Feeling Hungry After Dinner and Nauseous: Gastrointestinal Concerns - Gastroenterology and Hepatology

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Feeling empty in the stomach and nauseous after dinner?


Hello Doctor: I have been coughing recently.
I only cough without having a sore throat, fever, nasal congestion, and there is very little phlegm or runny nose, so it seems to be mild allergies.
However, I often cough so much that I feel like vomiting.
After eating, I still feel hungry and then feel like throwing up (I have not had sexual intercourse, so I am not pregnant).
I usually end up inducing vomiting; I wonder what this situation is? Which department should I consult? Is it okay to induce vomiting?

Miss Wang, 20~29 year old female. Ask Date: 2016/03/30

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: You can first consult a gastroenterologist to determine the cause of your vomiting.
Please avoid inducing vomiting, as severe vomiting may lead to esophageal tears or esophageal burns from stomach acid.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/03/30

More Info


Feeling hungry after dinner while also experiencing nausea can be quite distressing and may indicate underlying gastrointestinal issues. Based on your description, it seems you are experiencing a combination of symptoms that could be linked to various gastrointestinal conditions.
Firstly, it is important to understand that the sensation of hunger after eating can sometimes be misleading. This phenomenon can occur due to several reasons, including rapid eating, which may not allow your body enough time to signal fullness, or it could be related to the type of food consumed. Foods that are high in carbohydrates can lead to a quick spike in blood sugar followed by a rapid drop, which may trigger feelings of hunger shortly after eating. Additionally, if your meals are low in protein or fiber, you may not feel satiated, leading to a sensation of hunger even after consuming food.

Nausea, on the other hand, can arise from various causes. It could be related to gastrointestinal reflux disease (GERD), where stomach acid flows back into the esophagus, causing discomfort and nausea. Another possibility is gastritis or an ulcer, especially if you have a history of digestive issues. The act of vomiting, which you mentioned, can also exacerbate nausea and create a cycle of discomfort.
The fact that you are experiencing persistent coughing, which you mentioned is not accompanied by other respiratory symptoms, could also be a sign of gastroesophageal reflux disease (GERD). In some cases, acid reflux can irritate the throat and lead to a chronic cough, which may be mistaken for allergies or other respiratory issues.
Regarding your question about inducing vomiting, it is generally not advisable to do so without medical supervision. Inducing vomiting can lead to further complications, such as electrolyte imbalances, esophageal tears, or aspiration pneumonia if the vomit enters the lungs. It is crucial to address the underlying cause of your symptoms rather than resorting to self-induced vomiting.

Given your symptoms, it would be wise to consult a gastroenterologist. They can perform a thorough evaluation, which may include a physical examination, a review of your medical history, and possibly diagnostic tests such as an endoscopy or imaging studies to assess the condition of your gastrointestinal tract.
In the meantime, consider making some dietary adjustments. Eating smaller, more frequent meals rather than large meals may help manage both hunger and nausea. Focus on a balanced diet rich in fiber, lean proteins, and healthy fats, which can help you feel fuller for longer. Additionally, try to eat slowly and mindfully to give your body time to signal fullness.

Lastly, if you are experiencing significant distress or if your symptoms worsen, do not hesitate to seek immediate medical attention. Your health and well-being are paramount, and addressing these symptoms early can prevent further complications.

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