the transplant put a lot of strain on your child’s organs and tissues.</p><p>Proper nutrition helps your child’s body to:</p><ul><li>repair any organ or tissue damage</li><li>fight fever and infection</li><li>take up (engraft) the donor cells that it received during the BMT</li></ul><p>Eating nutritious, high-protein food can help keep the new marrow cells healthy. To make sure that your child is getting the proper nutrition, they may need to eat higher calorie foods, take oral supplements like Ensure or they may even need a nasogastric (NG) feeding tube.</p><h2>Key points</h2><ul><li>After a BMT, your child may need additional calories and up to twice as much protein.</li><li>Your child will be placed on a low-bacteria diet to minimize the risk of infection.</li><li>If your child is unable to eat on their own, the health-care team may recommend that they receive artificial nutrition, either through a feeding tube (enteral nutrition) or through their central line (parenteral nutrition).</li><li>Talk to your health-care team if you would like to continue breastfeeding your baby during their BMT or if you are struggling to express breast milk.</li></ul>
Alimentation et nutrition pour les greffes de sang et de moelle osseuseAAlimentation et nutrition pour les greffes de sang et de moelle osseuseFeeding and nutrition for blood and marrow transplantsFrenchHaematology;Immunology;Oncology;NutritionChild (0-12 years);Teen (13-18 years)BodyImmune systemHealthy living and preventionAdult (19+)NA2019-05-29T04:00:00ZJohn Doyle, MD, FRCPC, FAAPChristine Armstrong, RN, MScN, NP Peds;Rivanna Stuhler, RD8.0000000000000067.0000000000000432.000000000000Flat ContentHealth A-Z<p>Apprenez-en davantage sur la nutrition et la manière d’entreposer et de manipuler les aliments après la greffe de sang et de moelle osseuse de votre enfant.</p><p>Le traitement que votre enfant a reçu juste avant sa greffe de sang et de moelle osseuse, qui consistait en une chimiothérapie à forte dose, avec ou sans <a href="/Article?contentid=1528&language=French">irradiation corporelle totale (ICT)</a>, a détruit les cellules de moelle osseuse anormales dans son corps. La combinaison de la chimiothérapie et de la greffe met les organes et les tissus de votre enfant à rude épreuve.</p><p>Une nutrition adéquate aide le corps de votre enfant à :</p><ul><li>réparer les dommages aux organes et aux tissus;</li><li>lutter contre la fièvre et l’infection;</li><li>absorber (greffer) les cellules du donneur qu’il a reçues durant la greffe de sang et de moelle osseuse.</li></ul><p>La consommation d’aliments nutritifs et riches en protéines peut aider à maintenir les nouvelles cellules de moelle osseuse en bonne santé. Pour veiller à ce que votre enfant obtienne la nutrition adéquate, il se peut qu’il doive consommer des aliments à plus forte teneur calorique, prendre des suppléments par voie orale comme Ensure, ou il aura peut-être même besoin d’une sonde nasogastrique (NG).</p><h2>À retenir</h2><ul><li>Après une greffe de sang et de moelle osseuse, votre enfant peut avoir besoin de calories supplémentaires et jusqu’à deux fois plus de protéines.</li><li>Votre enfant devra suivre un régime alimentaire faible en bactéries pour minimiser le risque d’infection.</li><li>Si votre enfant est incapable de manger seul, l’équipe de soins de santé peut recommander l’administration d’une nutrition artificielle, soit par sonde gastrique (nutrition entérale), soit par voie centrale (nutrition parentérale).</li><li>Parlez-en à votre équipe de soins de santé si vous souhaitez continuer à allaiter votre bébé pendant sa greffe de sang et de moelle osseuse ou si vous avez du mal à tirer votre lait. </li></ul>

 

 

 

 

