Loss Appetite. This normal? what to do?

Hi, The best way ahead would be a detailed clinical interview to understand the symptoms and your comprehensive history.  For a personalized plan, find me by searching "Dr Abhinav Tewari Neuropsychiatrist Lucknow" on Google Maps — my details are listed there.  ẄĤÃŤŠÅPP available on nine four one five three nine four three seven nine Kind Regards, Dr Abhinav Tewari Consultant Neuro-Psychiatrist MBBS (A.I.I.M.S., New Delhi) MD (Psychiatry) (A.I.I.M.S., New Delhi) DNB (NBEMS)

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Hi Thanks for asking Basically, From what you’ve described, your mother is currently on a combination of antipsychotic and antidepressant medicines (Aripiprazole, Olanzapine + Fluoxetine, Escitalopram, Trifluoperazine, Mirtazapine). These medicines can cause weight gain (especially around the belly/waist), appetite changes, nausea, and gastrointestinal discomfort as common side effects. The feelings she expresses I can’t eat, or going to die, can come from both the medication effects and the psychological distress of post-psychotic depression. Forcing food often worsens the nausea and resistance. It’s not uncommon, but it is definitely important to report this to her psychiatrist immediately. Sometimes even small dose adjustments or switching medicines can help reduce weight gain and improve appetite. As For now, encourage small, light, easy-to-digest meals (like khichdi, soups, fruits) instead of full rice/non-veg portions. Monitor hydration closely. But please don’t delay share the reports and these symptoms with her treating psychiatrist, because only they can decide whether the current medication mix needs to be altered.

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