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The Complete Patient’s Guide to Autologous Stem Cell Transplant (ASCT)

Digestive Issues (Nausea, Vomiting and Diarrhea)

Last updated on: 3/24/2025

Melphalan affects everyone differently, but it tends to affect the gastrointestinal tract (or digestive system) more commonly. Quite often, patients experience nausea, vomiting, and/or diarrhea as a side effect of the chemotherapy.

Talk to your doctor about preventative or reactionary medications that can help with this. 

  • Chemotherapy may alter taste and cause food to have a metallic flavor. Eat small, frequent meals and stick to foods that appeal to you.
  • Avoid spicy, fatty, fried, and sugary foods. Medications can help, but if you can’t keep anything down for 24 hours, notify your nurse.
  • Stay hydrated, limit caffeine, eat small, frequent meals, and consult your nurse before taking over-the-counter medication.

You can also check out patient sources for tips to navigate these side effects here: 

Check Solutions for GI Issues

Remember to talk to your doctor before implementing any medically-based solutions or supplements or making significant lifestyle changes.