A very unwelcome issue has developed.

9 months ago

Hello, friends. Would you mind being a sounding board about this unpleasant problem I’ve been experiencing?

Ever since my stroke, I’ve struggled with a poor appetite. Not real surprising considering all of the new medications, lack of my usual exercise, etc. But, in recent days, I not only have zero appetite but full blown nausea when confronted with a meal….or the smell of cooking food, cooked food. My favorite veggie/fruit drinks don’t even go down very well. I can deal with oat meal or protein bars if I have to but that’s about it.

Does anyone have any experience with something like this? This is so recent that I haven’t had a chance to talk with my doctors about it.

Featured Answer

Fun2BHere

9 months ago

I found this information on the Internet that might be helpful:

"Post-stroke sensory aversions to food characteristics are likely caused by damage to brain areas responsible for taste and smell processing, as supported by the comprehensive overview of stroke patient care 1. This condition, known as post-stroke dysgeusia (taste disturbance) and dysosmia (smell disturbance), occurs when a stroke affects neural pathways in the thalamus, insular cortex, or other regions involved in sensory processing. Key factors contributing to decreased patient interest in eating include compromised level of consciousness, dysphagia, sensory and/or perceptual deficits, reduced mobility, or depression, as highlighted in the study 1. Some important considerations for managing post-stroke sensory aversions include:

Monitoring nutritional status and preventing malnutrition, which is a significant concern as 50% of severe stroke survivors are reported to be malnourished at 2 to 3 weeks after stroke 1
Dietary modifications with a nutritionist to find acceptable foods
Possibly zinc supplementation to improve taste perception
Small, frequent meals with varied temperatures and textures to help overcome aversions
Experimenting with different seasonings, particularly umami flavors, to enhance palatability
Addressing potential post-stroke depression with medications like mirtazapine, which may also stimulate appetite
Maintaining a food diary to identify patterns in food acceptance and track nutritional intake Regular dental care is also crucial as oral health issues can exacerbate taste disturbances. Given the potential for gradual recovery of sensory function over months as the brain rewires through neuroplasticity, a multidisciplinary approach to treatment and ongoing monitoring of the patient's condition are essential."

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Comments (15)

Toronto Veterinarian
9 months ago
Not because of a stroke, but I know a couple of people who've dealt with nausea and inapeptance with a little bit of marijuana. If it's legal where you live, of course ;)
rhizo_1 (North AL) zone 7 thanked Toronto Veterinarian
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petalique
9 months ago
last modified: 9 months ago
Rhizo, I am sorry that you are not feeling well and wish I had some answers for you.

Fun2B and TV have offered some ideas. Have you called a pharmacy to see if there is anything OTC?

I hope you get some help soon.
rhizo_1 (North AL) zone 7 thanked petalique
wildchild2x2
9 months ago
I do know the TMIs (Traumatic Brain Injuries) do frequently have the result of losing your sense of taste. I'm not sure how one copes with it. I hope you can get some advice from your doctor and maybe a dietician would be helpful. In the meantime if you find a food that you can like or at least tolerate don't worry about not eating enough variety. Eat what you are able. I really don't think self medicating with marijuana or any other supplement or OTC drug is a good idea for someone who has recently undergone a brain trauma and stroke is a trauma to the brain.

Prayers that this is just another speed bump in your recovery and you are able to continue to move forward in a positive direction.
rhizo_1 (North AL) zone 7 thanked wildchild2x2
Kendrah
9 months ago
Very sorry to hear this. Talk to your doctor ASAP so you can get one step closer to finding good solutions. Symptoms from strokes are so varied that they can't help coach you until you let them know specifically what you are experiencing.

Until you get in to see your doc, it is fine to get by on whatever small amount you can get into you. Are you able to drink any kind of protein shake or ensure? They are often more tolerable when consumed cold. (Many foods are when you have nausea as heating food can often release more food smells.)

