Gastrointestinal Disorders
Question #9357
53 days ago
2,718

Loss of appetite - #9357

Vasupilli kumar

I am not feeling hungry and thirsty from ten days even eating a large meal my stomach not feeling like full and even drinking the water I am not getting the sense that I drink the water I am a gerd patient suffering from 5 years and grade 2fatty liver please tell me the treatment

Age: 33
Chronic illnesses: GERD
#daignosis and treatment
100 INR (~1.18 USD)
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Doctors’ responses

Dear Vasupilli Kumar, Your loss of appetite and thirst for 10 days could be linked to your GERD and Grade 2 fatty liver, but other factors like gastric motility issues, liver function changes, or stress-related dysregulation might also play a role. Possible Causes & Solutions: 1. GERD-Related Delayed Stomach Emptying (Gastroparesis-like Symptoms) • Continue acid-reducing medications (if prescribed). • Prokinetics (like domperidone or levosulpiride) may help improve digestion. • Eat small, frequent meals instead of large ones. 2. Fatty Liver & Metabolic Impact • Improve liver health with a low-fat, high-fiber diet (vegetables, lean protein, whole grains). • Milk thistle, vitamin E, and omega-3 fatty acids may help, but consult your doctor first. • Regular light exercise (walking, yoga) can improve metabolism. 3. Hydration & Appetite Regulation • Try flavored water (lemon, mint, cucumber) to stimulate thirst. • Include digestive stimulants like ginger, carom seeds (ajwain), or probiotics in your diet. Since persistent appetite loss can indicate deeper issues (liver dysfunction, hormonal imbalance, or gastritis), I recommend seeing a gastroenterologist for further evaluation, including liver function tests and gastric motility tests.

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Loss of hunger and thirst signals, and not feeling full even after meals, can be related to long-standing GERD, fatty liver, or even issues like gastroparesis (delayed stomach emptying) or nerve-related problems in the digestive system. GERD and fatty liver both can affect digestion and your body's normal signaling. If your brain isn't getting proper feedback from your digestive organs, your natural hunger and thirst cues can get disrupted. Additionally, stress, anxiety, or certain medications can make these sensations worse or completely dull them. You should see a gastroenterologist soon for a full evaluation. They may suggest tests like an upper GI endoscopy, liver function tests, abdominal ultrasound, or gastric emptying scan. Treatment may involve adjusting your GERD medication (like using a proton pump inhibitor with a prokinetic), starting liver-protective medication, and possibly diet changes that include smaller, more frequent meals with low fat and less spice. Also, keep sipping water regularly even if you don’t feel thirsty — dehydration can sneak up when your thirst signal is off. With the right care, these symptoms can improve significantly. Let me know if you want a sample diet plan or test list to discuss with your doctor.

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