Nutrition
and Myesthenia Gravis
Myasthenic should have a balanced diet for general well being. Three
meals a day is one of the first requirements to a balanced diet.
Regular and balanced meals help insure a healthy body. Each meal
should include the four basic food groups such as -
-
Milk
and dairy products for calcium, vitamins, and minerals to maintain
bones
-
Fish,
poultry, meat, eggs, Soyabean and other pulses which provide
protein for
overall general well being
-
Fruits
and vegetables which supply vitamins, and minerals.
-
Roti,
bread and cereals which supply carbohydrates.
Chewing
and Swallowing
When the muscles are weakened, an MG patient may experience difficulty
chewing and swallowing. To help with these difficulties, the patient
should:
1. Eat slowly and rest between bites as necessary.
2. If fatigue is a problem late in the day, have the main meal earlier
in the day.
3. Schedule meals when muscle strength is best, possibly one hour
after medication
such as Myestin.
4. Try soft foods, such as kheer, mashed potatoesl, in small portions.
5. Avoid sticky foods (such as chikki) which can be hard to chew and
swallow.
6.
Avoid fun food like Chocolates, Chewing gum, Bubble gum, etc.
7. Take sips of fluids to help moisten food and help in swallowing.
8. Always sit upright in a chair, in a calm atmosphere, to avoid
choking.
Diarrheoa
Occasionally medication such as Myestin can cause cramping and
diarrheoa. Some tips for this situation:
1. Consider that the dosage of medicine may need to be reduced to
levels which do
not produce diarrheoa; check with the doctor.
2. Drink plenty of liquids, including water, diluted fruit juices, and
flavoured drink
mixes.
3. Avoid caffeinated beverages because they can make the diarrheoa
worse.
4. Broths can be used to replace salt which may have been lost.
5. Avoid foods such as milk which are harder to digest.
6. Eat bananas, mangoes, diluted fruit juices to replace minerals.
7. Eat low fiber foods, such as white rice, white bread, cooked fruits
and vegetables,
without the skin.
8. If diarrheoa persists, despite reducing the dosage, there may be
another cause. Be
sure to tell your doctor about any over-the-counter drugs which have
been taken
for diarrheoa.
Fluid Retention
Some medications can cause the body to hold water or fluids.
Medications such as Prednisone and other steroids can cause this
problem. To lessen retention of fluid when taking these medications:
1. Avoid salt. Remove the salt shaker from the table. Try to either
cook with salt
substitutes or other spices.
2. Try to stay away from fried foods. Request baked or boiled foods
when possible.
3. Avoid canned food and pickles which are especially high in salt.
4. Develop the habit of reading the labels on food packages. Avoid
foods with highest amount of salt or sodium.
5. Try to stay away from junk foods which are very high in salt.
Weight Gain
Some medications can cause weight gain.Consult your doctor or
dietitian about a low calorie diet . A few tips are:
1. Eat low calorie snacks such as fresh vegetables or fruits.
2. Use caution when looking at "fad" diets which may not be
best when it comes to
balanced nutrition. Contact your doctor before starting any diet.
3. Order carefully in restaurants and ask about foods low in fat,
salt, and calories.
These
simple tips on eating and nutrition will maximize the natural sources
of energy we all need.
DISCLAIMER:
All information is for educational purposes only. Contact your
physician to make medical decisions