- One of the most common problems caused by pseudomyxoma peritonei (PMP) is a change in bowel habit due to the disease pressing on the bowel, which can prevent the absorption of food.
- The accumulation of mucin in the abdomen can also cause you to lose your appetite and feel full more quickly. This can lead to weight gain around the abdomen caused by the disease, but at the same time, weight loss from the face, arms and legs.
- Weight loss, especially over a short period of time, can cause you to lose muscle mass, have reduced strength and low energy levels.
- PMP may make it difficult to get all the energy your body needs, so you may need to eat foods that are higher in calories than normally recommended for a healthy diet.
- Including enough protein in your diet is also important as proteins are one of the building blocks of body tissue and are essential for growth and repair.
- This information is designed for patients and relatives with concerns about eating and drinking. It offers advice on ways to change your diet at a time when you may be concerned about losing your appetite or losing weight.
- By eating as well as you can, you will give your body the energy and nutrients it needs to either rebuild your muscle mass or minimise any muscle loss. It may also improve your energy levels and help you to fight infection.
Lost your appetite or losing weight?
Enriching your diet can help you to minimise muscle loss or regain any weight that you may have lost. If you are finding it difficult to manage all your meals and/or have lost your appetite, here are some useful tips.
- If you find that you are overwhelmed by large meals then eat smaller amounts but try to eat more frequently. Eat little and often, grazing through the day on nutritious drinks and snacks.
- Try having your food from a smaller plate as a very large plate of food can seem like too much and put you off eating. - Make the most of the times that you feel most hungry. For example, if mornings are best, try having a cooked breakfast.
- You may find soft and bite sized foods are much easier to manage as they require less effort to chew.
- Make the food you eat as nourishing as possible by enriching it. If you don’t feel you can face solid food, then try a nourishing drink and refer to page 5 for some ideas.
Keep meals simple and let other people help you with the cooking and shopping. You may find it useful to use ready-made meals or convenience foods at this time. You could consider using one of the companies that deliver meals directly to your door for example: Wiltshire Farm Foods, Oakhouse Foods or Parsley Box. These can be ordered online or over the telephone. Alternatively, do your food shopping on the internet as this can save you time and energy.
Foods such as fruit and vegetables can fill you up so just keep to small portions or enrich them whilst your appetite is small. A small alcoholic drink, such as a glass of wine, beer, lager or sherry before a meal may boost your appetite – but just check with your doctor to make sure it’s allowed.
Try to relax and enjoy what you eat. Take your time and chew your food well. Some people find that a short walk before a meal, or just a few breaths of fresh air, helps to give them more of an appetite.
If your disease affects the stomach and bowel, you may need to change the amount of food and the times you eat. If you feel full after eating only a small amount of food, the disease could be pressing on your stomach preventing you eating your regular portion sizes.
It is quite common to feel full even after small amounts of food and this can be very uncomfortable. You may find these tips helpful:
- It may be better to eat 5 - 6 small meals throughout the day, rather than focusing on 3 meals a day.
- Liquids, especially fizzy drinks can fill you up so try to avoid taking drinks with food or just before meals.
- Cold food and drinks, for example yogurts, ice cream, mousse and iced drinks can be easier to take.
- A little gentle exercise, such as a short walk after meals can be helpful.
- Wind can make you feel very full and bloated so avoid fizzy drinks, sugar free mints and sweets and large amounts of fibre which can make the problem worse. Some people find peppermint tea, cordial or mints helpful at relieving trapped wind.
Please note: If you are experiencing bowel symptoms and have been advised to follow a low fibre diet, some of the foods listed below may not be suitable. Omit or choose lower fibre varieties of these foods. We have indicated foods that may not be suitable for a low fibre diet with an asterisk *.
Ways to enrich food and drinks
Milk and dairy
These can be used to add energy and protein to food, for example:
- use full fat dairy produce, such as full cream milk and full fat yoghurt in place of low fat varieties
- (yoghurt may be labelled ‘luxury’ or ‘ thick and creamy’ rather than ‘light’, ‘diet’ or ‘low fat’)
- if you prefer, use non-dairy milk alternatives such as soya, almond, rice or oat milks. Choose full fat varieties and ones that are fortified with vitamins and minerals.
- keep a box of grated cheese ready in the fridge to add to sauces, sprinkle onto soup or pasta, add extra to pizza, use to fill sandwiches, have with crackers and butter or mix into mashed potato.
- serve evaporated milk, yoghurt, cream or fromage frais with cereals, puddings and fruit pies or add to soups, sauces and desserts. Also use when making jellies or instant puddings.
- use full cream milk or evaporated milk to make milk jellies, and instant whips
- make fortified milk by mixing 4 tablespoons of skimmed milk powder with 1 pint of whole, full fat milk. This doubles the protein content. Use whenever you would use ordinary milk in drinks or with foods and use within 24 hours.
- add milk powder or Complan OriginalTM to soups, sauces, milky puddings and custards
- replace cups of tea and glasses of water with milky drinks such as hot chocolate, malted milk and milky coffee – also lattes, cappuccinos and flat whites. Try drinking these between meals and at suppertime.
These can be used to add extra energy to food, for example:
- put plenty of butter or margarine on bread, toast, scones, crumpets, malt loaf*, fruit teacakes*, crackers, jacket potatoes*, mashed potatoes and vegetables*
- use mayonnaise, cream cheese, sour cream, salad cream, hummus* and oil-based salad dressings in sandwiches, in salads*, on jacket potatoes*, on bread or use as a dip
- be generous with the amount of ghee, olive oil, butter or margarine that you use in cooking
- stir cream, full cream yogurt, grated cheese, mascarpone cheese or crème fraiche into soups, sauces, casseroles, cereals or milk puddings
- spread large amounts of chocolate spread, peanut butter* or lemon curd on bread, toast, crackers, oat cakes*, crumpets, pancakes or pitta bread
- snack on nuts*, seeds* and chocolate.
If you want to reduce the amount of saturated fats while still keeping your calories high, you can swap butter for oil or oil based spreads (such as olive oil or vegetable based).
These can also be used to add extra energy to food. Examples of sugars include:
- white or brown sugar
- jam, marmalade* and lemon curd
- honey, syrup, molasses or treacle
These can be added to drinks, stirred into puddings or sprinkled over cereals.
Below are some suggestions for foods you might like to try. Keep the ones that you fancy to hand so that you can snack or graze on them whenever you feel hungry.