How long can a person last without food or water

How long can a person last without food or water

People can survive up to three weeks after they stop eating. However, without staying hydrated (without water) as well, the human body can only live 3 to 5 days.

Researchers believe that a person can live for up to three weeks without food as long as they have water to drink. Without both water and food, a person cannot survive for more than four days.

The body often finds alternate ways to generate energy during starvation and prolong life. However, in the absence of water, the body undergoes several changes and severe dehydration, and the kidneys may shut down.

The timescale for survival in the absence of food remains questionable. Aside from the fact that there is no solid scientific evidence to address this topic, researchers could never intentionally starve study participants to investigate the time frame of death due to starvation because of ethical considerations. Each individual is unique, and personal characteristics such as body weight, genetics, and comorbidities play a role.

In rare cases, such as Mahatma Gandhi’s hunger strike in the 1940s, Gandhi stopped eating and only drank sips of water for 21 days. Though he suffered a severe decrease in body mass, he survived. Throughout his life, Gandhi is said to have participated in 14 hunger strikes for extended periods of time.

The body runs on the energy provided by the calories in the food we eat. When you stop eating, your body starts to break down its own tissues for food, disrupting all the vital processes of your systems. This results in severe weight loss and leads to organ failure.

Here’s what happens to the human body during starvation:

Central nervous system

  • The brain usually takes up to one-fifth of the total energy the body consumes in a day.
  • During starvation, the brain gets deprived of this energy which affects the way it functions and may lead to trouble concentrating and sleep problems.

Cardiovascular system

  • During starvation, energy levels decrease and affect the way the heart works.
  • Due to the lack of energy, the heart cannot pump blood across the body as effectively as it should, leading to a decrease in blood pressure and pulse.
  • Initially, there is low blood pressure and a low pulse, and then eventually the heart fails.

Gastrointestinal system

  • Decreased food intake affects digestion and emptying of food in the stomach, leading to bloating, nausea, vomiting, a decrease in blood sugar levels, and constipation.
  • In the long term, the muscles in the digestive tract weaken and may lose the strength to push the food forward through the gut.
  • Starvation may lead to severe complications, such as pancreatitis (inflammation and swelling of the pancreas) that causes severe stomach pain, nausea, and vomiting.

Endocrine system

  • To produce hormones, the endocrine organs need dietary fat and cholesterol. In the absence of food, the body cannot produce hormones such as testosterone, estrogen, and thyroid hormones, leading to:

To protect the body from hypothermia during starvation, the body produces a feathery covering of hair called lanugo that keeps the body warm.

How long can a person last without food or water
According to the USDA, there is no difference between a “portion” and a “serving.” See Answer

Ketosis is the body’s mechanism to produce energy by burning the stored fat instead of carbs. Ketone bodies are the main sources of energy to the brain in the absence of glucose, and they preserve brain functions during starvation.

During three days of starvation, the brain gets 20 percent of energy from ketones, and this number increases to about 60 percent during prolonged starvation.

The Ketogenic diet utilizes the principle of ketosis to lose weight. However, followers of the diet eat foods rich in calories, such as protein, as opposed to stopping eating entirely.

Usually, a person may survive only for three days without water, but this may change depending on the person’s body needs. No one can live more than five to six days without water.

The human body undergoes the following changes during dehydration:

Brain damage

  • Dehydration reduces energy levels in the body and makes us more irritable.
  • Brain functions are impaired, and we lose the ability to perform basic tasks.
  • The brain may even shrink temporarily if we don’t drink water.

Dark-colored urine

  • When your body is dehydrated, the brain signals the kidneys to retain extra water in the blood instead of flushing it through urine. When the blood retains water, the urine becomes very concentrated and turns dark yellow with a strong odor. This is your body's method of saving water.

Hunger

  • Dehydration makes us feel hungry although we just ate, making us eat more. Dehydration and hunger are often confused.

Headache

  • We will develop headaches if we don't drink enough water because the brain puts double effort to perform basic bodily functions when we are dehydrated.
  • Lack of water makes the eyes go dry, and eventually, they start to ache.

Slow death

  • Along with experiencing the above symptoms, if we go on without drinking water, our organs, especially the brain, begin to shut down, leading to serious effects such as fainting, stroke, and toxin buildup.
  • We may die after three to five days without having water.

Medically Reviewed on 7/5/2022

Image Source: Lemuel Caparaz / Getty Images Why is Dehydration so Dangerous? https://rehydrate.org/dehydration/

How Long Can a Person Survive without Food? https://www.scientificamerican.com/article/how-long-can-a-person-survive-without-food/

  • Near the end of life, minimal amounts of food and drink might be needed, if at all.
  • Studies have shown that artificial nutrition has very little impact on survival for hospice patients.
  • Family members and caregivers can show their support in ways other than meals.

