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Morning Sickness/Nausea of Pregnancy/Hyperemesis Gravidarum
Published in Charles Theisler, Adjuvant Medical Care, 2023
Diet: Eating dry toast or a plain biscuit in the morning 20 minutes prior to getting out of bed may help because it prevents moving around on an empty stomach.1 Eating bland foods, as for example the “BRATT” diet (bananas, rice, applesauce, toast, and tea) which is low in fat and easy to digest, can be helpful.1 Salty foods (e.g., salted crackers, pretzels, potato chips) are usually tolerated early in the morning, and sour and tart liquids (e.g., lemonade) are often tolerated better than plain water.2 Day-old unsalted popcorn is an inexpensive way to combat nausea caused by pregnancy or motion sickness. Ideally, the patient should eat popcorn one hour before or two hours after ingesting fluids.3 Taking small, frequent meals is typically better than eating three large meals.
Management of Conditions and Symptoms
Published in Amy J. Litterini, Christopher M. Wilson, Physical Activity and Rehabilitation in Life-threatening Illness, 2021
Amy J. Litterini, Christopher M. Wilson
Nausea and vomiting, the dreaded potential side effects of terminal illness or its treatments, are concerns for many individuals and their loved ones as they near the end of life. According to a systematic review of symptoms in individuals with advanced disease by Solano, Gomes, and Higginson,71 nausea was reported by 43% of individuals with AIDS, 6% of cancer survivors, and 17% and 30% of patients with heart and renal disease, respectively. The management of nausea and vomiting should be comprehensive and initiated early. Prevention and/or risk reduction are key, when possible. Patient education regarding avoidance of the following can be helpful: large meals; the use of, or proximity to, heavy fragrances (e.g. perfume, aftershave, fragrant flowers); foods with strong aromas during cooking or while eating; consumption of alcohol; food or drink with high levels of acidity (e.g. citrus, tomatoes, coffee); spicy foods or condiments; and/or fried or greasy foods.72 Clear liquids and small meals of bland foods such as bananas, rice, applesauce, and toast (white bread or crackers), also known as the BRAT diet, can be well-tolerated for some individuals with nausea.
Recommendations for the management of diarrhea with trofinetide use in Rett syndrome
Published in Expert Opinion on Orphan Drugs, 2023
Eric D. Marsh, Arthur Beisang, Timothy Buie, Timothy A. Benke, Brian Gaucher, Kathleen J. Motil
If hydration status is normal, the individual with RTT should continue a regular diet: regular milk, yogurt, complex carbohydrates (e. g. bread, potatoes, rice, wheat), fruits, vegetables, and lean meats are recommended [23]. High-fat foods should be avoided, and a low-fat diet, rather than a bananas, rice, applesauce, and toast (BRAT) diet, is preferred, since BRAT is considered to be unsuitable for diarrhea management [23,24]. Food should be provided in smaller and more frequent volumes. Fruit juice should be given at half-strength (i. e. mixed with an equal amount of water).