Concerns About Appetite, Weight Loss, and Sexual Health

Question #25655

91 days ago

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Concerns About Appetite, Weight Loss, and Sexual Health - #25655

Client_a80d6c

Dear Doctor, My age is 28 year old Unmarried i am facing some issues like Mujhe bhook nahi lagti jayeda mera wajan bhi kam hai.Pait nahi saaf hota necotin addicted hu or mera sexual time bhi kam hai low energy rehti hai kch batayea jis se meri overall sehat sahi ho jaye thoda wajan badhe or penis growth and sex time badhe mein apne pait se bhi pareshaan hu

How long have you been experiencing these symptoms?:

- More than 6 months

Have you made any recent changes to your diet or lifestyle?:

- No changes

How would you rate your energy levels throughout the day?:

- Moderate energy

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Dr. Prasannajeet Singh Shekhawat

I am a 2023 batch passout and working as a general physician right now, based in Hanumangarh, Rajasthan. Still kinda new in the bigger picture maybe, but honestly—every single day in this line teaches you more than textbooks ever could. I’ve had the chance to work under some pretty respected doctors during and after my graduation, not just for the clinical part but also to see how they handle people, real people, in pain, in panic, and sometimes just confused about their own health. General medicine covers a lot, right? Like from the smallest complaints to those random, vague symptoms that no one really understands at first—those are kinda my zone now. I don’t really rush to label things, I try to spend time actually listening. Feels weird to say it but ya, I do take that part seriously. Some patients just need someone to hear the whole story instead of jumping to prescription pads after 30 seconds. Right now, my practice includes everything from managing common infections, blood pressure issues, sugar problems to more layered cases where symptoms overlap and you gotta just... piece things together. It's not glamorous all the time, but it's real. I’ve handled a bunch of seasonal disease waves too, like dengue surges and viral fevers that hit rural belts hard—Hanumangarh doesn’t get much spotlight but there’s plenty happening out here. Also, I do rely on basics—thorough history, solid clinical exam and yeah when needed, investigations. But not over-prescribing things just cz they’re there. One thing I picked up from the senior consultants I worked with—they used to say “don’t chase labs, chase the patient’s story”... stuck with me till now. Anyway, still learning every single day tbh. But I like that. Keeps me grounded and kind of obsessed with trying to get better.

90 days ago

Hello
समझ गया। आप कई चीजों से परेशान हैं—भूख न लगना, कम वजन, पाचन की समस्या, निकोटिन की लत, कम sexual stamina, और कम energy। ये सब आपस में जुड़े हुए हो सकते हैं।
पहले कुछ महत्वपूर्ण सवाल:
1. आपका वजन कितना है और height कितनी है? (ताकि समझ सकूं कि वजन कितना कम है)
2. भूख न लगना कब से शुरू हुआ? क्या यह निकोटिन की लत से पहले था या बाद में?
3. पाचन की समस्या क्या है? - कब्ज है, दस्त हैं, या गैस/bloating है?
4. आपने कभी blood test करवाया है? (Hemoglobin, vitamin B12, iron, thyroid आदि check करने के लिए)
5. निकोटिन कितना use करते हो? - सिगरेट, vape, या कुछ और?
ये सवालों के जवाब दें, फिर मैं आपको सही सलाह दे सकूंगा।
Thank you

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Dr. Shayeque Reza

I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.

90 days ago

bhook kam lagna, weight kam hona, pet properly saaf na hona (constipation), nicotine addiction, low energy, aur sexual time kam hona — yeh sab milkar dikhate hain ki aapki overall health lifestyle aur digestion se judi hui hai, koi sirf sexual problem nahi hai. Lambe samay tak smoking ya tobacco use body ka metabolism, hormones, blood circulation aur stamina sab par bura asar dalta hai, jisse weakness, kam weight aur sexual performance dono affect hote hain. Pehle step me nicotine chhodna bahut zaroori hai, kyunki yeh sabse bada cause ho sakta hai. Daily high-protein diet (doodh, anda, dal, paneer, peanut butter), fruits, green vegetables, 3–4 liter paani, aur fiber lene se pet saaf hoga aur weight badhega; saath hi regular exercise, light gym/strength training, aur 7–8 ghante ki neend energy aur testosterone naturally improve karti hai.
Penis size naturally adulthood ke baad zyada nahi badhta, lekin stamina aur timing healthy lifestyle, pelvic floor (Kegel) exercises, aur stress kam karne se improve ho sakti hai. Conclusion: pehle digestion aur lifestyle theek karein, nicotine band karein, nutritious diet aur exercise follow karein — isse aapki overall sehat, weight, energy aur sexual performance sab gradually better ho jayenge.

