We desperately need an appetite stimulant for my BIL. Any ideas will be
entertained.
He is in his 11th year of CA of Prostate, (TUR about 11 or 12 years ago)
with bone met now, and I am wondering about brain because he sometimes is
less than sensible.
My sister is working overtime to feed him what he likes, incorporating
smoothies prn.
She does not want to give up on trying and thinks that when she does, he
will give up and die. But he eats practically nothing she prepares. Is he
"turning off the world"?
Jackie
Steve Kramer - 05 Sep 2005 12:22 GMT
One recently explained it to me by a hospice worker as the body turning off
moreso than the person disregarding food.

Signature
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA .1 .1 .1 .27 .37 .75
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05
PSA .07 .05 .06 .05
non Illegitimi carborundum
> We desperately need an appetite stimulant for my BIL. Any ideas will be
> entertained.
[quoted text clipped - 7 lines]
> "turning off the world"?
> Jackie
J. Davidson - 05 Sep 2005 18:23 GMT
Thank you. I think this is what is happening, but my sister is not willing
to let go.
Jackie
> One recently explained it to me by a hospice worker as the body turning off
> moreso than the person disregarding food.
[quoted text clipped - 11 lines]
> > "turning off the world"?
> > Jackie
Ron B - 05 Sep 2005 21:12 GMT
Hi Jackie.
Often...they use Periactin (an antihistamine) as an appetite
stimulant...and of course...marijuana.
Medical or not.
My best wishes,
Ron B.
Chicago
Steve Kramer - 05 Sep 2005 22:32 GMT
Marriage is intended to be two-shall-become-one experience. When the
inevitable non-concurrent death comes, the survivor loses a portion of one's
self.... at least half.... but I believe a preponderance. She may not let
go even when he's interred.
I think all you can do is understand that and help her through it. Maybe if
she knows it is the biological functioning of the body it will be easier for
her.

Signature
PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA .1 .1 .1 .27 .37 .75
EBRT 05-07/2002 @ 47
PSA .34 .22 .15 .21 .32
Lupron 07/03 (1 mo) 8/03 (4 mo), 12/03, 4/04, 09/04, 01/05
PSA .07 .05 .06 .05
non Illegitimi carborundum
> Thank you. I think this is what is happening, but my sister is not willing
> to let go.
[quoted text clipped - 17 lines]
> > > "turning off the world"?
> > > Jackie
judamd@aol.com - 05 Sep 2005 18:35 GMT
My father avoided food during the last couple of months of Parkinson's
Disease which left him with an intact mind in a non-functioning body.
Whether it was a conscious effort on his part to hasten the end or a
lack of appetite we don't know. Either way, his body shut down and he
died. My poor mom tried desparately to spoon feed him but he would
turn his head away (the only part of his body he could move) or block
his mouth with his tongue. It was so sad to watch my mother pleading
"You've got to eat" while I'm thinking "Why? Let the man go."
These are very tough times for your BIL and his wife plus other family
members as well. The important thing is that he be made as comfortable
as possible and that nobody be left with guilt for not having "done
enough."
The best to you all.
Dave Perry
ron - 05 Sep 2005 23:41 GMT
Hi Jackie...The "anorexia-cachexia" cycle is well known in late stage
cancer patients. The following article can provide a good overview
http://www.medscape.com/viewarticle/502423?src=mp
An oncologist can prescribe medications that can treat such situations.
Sometimes gastro or throat blockages, or brain tumors can also be
responsible for the lack of appetite in these situations...Best wishes
and good health, Ron
J. Davidson - 07 Sep 2005 01:44 GMT
Thanks so much for the posts. My BIL has the Marijuana medication
prescribed, and other meds for appetite also. This is an uneven path, as he
will eat on some days, and not on the next. My sister is doing all she can
to interest him in food.
She has been in remission from Leukemia for several months.
I worry as much about her as I do about him.
Again, thanks everyone.
Jackie