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Cancer Cachexia

WHAT YOU NEED TO KNOW:

Cancer cachexia is a condition that causes severe weight loss, muscle wasting (loss), and inflammation. It can develop during any stage of cancer, but it is most common during late stages. Cachexia can be caused by your body's reaction to cancer or to cancer treatment. Management of cachexia may change over time, depending on how your body responds to treatment. Management may also change if you move through the 3 stages (precachexia, cachexia, and refractory cachexia). Management of cachexia can help you feel better and enjoy your daily activities more easily.

DISCHARGE INSTRUCTIONS:

Call your local emergency number (911 in the US) for any of the following:

  • You suddenly feel lightheaded and short of breath.

Seek care immediately if:

  • You are too weak or dizzy to stand, or feel faint.
  • Your abdomen is larger than usual.
  • You vomit for more than 3 days in a row.
  • You cannot swallow food at all.

Call your doctor or oncologist if:

  • You have new or worsening nausea, vomiting, or other symptoms.
  • You feel depressed or anxious.
  • You have questions or concerns about your condition or care.

Medicines:

You may need any of the following:

  • Medicines may be given to improve your appetite or help your body digest food more easily. Medicines may also be given to help relieve or prevent nausea, constipation, or diarrhea.
  • Steroids may be given to help control nausea and vomiting or reduce inflammation or pain.
  • Antidepressants may be given if depression is causing a loss of appetite.
  • Take your medicine as directed. Contact your healthcare provider if you think your medicine is not helping or if you have side effects. Tell him or her if you are allergic to any medicine. Keep a list of the medicines, vitamins, and herbs you take. Include the amounts, and when and why you take them. Bring the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency.

Manage cancer cachexia:

You may need a swallow test to find the foods and liquids that are best for you. Your dietitian or healthcare provider may help you create specific meal plans based on your swallow test and nutrition needs. The following are general guidelines to follow:

  • Try to be active throughout the day. Even a little activity can increase your appetite. Activity can also help prevent or manage constipation. Exercises that use your body weight or weights you hold can help keep or build muscle mass. Talk to your healthcare provider about the best kinds of activity for you. He or she can help you create an activity plan. You may want to ask someone to be with you during activity. The person can help you if you feel weak, tired, or dizzy. Stop right away if you feel any of these. Sip some liquid before you try to stand or walk.
    Walking for Exercise
  • Eat a variety of healthy foods. Healthy foods include fruits, vegetables, dairy products, meat, fish, whole-grain breads and cereals, nuts, and cooked beans. Foods that are high in protein can help you keep muscle mass. Examples include meat, fish, cooked beans, and eggs. You may need to try certain foods to see which are easiest for you to eat. It may also help to eat several small meals during the day instead of 3 large meals. If possible, keep a record of what you eat and drink each day. Include the time of day, amount you had, and if it caused any symptoms. Bring the record with you to follow-up visits.
    Healthy Foods
  • Drink liquids as directed. Liquid helps prevent dehydration. Your healthcare provider can tell you how much liquid to drink each day, and which liquids are best for you. Drink liquids between meals instead of with meals so you do not get full too quickly.
  • Prevent or manage nausea. Eat small meals that are high in calories and protein every few hours. This may also help prevent diarrhea or constipation. Choose dry or bland foods. Examples include toast, crackers, pretzels, yogurt, cream of wheat, boiled potatoes, rice, and noodles. Avoid foods that have strong odors. If possible, let someone else prepare meals. Try to avoid being around the smell of food until it is time to eat. If you need to lie down right after you eat, use several pillows to keep your head high.
  • Manage a sore or dry mouth, tongue, or throat. Eat foods that are soft, moist, and blenderized (foods thinned in a blender). Use liquids to moisten dry foods, or take a sip of liquid with every mouthful of food. Do not eat foods that are crisp or tough. Do not have foods or drinks that can increase mouth and throat pain. Examples are anything spicy, salty, acidic, hot, or cold. The following may also help:
    • Rinse your mouth with club soda or baking soda mixed with water throughout the day. Do not use mouthwash that contains alcohol. The alcohol may burn mouth sores and dry your mouth. Your healthcare provider can recommend a mouth rinse to help clean your mouth and keep it moist.
    • Drink caffeine-free liquids throughout the day to decrease mouth dryness.
    • Suck on hard candy or chew sugar-free gum to help make more saliva if you have a dry mouth.
    • Limit or do not have salty foods and drinks that contain alcohol. These can all dry your mouth.

Follow up with your doctor or oncologist as directed:

Write down your questions so you remember to ask them during your visits.

For more information and support:

  • American Cancer Society
    250 Williams Street
    Atlanta , GA 30303
    Phone: 1- 800 - 227-2345
    Web Address: http://www.cancer.org
  • National Cancer Institute
    6116 Executive Boulevard, Suite 300
    Bethesda , MD 20892-8322
    Phone: 1- 800 - 422-6237
    Web Address: http://www.cancer.gov

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The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.