Weight loss and reduced appetite towards the end of life

Many people with pancreatic cancer lose their appetite and lose weight. People in the last few weeks of life will gradually feel less like eating. This is normal.

As your body slows down, it needs less food. The cancer can also reduce your appetite, and symptoms such as sickness, pain or fatigue may put you off eating.

People in their last months of life can develop cachexia. This is extreme loss of muscle and fat. You may lose a lot of weight, which may mean you look different. Eating more won’t help you put on weight. People with cachexia can also feel very tired and weak. Talk to your doctor or nurse if you want more information about cachexia.

Eating less and losing a lot of weight can be upsetting for both you and your family. It can be difficult if you don’t feel like eating and you are losing weight. But remember that this is normal. Try not to worry about how much you are eating or about putting weight back on.

What can help?

  • Speak to your doctor, nurse or dietitian about weight loss. Tell them about any problems that are stopping you eating such as pain or sickness.
  • It’s fine to eat and drink what you feel like, even if that’s only small amounts.
  • Try having small meals or snacks. You may find soft food such as soup, yoghurt or ice cream easier to eat.
  • You might find it easier to have drinks like milkshakes, smoothies or nutritional supplements.
  • Try to keep having meals together as a family, as the social part of eating together can help.
  • You should keep taking pancreatic enzymes while you are eating, but you can reduce the amount you take if you are eating less.
  • Gentle physical activity can help to increase your appetite and help you maintain your strength and fitness.

Your doctor or nurse can refer you to a dietitian for help with eating. They may suggest changes to your diet to increase the amount of energy and protein in your diet, or suggest nutritional supplements. This can help you feel better and have more energy.

Information for families – helping with eating

It can be difficult if your family member doesn’t feel like eating and is losing weight. But remember that this is normal. Don’t try to make them eat if they don’t want to. Support them by asking what they fancy and preparing food for them. And try not to be upset if they don’t eat much of it. Try to keep having meals together as a family, as the social part of eating together can help.

Read our information for families at the end of life
Quotemarks Created with Sketch.
Quotemarks Created with Sketch.

For me as a carer, it became a never-ending round of trying to source tasty and easily swallowed food, cooking tempting meals, and trying out new recipes…. After all, are we not hard wired to nurture and feed our loved ones?”

Vérène

Read about Vérène and her husband’s experiences of weight loss and a condition called cachexia, which is extreme loss of muscle and fat.

Questions about weight loss?

If you have any questions about appetite loss or weight loss, speak to your doctor, nurse or dietitian.

You can also speak to our specialist nurses on our free Support Line.

Speak to our nurses
Pancreatic Cancer Nurse Jeni Jones

Read our booklet about end of life care

To read more about symptoms and care towards the end of life, download our booklet, Pancreatic cancer and end of life care. Information for people in the last few months of life.

You can also order a physical copy.

Order our booklet
Front cover of booklet. Image is of male patients in bed with female talking to him while touching his shoulder

Published August 2024

Review date August 2027