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Suggest Treatment For Indigestion And Lack Of Appetite In An Elderly Person

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Posted on Mon, 12 Jun 2017
Question: I am 58yrs old male,suffering from gastric,indigetion and no appetite,bowls does not clear regularly.After eating meal stomach became heavy for at least 4 to 5 hours.Not feeling hungry for whole day.Please advice.
doctor
Answered by Dr. Prof. Kunal Saha (2 hours later)
Brief Answer:
Lifestyle modification is necessary

Detailed Answer:
Thanks for asking on HealthcareMagic.

I have gone very carefully through your query. Your problem seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation leading to a sense of stomach feeling heavy.

In order to relieve yourself, you need to do the following:
* Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals.
* Avoid alcohol intake (if it a part of your habit).
* Take Prilosec (omeprazole) once daily before breakfast.
* Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake.
* Regular morning walk and exercise to keep the bowel movements proper.
* If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician.
* Take curd or yogurt on daily basis. It contains beneficial bacteria and should help.
* Stress reduction has a very important role to play. Yoga and meditation should help.

Hopefully that should help.

Let me know if I could help further.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (2 hours later)
Thanks for your good advice, I like to
know that is their any medidicin to increase my morning appetite and also suggests a good energy boosting medidicin. Thank you.
doctor
Answered by Dr. Prof. Kunal Saha (1 hour later)
Brief Answer:
None

Detailed Answer:
Thanks for writing back. Appetite is not an isolated entity. It is associated with gastrointestinal motility which is impaired in your case. The mentioned interventions will improve the scenario and would automatically improve your appetite. There is no specific medicine to increase your appetite. Physical activity is needed to enhance your energy levels. No specific medicine would help.

Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Prof. Kunal Saha (16 hours later)
Good morning,can you suggest any medicine for my sleeping disorder at night. Thank you.
doctor
Answered by Dr. Prof. Kunal Saha (6 minutes later)
Brief Answer:
Zolpidem is very good

Detailed Answer:
Zolpidem is a very good sleep medication but is a prescription medicine and your doctor would need to write it for you. Alternatively, benadryl or cetirizine (over the counter antihistaminics) also have a sedative effect and can be tried.

Non-drug sleep induction can be done using breathing techniques. Breathe in slowly over 6 seconds, hold it for 7 seconds and then release it over 8 seconds, then repeat the process. If you keep repeating this cycle you would feel relaxed and soon would fall asleep.

Regards
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
Answered by
Dr.
Dr. Prof. Kunal Saha

General & Family Physician

Practicing since :1954

Answered : 4467 Questions

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Suggest Treatment For Indigestion And Lack Of Appetite In An Elderly Person

Brief Answer: Lifestyle modification is necessary Detailed Answer: Thanks for asking on HealthcareMagic. I have gone very carefully through your query. Your problem seems to be due to gastritis or gastroesophageal reflux. Our gastrointestinal tract has a forward propulsive movement (peristalsis) that moves the food material forward as it is digested, absorbed and finally expelled as feces. If somehow this movement gets hampered, food along with the digestive juices would stagnate, stomach acid will reflux into the food pipe and on the other hand the bowel habits would not be proper. Degradation of undigested food in the intestines by the intestinal bacteria would lead to the excess gas formation leading to a sense of stomach feeling heavy. In order to relieve yourself, you need to do the following: * Avoid spicy food. Take small but frequent meals. Avoid long gaps between meals. * Avoid alcohol intake (if it a part of your habit). * Take Prilosec (omeprazole) once daily before breakfast. * Take plenty of green leafy vegetables as well as other sources of dietary fibers. Take fiber supplements like isabgol/psyllium husk or senna. I would insist you to increase your dietary fiber intake. * Regular morning walk and exercise to keep the bowel movements proper. * If I had a patient like you I would perhaps have suggested Prodep (fluoxetine) 20 mg tablet (long term anxiolytic and a prescription drug) once daily for at least 2 months (it may take time for the action to set in). Discuss about this with your treating physician. * Take curd or yogurt on daily basis. It contains beneficial bacteria and should help. * Stress reduction has a very important role to play. Yoga and meditation should help. Hopefully that should help. Let me know if I could help further. Regards