Appetite Loss, Stomach Pain, and Nausea: Key Insights

Loss of appetite, stomach pain, and nausea?

Hello, doctor.
I have a few questions:
(Question 1) For the past 4 to 5 days, I have been experiencing a loss of appetite, sometimes not eating anything all day and only drinking nutritional water or jelly drinks.
I have stomach pain and nausea, and the stomach pain improves somewhat after taking an antacid (Lansoprazole), but the next day it remains the same.
What could these symptoms indicate?
I have been working as a steel binder for 8 years.
I smoke, drink alcohol, and chew betel nut.
I smoke a pack a day and consume one bottle of Powerade and 3 to 6 bottles of beer while at work (I have currently stopped drinking alcohol).
My mouth has developed fibrosis from betel nut chewing, and I have undergone surgery for it.
Additionally, I have long-term depression and insomnia issues, for which I take psychiatric and sleep medications.
My main concern is still related to my stomach.
(Question 2) Could this be a sign of liver problems, or is the stomach pain and nausea due to loss of appetite and lack of nutrition?
(Question 3) I feel that my liver might not be functioning well, so today I bought "Grape King Chaga" and "Hali Thiamine-A25." Can these two be taken together? Are they effective?

A Zhi, 20~29 year old female. Ask Date: 2019/06/24

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Please visit a hepatobiliary and gastroenterology specialist for evaluation.
Undergo liver function tests and an upper gastrointestinal endoscopy.

Reply Date: 2019/06/24

More Info

Understanding appetite loss, stomach pain, and nausea can be complex, especially when considering a patient's lifestyle and medical history. Based on the symptoms you've described, let's break down the potential causes and implications.

Question 1: Symptoms of Appetite Loss, Stomach Pain, and Nausea
The symptoms of appetite loss, stomach pain, and nausea that you've experienced over the past few days can be indicative of several underlying issues. Given your history of heavy smoking, alcohol consumption, and betel nut use, these factors can significantly impact gastrointestinal health.
1. Gastritis or Peptic Ulcer Disease: The stomach pain and nausea you're experiencing could be related to gastritis or peptic ulcer disease. These conditions can be exacerbated by irritants such as alcohol, tobacco, and certain medications. The use of antacids like "立舒" may provide temporary relief, but if the underlying cause is not addressed, symptoms may persist.

2. Functional Dyspepsia: This is a common condition characterized by discomfort or pain in the upper abdomen, often accompanied by bloating, nausea, and changes in appetite. Stress and anxiety, which you mentioned in relation to your long-term depression and insomnia, can also contribute to functional dyspepsia.

3. Liver Health: Your concern about liver health is valid, especially considering your history of alcohol consumption. Chronic alcohol use can lead to liver damage, which may manifest as nausea, loss of appetite, and abdominal discomfort. However, without specific tests (like liver function tests), it's difficult to ascertain the exact state of your liver.

Question 2: Is it Liver Problems or Nutritional Deficiency?
While your symptoms could suggest liver issues, they could also stem from nutritional deficiencies due to poor dietary habits. A diet lacking in essential nutrients can lead to gastrointestinal symptoms, including nausea and stomach pain. Given your limited intake of solid food and reliance on supplements, it's crucial to evaluate your overall nutrition.

Question 3: Can "樟芝王" and "合利他命-愛 A25" Be Taken Together?
Regarding the supplements you've purchased, "樟芝王" (which is a form of reishi mushroom extract) and "合利他命-愛 A25" (a multivitamin), they are generally considered safe to take together. However, it's important to note that while these supplements may support overall health, they are not substitutes for medical treatment.
- Reishi Mushroom: Known for its potential immune-boosting properties, it may help with general wellness but should not be relied upon for treating specific gastrointestinal issues.

- Multivitamins: These can help address nutritional deficiencies, but they won't directly alleviate symptoms related to stomach pain or nausea.

Recommendations
1. Seek Medical Evaluation: Given your symptoms and lifestyle factors, it would be prudent to consult a healthcare professional for a thorough evaluation. This may include blood tests to assess liver function and possibly an endoscopy to evaluate the state of your stomach.

2. Lifestyle Modifications: Reducing or eliminating alcohol, tobacco, and betel nut use can significantly improve your gastrointestinal health. Additionally, focusing on a balanced diet rich in fruits, vegetables, whole grains, and lean proteins can help restore your nutritional status.

3. Mental Health Support: Since you mentioned long-term depression and insomnia, addressing these issues with a mental health professional could also positively impact your physical health.

4. Monitor Symptoms: Keep a diary of your symptoms, noting any triggers or patterns, and share this information with your healthcare provider. This can aid in diagnosis and treatment planning.

In summary, while your symptoms may be linked to lifestyle factors and potential gastrointestinal issues, a comprehensive medical evaluation is essential to determine the underlying causes and appropriate treatment.

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