Thanks for writing to us.
Whether you smoke cigarretes/beedis/pipe/hookah , the effects of smoking
are the same. The harmful chemicals present in cigarette/hookah effect all the systems from head to toe(Cerebrovascular Disease
to Burger's Disease(dry gangrene of toes).
In your instant case the parietal cells of the stomach required to produce intrinsic factor
and Hcl (Hydrochloric Acid) necessary for appetite, digestion, disinfection of food in stomach and absorption of Vitamins and minerals
have been destroyed causing Achlorhydria
.Achlorhydria development will eventually produce Carcinoma of Stomach.
There could be concomitant liver pathology leading to loss of appetite ,nausea etc., Pls get LFTs also done. Sometimes due to spread of stomach lesion to Liver//any kind of Liver pathology leads to loss of appetite/nausea which is of gradual onset.
Now as a First Step, quit Smoking. Take the help of Self Help groups//Develop will power to stop smoking.The lost appetite will return to normal on taking nutritious diet/vitamins/mineral suuppliments /plenty of oral fluids.
With the above measures if the condition does not return to normalcy in a week's time., Pls consult a Gastroenterologist
for an Upper GE Endoscopy
and Biopsy (HPE)to rule out any chances of malignancy.
The very first symptom of Ca Stomach is loss of appetite and vomitting.
Wishing you a healthy and happy life.,
Dr Lt Cdr ASN Bhushan.,