Skip to main content

Coping With Diarrhea Related to Chemotherapy

chemo side effects When chemotherapy affects the cells lining the intestine, it can cause diarrhea (watery or loose stools). If you have diarrhea that continues for more than 24 hours, or if you have pain and cramping along with the diarrhea, call your doctor. In severe cases, the doctor may prescribe a medication to control the diarrhea. If diarrhea persists, you may need IV fluids to replace the water and nutrients you have lost. Often these fluids are given as an outpatient and do not require hospitalization. Do not take any over-the-counter medications for diarrhea without asking your doctor.

Tips to Help Control Diarrhea

Some tips that your doctor may recommend include:

  • Drink 8-12 cups of clear fluids a day. This will help replace fluids you have lost through diarrhea. Oral rehydration solutions (adults) or Pedialyte (children), are best. Drink slowly and make sure drinks are at room temperature. You can also try clear liquids, such as clear broth, diluted sports drinks such as Gatorade, or ginger ale. Let carbonated drinks lose their fizz before you drink them. If these drinks make you feel nauseous, try diluting them with water.
  • Ask your doctor if you should try a clear liquid diet to give your bowels time to rest. A clear liquid diet does not provide all the nutrients you need, so only stay on this diet for the time recommended by your doctor.
  • Eat 5-6 small meals throughout the day instead of 3 large meals.
  • Include certain foods in your diet, such as:
    • Eat low-fiber foods—Low-fiber foods include white bread, white rice or noodles, creamed cereals, ripe bananas, canned or cooked fruit without skins, cottage cheese, yogurt without seeds, eggs, mashed or baked potatoes without the skin, pureed vegetables, chicken, or turkey without the skin, and fish.
  • Avoid certain foods or drinks, such as:
    • Foods that cause gas, such as dried beans, cabbage, broccoli, and soy products
    • High-fiber foods, which can lead to diarrhea and cramping. such as whole grain breads and cereals, raw vegetables, beans, nuts, seeds, popcorn, fresh and dried fruit
    • Milk and milk products, including ice cream
    • Fried, greasy, or spicy foods
    • Hot or very cold liquids
    • Coffee
    • Tea with caffeine
    • Alcohol
    • Sweets
  • To ease irritation, use moistened wipes or water to clean yourself after bowel movements

While diarrhea is a common side effect of chemotherapy, there are steps that you can take to control it. If you are not finding any relief, be sure to tell your doctor right away. In some cases, you may need to take medication or have tests done to look for an infection. Remember that your doctor and other healthcare providers are there to support you during your treatment.

  • American Cancer Society

  • National Cancer Institute

  • BC Cancer Agency

  • Canadian Cancer Society

  • Chemotherapy and you. National Cancer Institute website. Available at: Accessed January 5, 2016.

  • Understanding chemotherapy: A guide for patients and families. American Cancer Society website. Available at: Accessed January 5, 2016.

The health information in this Health Library is provided by a third party. TriStar Health does not in any way create the content of this information. It is provided solely for informational purposes. It does not constitute medical advice and is not intended to be a substitute for proper medical care provided by a physician. Always consult with your doctor for appropriate examinations, treatment, testing, and care recommendations. Do not rely on information on this site as a tool for self-diagnosis. If you have a medical emergency, call 911.