6 doctors weighed in:
When cachexia from emphysema causes emaciation, what can be done?
6 doctors weighed in

Dr. William Walsh
Addiction Medicine
2 doctors agree
In brief: Treatment
The goal of controlling dyspnea in patients with severe COPD can help.
Using multiple inhalers (both short and long acting), a pde inhibitor (new drug class), plus exercise seems to help the most. However, weight loss due to COPD is a sign of severe illness and end of life planning (if not already done) should be considered strongly.

In brief: Treatment
The goal of controlling dyspnea in patients with severe COPD can help.
Using multiple inhalers (both short and long acting), a pde inhibitor (new drug class), plus exercise seems to help the most. However, weight loss due to COPD is a sign of severe illness and end of life planning (if not already done) should be considered strongly.
Dr. William Walsh
Dr. William Walsh
Thank
Dr. Dennis Clifford
Internal Medicine - Pulmonary Critical Care
1 doctor agrees
In brief: Limited options
Unfortunately, by this time returning to normal muscle mass and weight is unlikely.
High protein supplements may be of some benefit. This reflects the systemic effect of emphysema on every area, not just the lungs. Anticipating weight loss and eating frequent small meals, trying appetite stimulants like Megace (megestrol) early and exercising may prevent cachexia in some cases. Smoking cessation is essential.

In brief: Limited options
Unfortunately, by this time returning to normal muscle mass and weight is unlikely.
High protein supplements may be of some benefit. This reflects the systemic effect of emphysema on every area, not just the lungs. Anticipating weight loss and eating frequent small meals, trying appetite stimulants like Megace (megestrol) early and exercising may prevent cachexia in some cases. Smoking cessation is essential.
Dr. Dennis Clifford
Dr. Dennis Clifford
Thank
Dr. Sue Ferranti
Internal Medicine
In brief: Nutritional support.
There are many kinds of nutritional support that can be offered so the patient should be seen by their doctor so this can be initiated.
But, this typically occurs when the disease is quite advanced and the overall prognosis is often poor at this stage. Nutritional support can still be attempted, though, so see your doctor.

In brief: Nutritional support.
There are many kinds of nutritional support that can be offered so the patient should be seen by their doctor so this can be initiated.
But, this typically occurs when the disease is quite advanced and the overall prognosis is often poor at this stage. Nutritional support can still be attempted, though, so see your doctor.
Dr. Sue Ferranti
Dr. Sue Ferranti
Thank
Dr. Hesham Hassaballa
Internal Medicine - Pulmonary Critical Care
In brief: Can be tough
The best thing is to ensure proper nutrition for these cases.

In brief: Can be tough
The best thing is to ensure proper nutrition for these cases.
Dr. Hesham Hassaballa
Dr. Hesham Hassaballa
Thank
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