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Dr. Alan Reji

I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.

86 days ago

Loss of appetite, low weight, constipation, low energy, and reduced sexual stamina for months — especially with nicotine addiction — are commonly linked to poor nutrition, gut problems, stress, or hormonal issues, and penis size cannot be increased with medicines or supplements in adults. You should consult a Gastroenterology specialist for digestion and appetite problems and a Urology specialist for sexual concerns; doctors may check blood tests (thyroid, vitamin B12, testosterone), diet status, and guide treatment. Meanwhile stop/reduce nicotine, eat high-protein meals (eggs, milk, nuts, fruits), increase fiber and water for bowel movement, exercise daily, and avoid unproven “penis growth” products.

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Dr. Bharat Joshi

I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.

90 days ago

Hello ji
Aapki problem se lagta hai body metabolism kharab hai ya hormonal alterations hai
Main kuch test likh raha hun isko karwayo tabhi pata lagega kya problem hai
In test ko gynaecologist ko dikhana aur bina bataye doctor ko koi dawai nahi leni
Serum ferritin
Serum testosterone
Serum tsh
Lft
Rft
Hb
Rbs
In addition aap kuch precautions follow karo
Do regular exercise atleast half an hour
Take zincovit multivitamin therapy onca a day for 2 months
Take vitamin d sachet once a week for 2 month
Do meditation
Avoid overthinking
Avoid junk food
Do kegel exercises regularly
Avoid refined food
Take good balanced diet
Hopefully aap jaldi theek ho
Regards

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Dr. Arsha K Isac

I am a general dentist with 3+ years of working in real-world setups, and lemme say—every single patient teaches me something diff. It’s not just teeth honestly, it’s people… and how they feel walking into the chair. I try really hard to not make it just a “procedure thing.” I explain stuff in plain words—no confusing dental jargon, just straight talk—coz I feel like when ppl *get* what's going on, they feel safer n that makes all the difference. Worked with all ages—like, little kids who need that gentle nudge about brushing, to older folks who come in with long histories and sometimes just need someone to really sit n listen. It’s weirdly rewarding to see someone walk out lighter, not just 'coz their toothache's gone but coz they felt seen during the whole thing. A lot of ppl come in scared or just unsure, and I honestly take that seriously. I keep the vibe calm. Try to read their mood, don’t rush. I always tell myself—every smile’s got a story, even the broken ones. My thing is: comfort first, then precision. I want the outcome to last, not just look good for a week. Not tryna claim perfection or magic solutions—just consistent, clear, hands-on care where patients feel heard. I think dentistry should *fit* the person, not push them into a box. That's kinda been my philosophy from day one. And yeah, maybe sometimes I overexplain or spend a bit too long checking alignment again but hey, if it means someone eats pain-free or finally smiles wide in pics again? Worth it. Every time.

90 days ago

Hello
Your symptoms suggest low nutrition + nicotine effects + digestive issue + performance anxiety — all connected and treatable.
What to do:
Quit/reduce nicotine (major cause of low appetite, low energy, poor sexual stamina)
Fix digestion: high-fiber diet, water, regular meals, probiotic/curd
Eat calorie-dense healthy foods (eggs, nuts, banana, milk, peanut butter) to gain weight
Exercise + sleep 7–8 hrs daily (improves energy and sexual timing)
For persistent issues → see a doctor for basic tests (CBC, thyroid, vitamin B12, vitamin D)
Penis size can’t be increased safely, but stamina and performance usually improve once health improves.
I trust this helps
Thank you
Take care

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Dr. Nikhil Chauhan

I am currently working as a urologist and kidney transplant surgeon at Graphic Era Medical College & Hospital, Dehradun. It's a role that keeps me on my toes, honestly. I handle a pretty wide range of urology cases—stones, prostate issues, urinary tract obstructions, infections, you name it. Some are straightforward, others way more complex than you expect at first glance. Every patient walks in with a different story and that’s what keeps the work real for me. Kidney transplant surgery, though, that’s a whole different zone. You’re not just working on anatomy—you’re dealing with timelines, matching, medications, family dynamics, emotional pressure... and yeah, very precise coordination. I’m part of a team that manages the entire transplant process—from evaluation to surgery to post-op care. Not gonna lie, it’s intense. But seeing someone who’s been on dialysis for years finally get a new shot at life—there’s nothing really like that feeling. In the OR, I’m detail-focused. Outside of it, I try to stay accessible—patients don’t always need answers right away, sometimes they just need to feel heard. I believe in walking them through what’s going on rather than just giving reports and instructions. Especially in transplant cases, trust matters. And clear, honest conversation helps build that. Urology itself is such a misunderstood field sometimes. People ignore symptoms for years because it feels “awkward” or they think it’s not serious until it becomes unmanageable. I’ve had patients who came in late just because they were embarassed to talk about urine flow or testicular pain. That’s why I also try to make the space judgment-free—like whatever it is, we’ll figure it out. At the end of the day, whether I’m scrubbing in for surgery or doing OPD rounds, I just want to make sure what I do *actually* helps. That the effort’s not wasted. And yeah, some days are frustrating—some procedures don’t go clean, some recoveries take longer than they should—but I keep showing up, cause the work’s worth doing. Always is.

