Sometimes people with Alzheimer’s disease or dementia have difficulty eating. Not getting enough calories and nutrition makes it difficult for your loved one to maintain a healthy weight, preserve brain function, retain muscle, stay energized, fight off illnesses, and maintain their quality of life.

Members of myALZteam frequently discuss their struggles and concerns around their loved one’s eating difficulties, which come in many forms. Some stem from physical challenges. “My dad is in late-stage Alzheimer’s and has started not wanting to eat. I have tried everything. He says his teeth hurt his mouth. Everything I fix has to be soft food. He might eat five or six bites all day. Sometimes I can get a milkshake in him. … Any suggestions?” wrote one member.

Others find their loved ones are willing and able to eat but have become very particular or no longer enjoy the foods they once did. “Husband will go all day without eating; for dinner he wants kid foods, like corn dog, taquitos, cheeseburger from cafe, pizza from convenience store, never a balanced meal. Lots of time he looks at a plate of food like it’s disgusting,” another member shared.

”My dad is in late-stage Alzheimer’s and has started not wanting to eat. I have tried everything. ... Sometimes I can get a milkshake in him. … Any suggestions?”

— A myALZteam member

If you can relate to these scenarios, this article contains tips from health experts and myALZteam members to help entice your loved one to eat. This can keep them healthier while giving you some much-needed peace of mind.

1.Ask Questions About Medications and Health Problems

You may be able to get to the bottom of your loved one’s new or worsening eating difficulties by speaking with their doctor and possibly scheduling a health checkup.

Medications for Alzheimer’s and other conditions can cause side effects, such as a loss of appetite, which is why doctors often first assess a person’s treatment regimen to address eating problems. Common Alzheimer’s treatments may suppress a person’s appetite and cause weight loss. A doctor may be able to change your loved one’s dosages or prescribe an alternative medication.

During a health checkup, a doctor may discover that new or worsening health problems are contributing to your loved one’s eating difficulties. Sometimes conditions unrelated to Alzheimer’s can reduce appetite. Some examples include:

• Diabetes
• Gastrointestinal problems like inflammatory bowel disease or constipation
• Mental health conditions
• Thyroid disease
• Cancer

Treating those issues could, in turn, help with appetite. Doctors can also prescribe appetite stimulants, which may help promote an increased interest in eating.

Dysphagia (difficulty swallowing) is common in people with Alzheimer’s and can interfere with their ability and desire to eat. A speech and language pathologist may be able to help someone with Alzheimer’s by teaching them swallowing exercises and providing recommendations for food texture modifications.

Additionally, a dietitian could provide guidance about how to prepare balanced meals and incorporate supplements for your loved one’s enjoyment and nutritional needs.

During a health checkup, a doctor may discover that new or worsening health problems are contributing to your loved one’s eating difficulties.

Depression is a common symptom of Alzheimer’s that can reduce a person’s desire to eat. A doctor or mental health professional may recommend treatments such as antidepressants and talk therapy. You could also ask about complementary or alternative therapies, including aromatherapy, massage, or bright light therapy.

2. Take Them to the Dentist

Oral problems like mouth pain or ill-fitting dentures can interfere with a person’s ability and desire to eat. Your loved one may not be able to tell you about any discomfort from these issues, but a dentist might discover the problem during an exam.

Helping your loved one maintain good oral hygiene with daily brushing and flossing can help prevent further oral problems from developing.

3. Make Food Easier (and Safer) To Eat

As Alzheimer’s progresses, people may develop problems with chewing and swallowing that can make eating more difficult. These can interfere with their desire or ability to eat. They may also have difficulty using utensils, which can be frustrating and impede eating.

Here are some ways to make meals easier and safer to eat:

• Remove any inedible components like rinds, bones, shells, or garnishes.
• Check the temperature of food and drinks before serving them, as some people with dementia may not be able to tell if something’s too hot.
• Serve food in bowls instead of on plates — and consider trying plates that have protective edges or rims. You can ask an occupational therapist about utensils and cups specially designed to make eating and drinking easier.
• Cut food items into bite-size pieces that are easier to pick up with a fork, or consider serving finger foods like cut-up fruits and vegetables, cheese cubes, and small sandwiches.
• Serve soft and moist foods including yogurt, oatmeal, applesauce, soups, baked fish, and smoothies.
• Use plain-colored plates or bowls to help the person you care for see their food more easily.