Feeding and nutrition for blood and marrow transplants1545.00000000000Feeding and nutrition for blood and marrow transplantsFeeding and nutrition for blood and marrow transplantsFEnglishHaematology;Immunology;Oncology;NutritionChild (0-12 years);Teen (13-18 years)BodyImmune systemHealthy living and preventionAdult (19+)NA2019-05-29T04:00:00ZJohn Doyle, MD, FRCPC, FAAP;Christine Armstrong, RN, MScN, NP Peds;Rivanna Stuhlur, RD9.4000000000000062.20000000000001168.00000000000Flat ContentHealth A-Z<p>Learn about nutrition and how to store and handle food after your child's blood and marrow transplant (BMT).</p><p>The treatment your child received right before their blood and marrow transplant (BMT), which consisted of high-dose chemotherapy, with or without <a href="/Article?contentid=1528&language=English">total body irradiation (TBI)</a>, destroyed the abnormal bone marrow cells in their body. Both the chemotherapy and the transplant put a lot of strain on your child’s organs and tissues.</p><p>Proper nutrition helps your child’s body to:</p><ul><li>repair any organ or tissue damage</li><li>fight fever and infection</li><li>take up (engraft) the donor cells that it received during the BMT</li></ul><p>Eating nutritious, high-protein food can help keep the new marrow cells healthy. To make sure that your child is getting the proper nutrition, they may need to eat higher calorie foods, take oral supplements like Ensure or they may even need a nasogastric (NG) feeding tube.</p><h2>Key points</h2><ul><li>After a BMT, your child may need additional calories and up to twice as much protein.</li><li>Your child will be placed on a low-bacteria diet to minimize the risk of infection.</li><li>If your child is unable to eat on their own, the health-care team may recommend that they receive artificial nutrition, either through a feeding tube (enteral nutrition) or through their central line (parenteral nutrition).</li><li>Talk to your health-care team if you would like to continue breastfeeding your baby during their BMT or if you are struggling to express breast milk.</li></ul><h2>How is your child’s nutrition monitored after a BMT?</h2><p>Every day, your nurse and dietitian will look at how much your child is eating and drinking to make sure they are getting enough nutrients. Tell your child’s nurse about what your child is eating and drinking each day. To help you keep track, you may be asked to record the number of calories your child is consuming. Give these numbers to your nurse each day for the dietitian to review. Encourage your child to eat and drink (even if it is only small amounts) to keep their digestive system working well, but do not force them. It is very normal for children pre- and post-BMT to feel nauseous or not very hungry.</p><h2>The low-bacteria diet</h2><p>After your child’s transplant, they will be placed on a special diet to minimize any risk of infection. This diet is called the low-bacteria diet. The low-bacteria diet focuses on food safety and recommends avoiding certain foods that might cause infection (such as undercooked meat or raw fish). It is not very restrictive, or particularly difficult to follow, but it is important that your child stay on the diet for three to six months, as recommended by the BMT team. You will receive written information about the <a href="/Article?contentid=1546&language=English">low-bacteria diet</a> and the <a href="/Article?contentid=1547&language=English">safe handling and preparation of food</a> when you are admitted, and you can ask to see the dietitian if you have any questions.</p><h2>Food brought to the hospital and storing food</h2><ul><li>Food prepared from home is allowed inside your child’s hospital room, as long as it is completely cooked, and transported and stored properly.</li><li>Never store food that is meant to be hot or cold at room temperature for longer than one to two hours.</li><li>Seal and wrap any food you store in the patient fridge. Label it with the date and time that you stored it. Always use refrigerated foods within 24-48 hours, or before the “best before” date.</li><li>Food that is commercially prepared and packaged is always allowed.</li><li>Your child can eat food prepared by family and friends, and food from restaurants, so long as it is prepared according to the <a href="/Article?contentid=1546&language=English">low-bacteria guidelines</a>.</li></ul><h2>Nutrition support: Enteral and parenteral nutrition</h2><p>There may be times when your child does not feel well enough to eat. Food may taste strange, they may have no appetite or eating may be too painful. Some children have <a href="/Article?contentid=746&language=English">vomiting</a> and <a href="/article?contentid=7&language=English">diarrhea</a> that make it hard for them to tolerate food. When this happens, your medical team may recommend starting nutrition support. This is provided either through an <a href="/Article?contentid=984&language=English&hub=tubefeeding">NG tube</a>, or intravenously through your child’s central line. Almost all children who have a BMT require some kind of nutrition support.</p><p>Enteral nutrition is a special formula of nutrients given through an NG tube. It can be delivered either as one slow infusion over the course of the day, or given as smaller amounts, multiple times daily. Enteral nutrition is the best way of providing nutrition support as it is delivered to your child’s gut, which is the most natural way of receiving extra nutrition. Your child’s NG tube can also be used to give medication. Some children do extremely well with NG tubes, and may even eat and drink by mouth in addition to their NG feeds. It is best to insert an NG tube early in treatment, before your child develops any <a href="/Article?contentid=1552&language=English">mouth sores</a>. Your medical team and dietitian can discuss this further with you.</p><p>Sometimes, children do not tolerate enteral nutrition or may only tolerate a small amount of the nutrients that they need each day. In this instance, your child’s health-care team might recommend that your child receive IV nutrition through their central line. This nutrition is called parenteral nutrition (PN). This will be ordered and monitored by your dietitian, and given by your nurse. Your dietitian will make sure that your child receives enough calories, protein, fat, carbohydrates, vitamins and minerals in both their enteral and parenteral nutrition, and will work with you when it is time for your child to start trying to eat again.</p><p>It may take a while for your child’s eating to improve enough to go home. If your child is still struggling to eat by the time they are discharged from the hospital, the health-care team might recommend that your child receive <a href="/Article?contentid=2457&language=English&hub=tubefeeding">feeds at home</a> through an NG tube. If this is the case, your dietitian will work with you to decide which feed, how much and how often is best. Your child will be followed by the clinic dietitian after they go home to make sure they keep growing and gaining weight.</p><h2>Breastfeeding and use of expressed breast milk</h2><p>Many babies who have a BMT are still breastfeeding. For some babies, continued breastfeeding is allowed and encouraged. If your baby stops breastfeeding well during their BMT, breast milk can be expressed and given to them orally or through a feeding tube during this time. If you are interested in breastfeeding your baby during their BMT, ask your BMT doctor or nurse coordinator if your baby can continue to breastfeed or receive expressed breast milk by mouth or feeding tube.</p> <p>Mothers who are able to continue breastfeeding during the BMT, or who want to express breastmilk but are struggling, may benefit from a visit from a lactation consultant. Your nurse or any other member of the health-care team can ask the lactation consultant for suggestions and strategies on how to successfully continue breastfeeding or pumping breast milk.</p>Feeding and nutrition for blood and marrow transplantsFalse