Protein and ginger for the treatment of chemotherapy-induced delayed nausea.
BACKGROUND
Nausea that develops during the period that begins 24 hours after the administration of chemotherapy is called delayed nausea, and occurs in many patients with cancer. Meals high in protein decrease the nausea of motion sickness and pregnancy, possibly by reducing gastric dysrhythmias. Ginger also has antinausea properties.


OBJECTIVE
To explore the use of protein meals with ginger for the treatment of the delayed nausea of chemotherapy.


METHODS
Twenty-eight (28) patients with cancer receiving chemotherapy for the first time were assigned to 1 of 3 groups. For 3 days beginning the day after their chemotherapy, Control Group patients continued with their normal diet, Protein Group patients consumed a protein drink and ginger twice daily, and High Protein Group patients consumed a protein drink with additional protein and ginger twice daily.


METHODS
Patients recorded in a diary each day whether they had experienced nausea, whether their nausea had been frequent, whether their nausea had been bothersome, and whether they had needed any antiemetic medication. Gastric myoelectrical activity was assessed in 5 patients before and after ingestion of a high protein meal and ginger.


RESULTS
Reports of nausea, frequent nausea, and bothersome nausea were significantly less common among High Protein Group patients than among Control and Protein Group patients. Furthermore, significantly fewer patients in the High Protein Group used antiemetic medication. Differences between the Protein and Control groups were not statistically significant. In the 5 patients who had tests of gastric myoelectrical activity performed, a significant decrease in gastric dysrhythmia occurred after ingestion of the protein and ginger.


CONCLUSIONS
High protein meals with ginger reduced the delayed nausea of chemotherapy and reduced use of antiemetic medications. Protein with ginger holds the potential of representing a novel, nutritionally based treatment for the delayed nausea of chemotherapy.
Department of Psychology, Siena College, Loudonville, NY 12211, USA. mlevine@siena.edu
Max E
ME
Levine
Marcum G
MG
Gillis
Sara Yanchis
SY
Koch
Anne C
AC
Voss
Robert M
RM
Stern
Kenneth L
KL
Koch
D000328:Adult; D000932:Antiemetics / Q000008:administration & dosage*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000009:adverse effects; D004044:Dietary Proteins / Q000008:administration & dosage*; D005260:Female; D020939:Zingiber officinale; D006801:Humans; D008297:Male; D008875:Middle Aged; D009325:Nausea / Q000139:chemically induced* / Q000517:prevention & control*; D009369:Neoplasms / Q000188:drug therapy; D008517:Phytotherapy / Q000379:methods*; D016896:Treatment Outcome
D000932:Antiemetics; D004044:Dietary Proteins