Hang in there.
rhizo_1 (North AL) zone 7 thanked Kendrah
chinacatpeekin
9 months ago
I’m so sorry this is happening. I do think you should let your doctor know about it. Ondansetron/ Zofran is a prescription anti-nausea medication that might be very helpful; ask your doctor if it’s an option for you.
rhizo_1 (North AL) zone 7 thanked chinacatpeekin
blfenton
9 months ago
last modified: 9 months ago
what about something to control the nausea such as gravol (dramamine). i wonder if that would allow you to at least eat something.

I sure hope you're feeling better soon.
rhizo_1 (North AL) zone 7 thanked blfenton
Ally De
9 months ago
Rhizo - I am so sorry. It is awful. I had a weird run of something similar, with no cause ever identified. Zofran helped some, as did eating tiny meals of bland food. I am used to nausea/vomiting with my now infrequent migraines, and mine was like that except it stuck around for weeks. Awful, rotten problem.

I agree, talk to your doctor. I truly hope it lets up soon for you.
rhizo_1 (North AL) zone 7 thanked Ally De
eld6161
9 months ago
(((( HUGS))) I hope you find answers soon.
rhizo_1 (North AL) zone 7 thanked eld6161
OutsidePlaying
9 months ago
I’m so sorry, Rhizo. I do hope your doctor (the one who has been treating you for the stroke) can offer some help. The information fun2BHere provided makes sense.

If you are able to drink a bit of a protein drink, I found one that I can tolerate quite well and it actually tastes good. It is available at Target in our area and called Owyn (see photo). We had a discussion in another thread about our workouts, weight loss and trying to get more protein in our diets. I drink about half of this carton in the morning and then if i don’t get much protein later will drink the other half. The chocolate tastes like a fudgesickle. There is also vanilla, dark chocolate and some other combos but i have not tried them.
rhizo_1 (North AL) zone 7 thanked OutsidePlaying
dedtired
9 months ago
Are you sure you’re not pregnant? I couldnt stand the sight or smell of certain foods while expecting.

But seriously, I am sorry you’re not feeling well. I agree that high calorie drinks like Boost might help. My mom liked them if they were very cold

Good luck and I hope you’re appetite returns soon.
rhizo_1 (North AL) zone 7 thanked dedtired
lily316
9 months ago
I'm sorry about your eating issues and have nothing to add except make sure you don't get dehydrated. Hope it resolves soon.
rhizo_1 (North AL) zone 7 thanked lily316
chisue
9 months ago
So sorry. This is just awful!

I can't stand the gluey protein drinks but can tolerate Carnation Breakfast Essentials. I get this in a canister so I can use as much or as little as I want mixed with milk.

Does it help to close your eyes? Hold your nose? Take very, very small amounts. Wait. Try again. Watch something on TV -- not the news! Don't push it. Small amounts add up.

And...CALL your DOCTOR. NOW.
rhizo_1 (North AL) zone 7 thanked chisue
Elmer J Fudd
9 months ago
I'll echo other comments and hope that better days are soon to arrive for you. Best wishes.
rhizo_1 (North AL) zone 7 thanked Elmer J Fudd
morz8 - Washington Coast
9 months ago
Rhizo, I'm so sorry. I have no good advice for you other than call your doctor and I do know you didn't have a lot of excess weight to lose to begin with. Don't let this get away from you. Please.

I have no nausea and don't feel unwell but feeling hungry is a rare event. If DH didn't want to eat I might not think of it at all. Maddeningly, watch a bit of TV and you can see half dozen ways to lose - no one ever gives suggestions on how to gain! ((((hugs))))
rhizo_1 (North AL) zone 7 thanked morz8 - Washington Coast

A very unwelcome issue has developed.

Fun2BHere

Comments (15)

Toronto Veterinarian

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petalique

wildchild2x2

Kendrah

chinacatpeekin

blfenton

Ally De

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lily316

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morz8 - Washington Coast

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