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How do I restore my gut health for appetite revival?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hi doctor,

I have not been feeling hungry lately. I can hear the running of my stomach, but nothing seems appetizing. I have been farting. I also feel really tired and low on energy, but that is probably the reason I do not eat a lot.

Kindly help.

Answered by Dr. Ramesh Kumar S

Education:

fellow of american college of gastroentrology

Professional Bio:

Dr.Ramesh Kumar S is a highly skilled and established physician in the field of Medical Gastroenterology. He listens to all the patient queries deliberately and is an expert in devising a proper treatment plan.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I read your query and can understand your concern.

The problem you are having is gastritis along with disturbed gastrointestinal flora. The intestinal microflora is a complex ecosystem containing over 400 bacterial species. Anaerobes outnumber facultative anaerobes. The flora is sparse in the stomach and upper intestine, but luxuriant in the lower bowel. The intestinal flora is capable of fermenting indigestible carbohydrates (dietary fiber) to short-chain fatty acids such as acetate, propionate, and butyrate. The major source of such fermentable carbohydrates in the human colon is plant cell wall polysaccharides such as pectins, cellulose, and hemicellulose. The acids produced from these fiber substrates by bacteria can be an important energy source for the host.

The gut flora helps to neutralize some of the toxic by-products of digestion, reduce harmful substances (such as toxins and carcinogens), and discourage 'bad' bacteria and yeasts. It also helps to stimulate the digestive process and aid the absorption of nutrients, as well as producing vitamins including B and K.

So any problem with this flora causes symptoms like gastric pain, burping, poor digestion, etc.

I would suggest you take probiotics for a few weeks. Probiotics will help to restore the depleted intestinal flora. Along with probiotics B complex is to be taken. Once the flora is replenished all problems related to digestion will improve.

Along with this, Pantoprazole 40mg can be taken once daily to provide symptomatic relief from burping and bloating.

Some general instructions are-

  1. Try to eat lots of yogurt.

  2. Avoid smoking and alcohol.

  3. No spicy or oily food.

  4. No fast food like pizza, burgers, etc.

  5. Drink plenty of water.

  6. Take isapghullu husk 2tsf once daily before going to bed.

  7. Eat a lot of vegetables and fibrous fruits.

Follow up after a week!

I hope this helps.

Thank you.

Answered by
Medically reviewed by iCliniq medical review team
Published At January 26, 2025
Reviewed At November 11, 2025

Education:

fellow of american college of gastroentrology

Professional Bio:

Dr.Ramesh Kumar S is a highly skilled and established physician in the field of Medical Gastroenterology. He listens to all the patient queries deliberately and is an expert in devising a proper treatment plan.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ramesh Kumar S

Medical Gastroenterology

Education:

fellow of american college of gastroentrology

Professional Bio:

Dr.Ramesh Kumar S is a highly skilled and established physician in the field of Medical Gastroenterology. He listens to all the patient queries deliberately and is an expert in devising a proper treatment plan.

This doctor is not available for online consultations on the platform anymore.

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