90 days ago

Hi, thanks for trusting me with your concerns.
You have described a few interconnected issues. Let’s simplify this so you can start feeling better step by step.
Understanding Your Situation:
· Core Issues: Low appetite, low weight, irregular bowel movements, nicotine addiction, low energy, and short sex time. These are often linked to each other.
· The Root Cause: Chronic issues with digestion and appetite can lead to poor nutrition. This directly causes low energy and low stamina, which affects sexual performance. Nicotine addiction makes all of this worse.
· Penis Growth: At 28 years old, the penis has finished growing. However, improving overall health and blood circulation can help you achieve stronger, better-quality erections. The focus should be on performance, not size.
· Sex Time: Premature ejaculation (short time) is very common and often worsens when your body is weak, stressed, or under-nourished.
Your Action Plan:
1. Fix Your Gut First: Since your stomach is not clean and appetite is low, start here.
· Increase water intake significantly.
· Eat small, frequent meals instead of 2 large ones. Include protein (eggs, dal, paneer) and fiber (vegetables, fruits).
· Reduce spicy, oily, and processed foods temporarily.
2. Conquer Nicotine: This is crucial. Nicotine constricts blood vessels, reducing blood flow to the penis and starving your body of energy. Try to quit or significantly cut down starting today.
3. Basic Exercise: You do not need a gym. Start with 30-minute brisk walks daily. This boosts appetite, improves digestion, and increases energy and blood flow.
4. Medical Check-Up: Since this has been going on for over 6 months, you need a proper diagnosis.
· Consult a General Physician first. Get basic blood tests done (Thyroid, Blood Sugar, Vitamin levels). This will rule out any hidden medical cause for your low appetite and energy.
· Do not take any “growth” pills or random ayurvedic powders without a doctor’s advice. They can harm you.
5. Sexual Health: Once your energy, weight, and gut health improve with the steps above, your stamina and sexual performance will naturally get better. If the issue of short sex time persists even after 2-3 months of a healthy lifestyle, we can then specifically treat it.
Start with your Gut health and Nicotine. Everything else will follow.
Dr. Nikhil Chauhan
Urologist

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Dr. Aarav Deshmukh

I am a general physician with 8 years of practice, mostly in urban clinics and semi-rural setups. I began working right after MBBS in a govt hospital in Kerala, and wow — first few months were chaotic, not gonna lie. Since then, I’ve seen 1000s of patients with all kinds of cases — fevers, uncontrolled diabetes, asthma, infections, you name it. I usually work with working-class patients, and that changed how I treat — people don’t always have time or money for fancy tests, so I focus on smart clinical diagnosis and practical treatment. Over time, I’ve developed an interest in preventive care — like helping young adults with early metabolic issues. I also counsel a lot on diet, sleep, and stress — more than half the problems start there anyway. I did a certification in evidence-based practice last year, and I keep learning stuff online. I’m not perfect (nobody is), but I care. I show up, I listen, I adjust when I’m wrong. Every patient needs something slightly different. That’s what keeps this work alive for me.