Find a Support Group

Few things are harder than watching a loved one slip away because of a life-limiting illness. The experience is even more challenging when family members and caregivers notice that their hospice patient stops eating and drinking at the end of life.

A dying patient’s needs for food and water are far different from those of a healthy, active person.

Families may worry:

  • Are we giving up on our loved one if we don’t try to feed them or offer water/fluids?
  • What is our loved one’s chance of survival without water or food in hospice care? How long can a hospice patient live without food and water?
  • Our family traditions revolve around food and drink as symbols of loving care. Are we taking away the love if we take away nutrition and hydration? Are we letting our loved one starve to death?
  • Will withholding food and water at the end of life cause pain for our loved one?
  • What can we do to make sure our loved one does not suffer?

Why Does Hospice Stop Giving End-of-Life Patients Food and Water?

Continuing to offer food and water, or opting for artificial nutrition or hydration (ANH)—such as nasal (NG) or stomach (PEG) feeding tubes or IV fluids for hydration—can actually complicate the dying process and lead to other health problems.

End-of-life patients who are fed through artificial means can suffer from gagging, tube complications (e.g., blockages or infections), discomfort, aspiration pneumonia, pressure sores, bloating and a sense of “drowning” or feeling “trapped.”

Moreover, studies have shown that artificial nutrition has very little impact on survival for hospice patients. For example, studies show that dementia patients who are tube-fed have no different life expectancy than those who are slow hand-fed.

The Challenge of Feeding Tubes

Hospice services will not be denied to a patient who already has a feeding tube in place. The hospice team will work closely with the patient, family, and caregiver to decide whether to continue to use the tube. While a feeding tube technically can be removed, most often the decision is made to just stop using it.

Feeding tubes typically are not placed in a patient who is terminally ill. But all necessary steps are taken to ensure comfort and pain relief as the end of life nears. In rare circumstances, the VITAS team might administer IV fluids temporarily to prevent dehydration or provide comfort, yet feeding and drinking will primarily be done by mouth.

When is the Right Time to Stop Feeding a Hospice Patient?

A dying patient’s needs for food and water are far different from those of a healthy, active person. As the end of life nears, the body gradually loses its ability to digest and process foods and liquids. As organs and bodily functions shut down, minimal amounts of nutrition or hydration/liquids might be needed, if at all. We recommend using the body’s gradual decline as an indicator for when to stop giving food and water to hospice patients.

VITAS Healthcare always works with patients and families to develop individualized care plans that support the patient’s wishes and values, and those plans include a discussion about the role of artificial nutrition and hydration.

How Long do Hospice Patients Live Without Eating?

Considering the many variables, people may wonder how long someone can live without food in hospice. As a result of discontinuing eating, patients can die in as early as a few days. For most people, this period without food usually lasts about 10 days, but in rare instances, it can last several weeks.

How Family Members and Caregivers Can Help

A key factor that should guide decisions about nutrition and hydration at the end of life is patient choice. Patients who prefer quality of life at the end of life often want to be unencumbered by tubes and equipment in their final hours, allowing them to be physically close to their family members and able to receive the comfort care they desire.

Family members and caregivers play an important role by supporting a loved one through the dying process:

  • If the patient can still eat or drink, offer small sips of water/liquids, ice chips, hard candy or very small amounts of food via spoon. Take cues from the patient when to stop.
  • If the patient can no longer drink, keep the lips and mouth moist with swabs, a wet wash cloth, lip balm or moisturizers.
  • If the patient can no longer eat or refuses to eat, provide alternative forms of nourishment: conversation, loving touch, music, singing, poetry, humor, pet visits, gentle massage, reading, prayers or other acts of caring and love.

Craft and Honor a Compassionate End-of-Life Care Plan

Ideally, decisions about care near the end of life are made while everyone is healthy and able to speak their minds. That’s when an advance directive should be written and shared with family and healthcare professionals.

The reality is that decisions are often put off until the patient is no longer able to communicate their wishes, leaving family members and a knowledgeable healthcare team to make decisions. Hospice professionals can offer specific types of care and support around nutrition and hydration for your loved one as death nears:

  • The hospice team will continue to relieve pain and manage symptoms
  • The family’s personal, cultural and religious beliefs and values around nutrition and hydration will be honored
  • Family members and caregivers will be taught how to manage thirst and hunger compassionately and without artificial means in a patient’s final days of life
  • In the final weeks, days and hours of life, families will be reassured that the patient’s decline and ultimate death is due to the progression of the underlying disease process and not the natural decreasing and ultimate cessation of eating and drinking.