Appetite Loss and Related Issues in Elderly Patients

Loss of appetite related issues?

Hello Doctor, thank you for taking the time to read and respond.
My father is 72 years old and has recently experienced severe phlegm production.
We are unsure if this is due to quitting smoking (he went from smoking two packs a day to not smoking at all due to coughing) or related to medications (he recently had cataract surgery and is taking medications to lower eye pressure).
He has been coughing up phlegm for over two months; although his cough has slightly improved, he still feels hungry but finds that food tastes abnormal.
Eating makes him feel nauseous, and he has lost some weight despite eating very little.
Additionally, he experiences diarrhea after eating.
We went to a large hospital for ultrasound and X-rays, and they reported that his lungs appear hazy but found no other abnormalities.
However, my father's condition seems concerning.
We are worried that this situation is not sustainable.
I would like to ask if you have any professional advice that could help.
Thank you very much.

Mr. Li, 70~79 year old female. Ask Date: 2023/06/24

Dr. Chen Shidian reply Gastroenterology and Hepatology

You can consult a gastroenterologist for examination, medication management, and nutritionist advice.
For the lungs, you may consider self-paying for a lung CT scan.

Reply Date: 2023/06/24

More Info

Understanding appetite loss and related issues in elderly patients is a multifaceted concern that can stem from various physiological, psychological, and social factors. In your father's case, several elements may be contributing to his current condition, including recent smoking cessation, medication side effects, and potential underlying health issues.

Firstly, smoking cessation can lead to a range of physical changes in the body, including alterations in taste and smell. Many individuals report a heightened sensitivity to certain flavors or an overall change in their taste perception after quitting smoking. This could explain why your father feels that food tastes abnormal, which can significantly impact his appetite. Additionally, the withdrawal from nicotine can cause temporary changes in mood and anxiety levels, which may also affect his desire to eat.

The medications your father is taking, particularly those related to his recent cataract surgery and any other treatments for respiratory issues, can also contribute to gastrointestinal side effects. Common side effects of medications can include nausea, changes in taste, and gastrointestinal disturbances such as diarrhea. If your father is experiencing these symptoms, it would be prudent to discuss them with his prescribing physician to evaluate whether adjustments can be made to his medication regimen.

Furthermore, the persistent cough and phlegm production your father is experiencing may indicate an underlying respiratory condition, such as chronic bronchitis or even an infection. Chronic cough can lead to fatigue and discomfort, which may further diminish his appetite. It is essential to ensure that his respiratory health is thoroughly evaluated, as untreated conditions can lead to complications that may exacerbate his overall health status.

In terms of appetite loss, it is crucial to consider the psychological aspects as well. Depression and anxiety are common in elderly patients, particularly those dealing with chronic health issues or significant lifestyle changes, such as quitting smoking. Symptoms of depression can manifest as a lack of interest in food, changes in eating habits, and weight loss. If your father exhibits signs of depression, such as persistent sadness, withdrawal from social activities, or changes in sleep patterns, it may be beneficial to seek the help of a mental health professional.

To address your father's appetite loss and related issues, consider the following recommendations:
1. Nutritional Assessment: Consult with a registered dietitian who specializes in geriatric nutrition. They can provide tailored dietary advice that considers your father's preferences, health conditions, and any medication side effects.

2. Small, Frequent Meals: Encourage your father to eat smaller, more frequent meals rather than three large ones. This approach can help manage feelings of fullness and make eating less overwhelming.

3. Flavor Enhancement: Experiment with different herbs and spices to enhance the flavor of foods without adding excessive salt or sugar. This can help improve the taste of meals and stimulate appetite.

4. Hydration: Ensure that your father stays well-hydrated, as dehydration can also affect appetite. Offer fluids that he enjoys, such as herbal teas or flavored water.

5. Social Eating: Encourage family meals or social gatherings centered around food. Eating in a pleasant environment with loved ones can enhance the dining experience and encourage better food intake.

6. Medical Follow-Up: Regular follow-ups with healthcare providers are essential to monitor your father's respiratory health and any side effects from medications. If his cough persists or worsens, further evaluation may be necessary.

7. Mental Health Support: If there are signs of depression or anxiety, consider involving a mental health professional who can provide counseling or therapy to help your father cope with his situation.

In conclusion, appetite loss in elderly patients can be attributed to a combination of physical, psychological, and social factors. By addressing these aspects holistically, you can help improve your father's appetite and overall well-being. It is essential to maintain open communication with healthcare providers to ensure that all potential underlying issues are addressed effectively.

Similar Q&A

Managing Appetite Loss in Elderly with Chronic Health Issues

An 88-year-old patient with hypertension, diabetes, and benign prostatic hyperplasia who is wheelchair-bound and experiencing a lack of appetite and energy may require a comprehensive approach. Here are some suggestions: 1. Consult a Healthcare Provider: It's essential ...

Dr. Ouyang Wenzhen reply Geriatrics
Dear netizens: Hello! An 88-year-old wheelchair-bound elderly person with hypertension, diabetes, and benign prostatic hyperplasia may experience loss of appetite and lethargy due to various reasons. The main considerations can be categorized into three areas: 1. Medical, 2. Neur...

Effective Strategies to Boost Appetite in Elderly Patients

Hello Dr. Chen! My second sister is 85 years old this year, and I have noticed that she is becoming increasingly emaciated and often has a poor appetite. She eats her meals one grain at a time and her noodles one strand at a time, consuming very little. After just a small amount,...

Dr. Chen Shidian reply Gastroenterology and Hepatology
Dear old friend: There are prokinetic medications available for trial, as well as out-of-pocket central nervous system stimulants (Megest), though they are expensive. Additionally, you can supplement with high-protein milk and vitamins, and check for any underlying diseases. Chan...

Understanding Decreased Appetite and Weight Loss in Older Adults

Hello, my mother has recently been feeling increasingly thin, although her weight hasn't decreased. We have noticed that her arm muscles feel soft, and her buttocks seem to have slimmed down. Additionally, she hasn't had much appetite lately and has been eating mostly v...

Dr. Lin Zhebin reply Family Medicine
Hello: There are many reasons that can cause weight loss and loss of appetite, including endocrine disorders (such as diabetes and thyroid issues), gastrointestinal diseases, heart diseases, liver diseases, kidney diseases, cancer, infectious diseases, and side effects of medicat...

Understanding Walking Difficulties and Weakness in Elderly Patients

Hello Doctor, my father has been without teeth and has not had dentures for nearly a year, which has led to insufficient food intake. Recently, he has been experiencing difficulty standing up and squatting, as well as walking difficulties, with very slow movements. He also has fr...

Dr. Liang Yinpan reply Geriatrics
Dear Mr. Shian, Your father's condition appears to be caused by brain degeneration or electrolyte imbalance due to malnutrition. It is advisable to consult a neurologist for a thorough examination and treatment. In daily life, it is important to maintain a balanced diet, st...