Carcinoid Cancer Resources for Australia

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Importance of Nutrition for NETs & Carcinoid Disease Patients

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As people living with carcinoid and/or  NETs  we have many questions about how best to manage our health.  Due to the flushing and other carcinoid syndrome symptoms, nutritional concerns are of special interest to Carcinod/NET suffers.

Should we follow a special diet?

Not necessarily.

You do not experience any carcinoid syndrome symptoms:

According to Ms Monica Warner of the Carcinoid Foundation (USA)  if you are not experiencing any Carcinoid Syndrome symptoms then most people should  follow a good healthy eating diet. 

In Australia  the recommended healthy eating guide as published in  the Australian Guide to Healthy Eating is the one to follow. Of particular importance is the role of fresh fruit and vegetables in our diets - remember the 5 veg 2 fruits per day campaign.

You experience one or more carcinoid syndrome symptoms:

If you have one of more carcinoid syndrome symptoms then the recommendations are to follow a high protein - low fat diet.

Take a multivitamin/multi mineral supplement each day

Minimise or eliminate those foods that induce carcinoid syndrome for you. 

Some of these can include

  • alcohol,
  • high fat foods,
  •  large meals and/or
  • amine containing foods.

 Remember:  each person is an individual and what foods one person can tolerate another can't, so there is no blanket rule to avoid any specific foods.

The good news is that according to current research there appears to be no correlation between eating foods that trigger syndrome symptoms and tumour growth. 

If eating something makes you feel uncomfortable or induces syndrome then cut back on the quantities or eliminate it from your diet.


 

 

Last Updated on Saturday, 27 June 2009 04:16
 

What is carcinoid cancer?

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If you don't suspect it ...you can't detect it!

  This is a rare neuroendocrine cancer, accounting for 1 in 200 cancers diagnosed (only 0.5% of all cancers).

A carcinoid tumor. is one that excretes excessive hormones into the body. They can release a veritable cocktail of hormones but the most common is Serotonin. Thankfully the liver usually filters out these hormones and their effect is not shown on the body.

About 10% of patients with carcinoid tumours go on to suffer a constellation of symptoms called "carcinoid syndrome"

Carcinoid syndrome is usually caused when the primary carcinoid tumour metastases to the liver. When this happens, the hormones are not filtered out and neutralised by the liver but are excreted into the body to have their wicked way.

Symptoms of carcinoid syndrome can include:

  • Flushing of the face, upper arms and chest
  • Often a change in blood pressure- usually downward but increases are not uncommon
  • Explosive (the best word to describe it) diarrhoea- can be chronic with many episodes a day
  • Breathlessness
  • Asthma like wheezing
  • Tricuspid and pulmonary heart valve damage eventually resulting in in congestive heart failure. Early signs can be lower leg odema (fluid retention).
  • Telangiectasia- little red spots on upper chest and arms- can look like dilated/broken capiliaries or like small red freckles. 
  • Enlarged liver (hepatomegaly) from tumour bulk

Note that symptoms vary from person to person. Some people only every get the flushing and occasional diarrhoea -which often gives rise to some sort of misdiagnosis of menopausal symptoms if a w0oman and/or probably Irritable Bowel Syndrome (IBS).

The rarity of the incidence of carcinoid mailgnancy often means that the cancer goes undetected for many years. The symptoms are often misdiagnosed .

There is a slogan amongst carcinoid patients which rallies us to educate our physicians and medicos "If you dont suspect it ...you can't detect it!" We need to ensure that carcinoid becomes a known disease and one that comes to mind for front line doctors so at least the cancer is supected and ruled out after testing. Too many of our number are misdiagnosed and hence the disease takes it toll on the body until care becomes palliative and not curative.

 


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