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What Are the Symptoms of Cachexia?

K.C. Bruning
K.C. Bruning

One of the the most easily detectable symptoms of cachexia is the substantial loss of body mass. Other common symptoms include shortness of breath, weakness, and strong fatigue. Many patients with the condition also experience a significant loss of appetite. Some forms of the disease can be detected because the patient loses mass despite eating normally.

As cachexia is usually the result of another disease, such as cancer or auto-immune deficiency syndrome (AIDS), it can often be easy to diagnose. It is particularly common among patients in the late stages of a progressive disease. For this reason, a poor prognosis for the patient, accompanied by common symptoms, can be a clear indicator of the disease.

People with cachexia often suffer from lethargy and malnourishment.
People with cachexia often suffer from lethargy and malnourishment.

In many cases, the mass lost with cachexia is permanently gone. This is primarily because it causes a decrease in muscle mass. This will present itself as increasing weakness and fatigue in the patient. While muscle mass loss is also common in other diseases, such as anorexia, the decline tends to be much faster with this condition.

Another potential sign of this condition is the development of malnutrition. This can present itself in conditions such as kwashiorkor and marasmus, which are forms of severe protein energy malnutrition. These conditions are among the rare instances where cachexia is not caused by the development of an underlying disease.

Those with cachexia may experience severe weight loss.
Those with cachexia may experience severe weight loss.

Cachexia is also commonly seen in patients with anorexia. It develops in both individuals who have only that disease and in patients who developed anorexia as a result of having cancer. Both conditions can develop in patients whose cancer has returned after a period of remission.

The symptoms of cachexia are typically treated with a combination of diet and medication. Doctors will usually prescribe a high-calorie diet in the hopes of helping the patient to gain weight. There are also drugs that can help to encourage the growth of muscle mass and increase appetite. These include steroids and medical marijuana. Supplements with omega-3 fatty acids can also help to increase appetite and weight.

Cachexia is commonly seen in patients with anorexia.
Cachexia is commonly seen in patients with anorexia.

Often the only way to effectively combat cachexia is to treat the underlying condition that has caused it. For example, a successful radiation or chemotherapy cycle can improve a patient’s overall health, which can lead to the development of muscle mass and weight gain. It is rare to be able to reverse the symptoms of cachexia if the underlying disease does not improve, however.

Discussion Comments

anon1001846

I am an 81 yearold female. I have had Cachexia for about 7 yearsm but could not get any answers form docs over the years. Now, that I have a firm diagnosis, I cannot find anything to help. I have so much pain in my lower limbs from loss of muscle and knees also have osteoarthritis of patellas: chondromalacia.

Both knees are locked up, with atrophy, and I'm using a wheeled walker. Is there any hope for me? I have a wonderful spouse and two loyal dogs. My life is miserable each day due to this terrible disease, from GERD for so long. I didn’t know I had GERD because I had no pain or symptoms except muscle loss. Antiinflammatories help very much for pain but I cannot take them anymore, they put me in this condition in the first place.

anon949020

I have fibromyaligia, chronic myofacial pain syndrome and chronic disease fatigue immune deficiency. Every article now says it is also the same as myalgic encephalomylitis. I have every single symptom of that disease. And I have every problem from it. You name it, I’ve got it from head to toe. My heart is affected now over it. My muscles have been wasting and it's so bad now that at 43 I look like a saggy old woman. I only weigh 87 pounds.

One doctor said my body wasn't taking in nutrition and I was anorexic, no matter how much I eat. I need help please. No one in West Virginia knows anything about myalgic encephalomylitis and it's very deadly and most people only live 12 years with it when it is this severe. I'm very severe and lived in bed nine years and can't get any help. I'm disabled on West Virginia Medicaid and I'm not even able to bathe but maybe every six months or longer. I can't cook -- can't do anything. I need some advice. I'm lying here dying.

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    • People with cachexia often suffer from lethargy and malnourishment.
      By: poco_bw
      People with cachexia often suffer from lethargy and malnourishment.
    • Those with cachexia may experience severe weight loss.
      By: jedi-master
      Those with cachexia may experience severe weight loss.
    • Cachexia is commonly seen in patients with anorexia.
      By: Sylvie Bouchard
      Cachexia is commonly seen in patients with anorexia.
    • The symptoms of cachexia are often treated using a mix of medication and dietary changes.
      By: sunabesyou
      The symptoms of cachexia are often treated using a mix of medication and dietary changes.
    • Cachexia is usually the result of another disease, such as cancer.
      By: Photographee.eu
      Cachexia is usually the result of another disease, such as cancer.
    • Regular caregivers of patients with cachexia often notice their significant loss of body mass.
      By: Sandor Kacso
      Regular caregivers of patients with cachexia often notice their significant loss of body mass.
    • Weakness may be a symptom of cachexia.
      By: Irina Fischer
      Weakness may be a symptom of cachexia.
    • Symptoms of cachexia may include loss of appetite.
      By: Monkey Business
      Symptoms of cachexia may include loss of appetite.
    • Shortness of breath is a common symptom of cachexia.
      By: DURIS Guillaume
      Shortness of breath is a common symptom of cachexia.