Language

Read an important notice regarding the data security incident McKesson reported on August 28, 2026. Read more.   

Select Language

Nutrition Spotlight: What is a carcinoid tumor and how do I manage the symptoms?

September 30, 2019

Carcinoid tumors target cells that produce hormones.  When an individual has had carcinoid tumors for an extended period of time, they can develop carcinoid syndrome.  Diarrhea commonly accompanies carcinoid tumors and at Virginia Cancer Specialists, we work with patients to determine what they can eat to get the nutrients they need and to avoid the discomfort and risk that comes along with persistent diarrhea.

We start with what we know.  Common triggers of diarrhea and other digestive symptoms in carcinoid tumor patients include high-fat foods, raw tomatoes, alcohol, spicy foods, and those higher in amines.  (“Amines” are a chemical name to describe specific components found in foods, such as amino acids.)

The tricky part?  No two people are exactly alike.  Therefore, we need to take an individualized look at what foods cause symptoms.  We typically use a food journal for a defined period of time, also tracking digestive symptoms such as diarrhea and match them up to identify triggers.

Other good tips for navigating carcinoid tumors through diet:

  1. Eat frequent, smaller meals (pay special attention to the amines chart below until you know what your triggers are)
  2. Eat plenty of protein
  3. Watch fat intake; choose unsaturated fats
  4. When eating vegetables, choose cooked, canned, or frozen (they are easier to digest)

How do I navigate “amines” when I have never heard of them?  Here’s a cheat sheet with high, medium, and low food and beverage sources of amines so that you can determine how they affect you personally:

HIGH
  • Aged cheeses (e.g., cheddar, stilton, camembert, etc.)
  • Alcoholic beverages
  • Smoked, salted, or pickled fish and meats
  • Yeast extracts and “hydrolyzed” proteins (e.g., like marmite/vegemite, or used for flavoring processed foods, brewer’s yeast, nutritional yeast)
  • Fermented foods (e.g., tofu, miso, sauerkraut, shrimp paste, fish sauce, soy sauce)
MEDIUM
  • Caffeine (e.g., coffee, soda, energy drinks)
  • Dark chocolate, milk chocolate, cocoa powder
  • Peanuts, brazil nuts, coconut
  • Avocado, banana, raspberries
  • Other
    • Tempeh
    • Fava beans
LOW
  • Fresh lean meats, fresh poultry, fresh fish
  • Most vegetables
  • Most fruits in moderate amounts
  • Grains and starchy foods (experiment with types of fiber to understand individual tolerance)
  • Un-aged cheeses and dairy (e.g., low-fat cottage cheese; ricotta and mozzarella cheeses; low-fat yogurt or kefir; low-fat cream cheese; low-fat milk)
  • Fresh soy foods—soymilk, edamame
Keywords: cancer;cell;tumor;histology;tissue;pathology;microscopic;chemotherapy;biopsy;surgery;human;radiation;carcinoma;medical;oncology;treatment...

Recent Posts

About Virginia Cancer Specialists

Virginia Cancer Specialists, the largest private cancer practice in Northern Virginia, was recognized in 2024 and 2025 as the #1 physician practice in Virginia with the most Castle Connolly top doctors in cancer care and across all medical specialties. It features a world-class treatment team fighting cancer and diseases of the blood, offering access to the most current treatment protocols, clinical trials, and comprehensive care. Its fully staffed, comprehensive clinical research program also includes a dedicated research facility for Phase I clinical trials—the Virginia Cancer Specialists Research Institute, the largest of its kind in the Mid-Atlantic region. The practice offers medical oncology, radiation oncology, musculoskeletal tumor surgery, breast surgery, thoracic surgery, genetic counseling, palliative care, oncology nurse navigators, oncology infusion nurses, oncology pharmacists, social workers, dietitians, and laboratory technicians. Virginia Cancer Specialists is part of The US Oncology Network. This collaboration unites the practice with more than 1,400 independent physicians and research and data from thousands of cancer patients in clinical trials across the country. Virginia Cancer Specialists also participates in clinical trials through US Oncology Research, which has played a role in more than 100 FDA-approved cancer therapies. For more information, visit USOncology.com. For more information about Virginia Cancer Specialists, visit: VirginiaCancerSpecialists.com

The Network is supported by McKesson Corporation, a global leader in healthcare solutions.

SOURCE Virginia Cancer Specialist

Ready to Make an Appointment?

If you have questions about whether this treatment or service may be right for you, make an appointment with the Virginia Cancer Specialists team.