25.1.3
Anorexia (loss of Appetite)
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 25, Palliative Care.
Clinical Description
Common causes (see relevant chapter for details). Cancer, opportunistic infections, pain, weakness/fatigue, treatment side effects (antibiotics/chemotherapy), sore mouth, dysphagia, anxiety, depression, strong food smells during cooking
Non-pharmacological
- Small frequent meals, served in appetizing manner, support the patient to sit upright whilst eating and to eat with other family members
- explain to the patient and family that anorexia is normal as disease progresses
- encourage gentle exercise
Pharmacological
Appetite stimulants: Prednisolone 5-15mg 24 hourly (maximum seven days), Multivitamins 24 hourly (long term)
Complications and Referral Criteria
Tube feeding / enteral feeding are not indicated. Patient and family support should be continued.
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