89 days ago

It sounds like you’re dealing with several interconnected issues, including decreased appetite, weight loss, digestive issues, nicotine addiction, and sexual health concerns. Addressing these issues requires looking at both physical and lifestyle factors. Firstly, decreased appetite and weight loss could be linked to your digestive problems and nicotine use. You may be experiencing what’s known as anorexia, not to be confused with anorexia nervosa, which can have many causes. It’s important to investigate underlying conditions such as hyperthyroidism, gastrointestinal disorders, or even stress and anxiety. Consider visiting a healthcare professional for a more detailed evaluation, including possible blood tests or imaging to rule out these possibilities.
Your nicotine addiction may also be contributing to appetite suppression and could be affecting your energy levels and sexual health. Nicotine is a stimulant and it can alter metabolism, mood, and energy levels. I would recommend exploring resources for quitting nicotine, like counseling services or nicotine replacement therapies, which could help improve your overall health.
Digestive issues like constipation might be influenced by diet; increasing fiber intake through fruits, vegetables, and whole grains, alongside staying hydrated, can help with this. Regular physical activity, tailored to your current energy levels, might also improve digestion and energy. For sexual health concerns, such as short duration and low energy, these might be due to the combination of stress, nicotine use, and other lifestyle factors. Improving cardiovascular fitness can often enhance sexual performance by boosting overall stamina.
For penis growth, keep in mind that there are no proven methods to increase size permanently. Instead, focus on improving your overall sexual health through lifestyle changes, exercise, and stress management. If you’re concerned about sexual function, consider consulting with a healthcare professional to explore any underlying health issues or hormonal imbalances. Lastly, working on stress management, getting enough sleep, and possibly consulting a nutritionist can help guide you in developing a balanced diet and lifestyle plan that will contribute to a healthier weight and overall well-being.

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Dr. Nirav Jain

I am a qualified medical doctor with MBBS and DNB Diploma in Family Medicine from NBEMS, and my work has always been centered on treating patients in a complete, not just symptom based way. During my DNB training I rotated through almost every core department—Internal medicine, Pediatrics, Obstetrics & Gynecology, Surgery, Orthopedics, ENT, Dermatology, Psychiatry, Emergency medicine. That mix gave me the skill to manage acute illness, long term disease and preventive care together, something I find very important in family practice. In psychiatry I worked closely with patients who struggled with depression, anxiety, stress related problems, insomnia or substance use. I learned not just about medication but also about simple psychotherapy tools, psycho education and how to talk openly without judgement. I still use that exp in family medicine, specially when chronic disease patients also face mental health issues. My time in General surgery included assisting in minor and major procedures, managing wounds, abscess, sutures and emergencies. While I am not a surgeon, this gave me confidence to recognize surgical cases early, provide first line care and refer fast when needed, which makes a big difference in online or OPD settings. Now I work as a consultant in General medicine and Family practice, with focus on both in-person and online consultation. I treat conditions like fever, infections, gastrointestinal complaints, respiratory illness, and also manage diabetes, hypertension, thyroid disorders, and lifestyle related chronic diseases. I see women for PCOS, contraception counseling, menstrual health, and children for common pediatric issues. I also dedicate time to preventive health, lifestyle counseling and diet-sleep-exercise advice, since these small changes affect long term wellness more than we often realize. My key skills include holistic diagnosis, evidence based treatment, chronic disease management, mental health support, preventive medicine and telemedicine communiation. At the center of all this is one thing—patients should feel heard, safe, and guided with care that is both professional and personal.

82 days ago

Hello, aapki takleef ke lakshan ek dusre se connected ho sakte hain. Ghabrane ki zarurat nahi hai, lekin lifestyle improve karna bahut important hai. Aapke ye lakshan Nicotine addiction/ Low fiber diet/ Stress, etc. ki wajah se ho sakte hai. Ye meri salah hai aapke kiye-
1. Subah uthte hi ek glass garam pani. 3 main meals + 2 healthy snacks. High protein diet (anda, dal, paneer, chicken, chana). Banana shake / peanut butter / soaked almonds. Smoking gradually kam karein (ye sabse important hai).
2. Pet saaf rakhne ke liye- Roz 2–3 liter pani. Fiber add karein (salad, fruits, oats, isabgol raat ko 1–2 spoon pani ke sath). Roz 20–30 min walk. Fixed toilet timing banayein.
3. Penis growth 28 saal ke baad natural tarike se nahi badhta. Market ke oil, cream, tablet se growth nahi hoti, paisa waste hota hai. Sex time improve karne ke liye: Smoking kam karein, Exercise (especially squats + cardio), Porn kam karein, Proper sleep 7–8 ghante, Deep breathing practice.
4. Ye teats karwa ke reports share kijiye - CBC, FT3 FT4 TSH, RBS, Sr. Testosterone.
5. Ye supplements start kijiye-
- Tab. Methylcobalamin 1500mcg roz raat mai × 1 month.
- Softgel Vit-D3 60,000 IU hafte mai 1 baar × 4 hafto ke liye, fir 1 softgel har mahine × 6 mahino ke liye.
Aapki problem serious ya permanent nahi lag rahi. Mostly lifestyle + nicotine + nutrition issue hai. Agar aap 3 mahine discipline se routine follow karenge to: Bhook improve hogi, Wajan badhega, Energy better hogi, Sexual stamina naturally improve hoga.
Dr. Nirav Jain
MBBS, D.Fam.Medicine
4.

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