Cachexia

Hello community,

My grandmother was diagnosed with colon cancer in May this year and sadly died on Thursday. 
She was 94 years old and too frail to receive treatment so was referred instead to end-of-life care and for the last 10 days to a hospice. 

The care she received from all parties has largely been outstanding and our family have been so grateful. 

However, one thing we didn’t feel well informed about or prepared for was how extreme her weight loss and wasting of her body would be. 

6 weeks before she died, she only weighed 7 stone. On the last two days of her life, she was skeletal - it is no exaggeration to say she appeared like a victim of starvation. It was a haunting and unexpected experience to witness her in this state.

I researched cancer and extreme weight loss and discovered cachexia - a very common, yet under diagnosed condition for cancer patients - especially those with cancers of the digestive system and / or COPD or kidney failure. 

My grandma seems to have fitted all the diagnostic and symptomatic criteria for cachexia, yet it was never discussed with her or her carers and family. If we had known, perhaps we could have eased her symptoms more effectively, and also felt less shock at her appearance at the end.

Why is cachexia under diagnosed and not spoken about more often or openly? 

  • Hi Anna332 and thank you for posting,

    I am so sorry to learn that your grandma sadly recently died of colon cancer. This must be a difficult time for you all.

    It sounds like it was a shock to see your grandma lose so much weight, with her appearance changing so much because of cachexia (wasting syndrome), and that you were unprepared for this.

    Cachexia is a complicated symptom that involves changes in the way the body uses proteins, carbohydrates, and fat. A person may also burn calories faster than usual. People with cachexia lose muscle and often fat as well. Unfortunately, it isn't talked about, and it is something that is urgently in need of more research.

    At the moment, there aren't any approved therapies or treatments for cachexia. I realise this does not help your grandma, but researchers are now trying to learn more about cachexia and look at ways of managing symptoms and stopping it from progressing further. There are a few studies that are taking place looking into this.

    I know it has only been a few days but I wondered if you have had the opportunity to discuss this perhaps with the team at the hospice who know her situation. They might be able to talk things through with you and explain what happened to your grandma.

    You would be welcome to call our nurses on the helpline if you would like to talk things through. The number to call is Freephone 0808 800 4040 and the lines are open from 9 am till 5 pm, Monday to Friday. Please get back to us if you need any more information or support. 

    Take care,

    Jemma

  • Dear Jemma,

    Thank you so much for your quick and considered response.

    I’m glad to hear of current efforts to research and enhance knowledge of cachexia. It will be wonderful if either a cure or palliative treatments can be found to help patients who are suffering with it. 

    In our family’s case, even thought treatments are not currently available, I feel it would have helped us all simply to understand what my grandma was struggling with, in addition to the cancer itself. 


    It’s a good idea to talk through this with her hospice so I will do that. 

    I’m surprised more patients, families and doctors don’t raise the issue of cachexia. I wonder if it’s because it tends to be dismissed as part of the normal weight loss that can occurr with cancer and other serious illnesses.

    I’ll share anything I learn from talking to the hospice. 

    kind regards,

    Anna