Some myALZteam members have tried some of the tips above. “There’s a plethora of adaptations you can put on that make any utensil have a wider handle. Some spoons will rock and keep the food on it if they have tremors. You may want to try a lip plate or divided plate,” a member suggested.

Another member shared, “It has been suggested a solid color table and a contrasting plate — maybe red and maybe only one thing at a time on the plate. Easier to see and recognize and less confusing.”

4. Reduce Stress and Distractions at Mealtimes

Some people with Alzheimer’s have trouble focusing. Consequently, they may become distracted by what’s going on around them during mealtimes. Eliminate distractions by turning off the TV — though playing pleasant, familiar music may help put you and your loved one at ease. The Alzheimer’s Association recommends keeping your table setting as simple as possible. Avoid using patterned tablecloths, placemats, and napkins.

Some people with Alzheimer’s become frustrated or agitated during mealtime. Often, feeling pressured to eat can lead to further frustrations and a loved one’s wanting to give up at mealtime. To reduce stress and maintain good spirits — for you, your loved one, and other family members — be patient and encouraging during meals. Try to make them fun and friendly. Talk about topics your loved one enjoys or reminisce about past memories.

Don’t worry about neatness, and let your loved one feed themselves as much as possible. “My husband drops food all the time. I tell him it’s OK, enjoy your food. I’ll clean up later. It makes him feel better and enjoy his meal,” said one member.

Take care not to rush them. Pressure to eat can sometimes become a risk for choking or aspiration (when food enters the airway and lungs) because of poor chewing or rushing to swallow.

Encourage independence, but lend a hand if necessary. If your loved one has difficulty making choices, consider serving only one type of food at a time.

5. Adapt to Their Tastes and Food Preferences

Your loved one’s food tastes may change as they age and as their condition progresses. They may no longer enjoy foods they once liked and may develop a taste for dishes they previously avoided. Some desire sweet foods more than they used to.

“My husband’s likes and dislikes are constantly changing,” a member shared. “He now dislikes some foods he has loved all his life. He dislikes spicy food but will order spicy food despite my warnings. He is diabetic but loves sweets and wants them all the time. I do what I can. I do want him to have choices, as many are gone, so it’s a struggle.”

“My husband drops food all the time. I tell him it’s OK, enjoy your food. I’ll clean up later. It makes him feel better and enjoy his meal.”

— A myALZteam member

They also may not like certain food textures. “My father doesn’t like certain textures, like fruit in yogurts or hard vegetables. Everything needs to be soft, not too soft,” a member shared.

To make food more appealing, consider using herbs, spices, sauces, broths, and gravies to enhance flavors. You can also try satisfying your loved one’s sweet tooth by offering naturally sweet foods, like fruit, or adding a dollop of syrup, jelly, or honey to their meal.

Additionally, they may eat more if you serve smaller meals and snacks throughout the day instead of three large meals.

6. Encourage Exercise

Getting regular physical activity can improve your loved one’s appetite and support their overall well-being. If your loved one can participate in moderately strenuous physical activity, opt for activities your loved one enjoys and can perform comfortably.

Options include:

• Walking
• Gardening
• Bowling
• Dancing
• Performing seated exercises
• Swimming
• Practicing tai chi

Individuals who enjoy less intense activities may fare better with movements such as transitioning from sitting to standing positions, walking short distances, or switching chairs throughout the day.

Before trying any new physical activities, it may be worthwhile to consult with their physician to determine what may or may not be appropriate, depending on your loved one’s health and other conditions they may have.

Join the Conversation

On myALZteam, people share their experiences with Alzheimer’s, get advice, and find support from others who understand.

What eating strategies have you tried to support your loved one? Let others know in the comments below.