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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Loss of appetite, dry mouth. Smoking hookah pipe

Hi I m Gakeem, I smoke the hooka pipe but I smoke it like 6 years now, but I all of a sudden don t have appetite .... I don t know if there is a bug in the air by us, but I want to eat..... And I can t cause I have no appetie at all my mouth is very dry and I kind of force the food down and I really want to eat like I use to.....
Mon, 31 Dec 2012
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General & Family Physician 's  Response
Dear Concerned.,

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.,

Best Regards.,

Dr Lt Cdr ASN Bhushan.,

Ex-Navy.
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Dentist Dr. Khushboo Bhatia's  Response
Hello,
To treat most instances of dry mouth, it will be necessary to use a combination of the various strategies discussed below:
Take plenty of fluids to keep your mouth moist..
Take blended and moist food which is easier to swallow.
Suck on sugar-free hard candies, ice chips, or sugar-free popsicles. Chew sugarless gum (gums containing xylitol). These sucking and chewing actions help stimulate saliva flow.
Avoid drinks containing caffeine (for example, coffees, teas, some colas, chocolate-containing drinks). Also avoid acidic beverages, such as any fruit juices (orange, apple, grape, grapefruit) and tomato juice.
Avoid smoking and alcohol.
Avoid salty foods, dry foods (for example, crackers, toast, cookies, dry breads, dry meats/poultry/fish, dried fruit, bananas) and foods with high sugar content.
Do not use mouthwashes containing alcohol as it leads to dryness of mouth.
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