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This typically is not a usual occurrence unless you may be encountering an issue with a metabolic pathway condition. If there is a constant caloric deficiency or a sudden change in eating behaviors some researchers recommend a consultation with a certified dietician, primary physician with lab testing or counseling regarding eating trends or disorders.
What is he eating? Is he snacking or grazing all day long? His cumulative calories could be in line if he is eating small bits at a time. Think of it like setting out your day's meals, and then picking at it a little at a time slowly consuming a normal daily intake.
If he is over eating and not gaining weight, I would definitely consult with his doctor. There is likely a medical reason for this. Before talking to the doctor, keep a daily food journal of everything he eats, and when, and any other habits, sleeping, exercise, bathroom frequency, urinating and bowel movements.
With his dementia, he may not remember when he has eaten. If the doctor rules out any medical problems, you can help by literally setting up a day's worth of food, preparing little grab & go snacks in the fridge, or on the table or counter. Try and keep other foods hidden out of sight, so he focuses on what you have prepared for him. Then, let him graze all day long to his heart's content. You can then have better control to ensure his nutritional requirements are met and limiting unhealthy choices. If he doesn't remember what he has eaten, it's hard to follow a healthy diet. Please don't become super controlling, and not allowing him to enjoy foods he wants. Nobody likes that. And if he is relatively healthy, he has earned the right to eat whatever he wants.
My husband was diagnosed with mild cognitive disorder just after the pandemic.He was progressively getting more mild episodes of paranoia and paranoia so I hired a 24 hr. caregiver.She is excellent because she came from the same province, She also do housekeeping and helps me cook our native dishes. He progressively got better , rare episode, physically and medical test, scans and ultrasounds within normal range. However , the last few months he had been sleeping a lot! He also likes to eat a lot! Sleeping after eating has been the routine! He can still navigate the big iMAC when he is awake and does not go to bed until 1-2 am, To sustain the after dinner (9pm) he likes to snack on yogurt and nuts! Current problems; refusing to drink more often so his urine output is much less compared to mine! He prefers Diet Coke with his snack after breakfast .I just let him sleep as long and as often and eat as much as he wants!
You might want to keep a food journal to see if maybe it's just snacking and not really a high calorie binge. If you have concerns you can ask his doctor. My mom has three full meals a day and several snacks. She has put on a little bit of weight, but not much. Some meds can make people eat more.
I think it depends on what kind of snacks/meals you are talking about.
If he has memory impairment, maybe he isn't remembering that he's already eaten? With dementia, a person can lose their ability to recognize their body signals.
Is he on any medications, like steroids, that might be ramping up his appetite?
Your husband has dementia so "normal" is off the table now in all regards.
Unless he's eating carrots, lettuce and celery all day, however, he should be gaining weight. Get him to the doctor to make sure there isn't a cancer growing that's actually making him lose weight, allowing him to consume tons of calories as he is. If that's not the case, the satiation signal mechanism in his brain isnt working, so you'll have to monitor his food intake to prevent him from eating to the point of vomiting.
I think you know that eating from the time you get up until the time you go to bed is not "normal". The fact that he does not gain weight is also unusual. There could be medical reasons he does not gain weight. The first thing you need to do is make an appointment for him to see his doctor for complete testing. Also keep a log of what he eats, how much he eats. Since you have this posted under Alzheimer's and Dementia I will say that eating all the time, or eating a lot is common with dementia. Often it is the brain telling them that they have not eaten. Or the other end of the spectrum is people forget to eat or think they have just eaten. YOU need to be in charge of what he eats and when. You can portion out his meals so that he is eating every few hours rather than 3 larger meals. So your day might be: Cereal and a cup of coffee. (7am) 2 hours later maybe some toast and and egg. (9:30) 2 hours later a cup of yogurt and a piece of fruit (11:30) 2 hours later some iced tea and a few cookies. (1:30) 2 hours later maybe some fruit (3:30) 2 hours later (or close to your dinner time) a light dinner soup and maybe a 1/2 sandwich And a piece of fruit before bed.
It does sound like a lot of work but portioning out small meals is pretty easy. As he declines more and he sleeps more make the larger meal when he is at his "best" typically in the morning. He has the day to digest the larger meal. And he will probably nap more so little "snacks" between naps.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
If he is over eating and not gaining weight, I would definitely consult with his doctor. There is likely a medical reason for this. Before talking to the doctor, keep a daily food journal of everything he eats, and when, and any other habits, sleeping, exercise, bathroom frequency, urinating and bowel movements.
With his dementia, he may not remember when he has eaten.
If the doctor rules out any medical problems, you can help by literally setting up a day's worth of food, preparing little grab & go snacks in the fridge, or on the table or counter. Try and keep other foods hidden out of sight, so he focuses on what you have prepared for him. Then, let him graze all day long to his heart's content. You can then have better control to ensure his nutritional requirements are met and limiting unhealthy choices. If he doesn't remember what he has eaten, it's hard to follow a healthy diet. Please don't become super controlling, and not allowing him to enjoy foods he wants. Nobody likes that. And if he is relatively healthy, he has earned the right to eat whatever he wants.
He progressively got better , rare episode, physically and medical test, scans and ultrasounds within normal range. However , the last few months he had been sleeping a lot! He also likes to eat a lot! Sleeping after eating has been the routine! He can still navigate the big iMAC when he is awake and does not go to bed until 1-2 am, To sustain the after dinner (9pm) he likes to snack on yogurt and nuts! Current problems; refusing to drink more often so his urine output is much less compared to mine! He prefers Diet Coke with his snack after breakfast .I just let him sleep as long and as often and eat as much as he wants!
If he has memory impairment, maybe he isn't remembering that he's already eaten? With dementia, a person can lose their ability to recognize their body signals.
Is he on any medications, like steroids, that might be ramping up his appetite?
Unless he's eating carrots, lettuce and celery all day, however, he should be gaining weight. Get him to the doctor to make sure there isn't a cancer growing that's actually making him lose weight, allowing him to consume tons of calories as he is. If that's not the case, the satiation signal mechanism in his brain isnt working, so you'll have to monitor his food intake to prevent him from eating to the point of vomiting.
Best of luck with a difficult situation.
The fact that he does not gain weight is also unusual.
There could be medical reasons he does not gain weight.
The first thing you need to do is make an appointment for him to see his doctor for complete testing.
Also keep a log of what he eats, how much he eats.
Since you have this posted under Alzheimer's and Dementia I will say that eating all the time, or eating a lot is common with dementia. Often it is the brain telling them that they have not eaten. Or the other end of the spectrum is people forget to eat or think they have just eaten.
YOU need to be in charge of what he eats and when.
You can portion out his meals so that he is eating every few hours rather than 3 larger meals.
So your day might be:
Cereal and a cup of coffee. (7am)
2 hours later maybe some toast and and egg. (9:30)
2 hours later a cup of yogurt and a piece of fruit (11:30)
2 hours later some iced tea and a few cookies. (1:30)
2 hours later maybe some fruit (3:30)
2 hours later (or close to your dinner time) a light dinner soup and maybe a 1/2 sandwich
And a piece of fruit before bed.
It does sound like a lot of work but portioning out small meals is pretty easy.
As he declines more and he sleeps more make the larger meal when he is at his "best" typically in the morning. He has the day to digest the larger meal. And he will probably nap more so little "snacks" between naps.