Nausea and Loss of Appetite: When to Seek Medical Help - Gastroenterology and Hepatology

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Nausea and loss of appetite can be distressing symptoms that significantly impact your quality of life. It’s important to understand that these symptoms can arise from a variety of underlying conditions, and seeking medical help is crucial when they persist or worsen. Here’s a comprehensive response to your questions:
1. When to Seek Medical Help and Which Specialist to See: Given your symptoms of persistent nausea, loss of appetite, and significant weight loss, it is advisable to seek medical attention promptly. You should consider visiting a gastroenterologist, a specialist who focuses on the digestive system and its disorders. They can conduct a thorough evaluation, which may include blood tests, imaging studies (like an ultrasound or CT scan), and possibly an endoscopy to visualize the gastrointestinal tract. If your symptoms are accompanied by severe abdominal pain, fever, or signs of dehydration, you should seek immediate medical attention.

2. Possible Underlying Conditions: Your symptoms could be indicative of several conditions. Some possibilities include:
- Gastroesophageal Reflux Disease (GERD): This condition can cause nausea and a feeling of fullness due to acid reflux.

- Gastroparesis: A condition where the stomach takes too long to empty its contents, leading to nausea and early satiety.

- Peptic Ulcers: Ulcers in the stomach or small intestine can cause nausea and changes in appetite.

- Infections: Gastrointestinal infections can lead to nausea and loss of appetite.

- Psychological Factors: Stress, anxiety, or depression can also manifest as physical symptoms, including nausea and appetite changes.

- Malnutrition or Nutritional Deficiencies: If your food intake has decreased significantly, you may be experiencing malnutrition, which can further exacerbate nausea and appetite loss.

3. Dietary Recommendations: While you are undergoing evaluation, it may help to focus on small, frequent meals that are easy to digest. Consider foods that are bland and low in fat, such as:
- Bananas
- Rice
- Applesauce
- Toast (often referred to as the BRAT diet)
- Plain crackers
- Broth-based soups
- Steamed vegetables
- Lean proteins like chicken or fish
Staying hydrated is also crucial, so consider sipping clear fluids throughout the day. If you find it difficult to eat solid foods, smoothies or nutritional shakes may provide essential calories and nutrients.

4. Recommendations for Healthcare Providers: If you are located in a specific area, such as Northern County (北縣), it would be beneficial to research local hospitals or clinics that have reputable gastroenterology departments. You can check online reviews, ask for referrals from your primary care physician, or consult with friends or family for recommendations.
5. Returning to Your Original Hospital: If the previous treatment you received was effective in managing your symptoms, it may be worth returning to that hospital or physician. However, if you feel that your concerns were not adequately addressed, seeking a second opinion from a different gastroenterologist could provide you with new insights and treatment options.

In summary, your symptoms warrant further investigation, and it’s crucial to consult a healthcare professional who can provide a comprehensive evaluation. Early intervention can lead to better management of your symptoms and improve your overall health. Remember, it’s important to advocate for your health and seek the care you need.