Persistent Loss of Appetite: Causes and Solutions - Gastroenterology and Hepatology

Q: Persistent Loss of Appetite: Causes and Solutions

Hello： It is recommended to relax, engage in physical exercise, participate in social activities, shift your focus, and develop healthy eating habits. <br>If necessary, you may also consult a psychiatrist and a gastroenterologist. <br>Changhua Hospital cares about your health. <b

Frequently experiencing a loss of appetite?

I have been experiencing a sudden loss of appetite for over a month now, lasting for two to three days at a time.
I have seen doctors who have diagnosed me with gastroenteritis or a stomach flu.
While medication has provided some improvement, the symptoms tend to recur within a week.
My loss of appetite manifests as not feeling hungry at all, or feeling hungry but becoming full after just one or two bites.
I am currently seeing a psychiatrist and taking medication for autonomic nervous system dysregulation, but the symptoms still persist.
I have already lost 5 kilograms.
Although I have experienced anxiety-related loss of appetite in the past, I usually recovered quickly.
What should I do to treat my condition?

Mr. Zhou, 20~29 year old female. Ask Date: 2016/04/28

Dr. Cai Anshun reply Gastroenterology and Hepatology

Hello: It is recommended to relax, engage in physical exercise, participate in social activities, shift your focus, and develop healthy eating habits.
If necessary, you may also consult a psychiatrist and a gastroenterologist.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2016/04/28

More Info

Persistent loss of appetite can be a complex issue with various underlying causes, and it’s important to approach it holistically. Given your situation, where you’ve experienced a loss of appetite for over a month, coupled with weight loss and previous diagnoses of gastrointestinal issues, it’s crucial to consider both physical and psychological factors.

Understanding the Causes
1. Gastrointestinal Issues: As your doctors have suggested, gastrointestinal infections or conditions like gastritis, peptic ulcers, or even food intolerances can lead to a loss of appetite. These conditions can cause discomfort, nausea, or pain, making it difficult to eat. If your symptoms improve with medication but return, it may indicate an underlying issue that needs further investigation, such as chronic gastritis or a more persistent infection.

2. Psychological Factors: Since you are also seeing a psychiatrist and taking medication for autonomic nervous system dysregulation, it’s essential to consider the psychological aspect. Anxiety, depression, and stress can significantly impact appetite. Even if you have previously managed these feelings, they can resurface and manifest physically, leading to changes in eating habits.

3. Medications: Some medications, including those for anxiety or depression, can have side effects that include loss of appetite. If you suspect that your current medication might be affecting your appetite, discussing this with your psychiatrist could lead to adjustments that might help.

4. Lifestyle Factors: Changes in routine, sleep patterns, and stress levels can all contribute to appetite changes. If you’ve experienced significant life changes or stressors, these could be influencing your eating habits.

Solutions and Recommendations
1. Comprehensive Evaluation: Since your symptoms have persisted, consider seeking a comprehensive evaluation from a gastroenterologist. They may recommend further tests, such as an endoscopy or imaging studies, to rule out any underlying gastrointestinal conditions.

2. Nutritional Support: Engage with a registered dietitian who can help you create a meal plan that accommodates your current appetite levels. They can suggest nutrient-dense foods that are easier to consume, such as smoothies, soups, or small, frequent meals that may be less overwhelming.

3. Psychological Support: Continue working with your psychiatrist or consider therapy options such as cognitive-behavioral therapy (CBT), which can help address anxiety and stress that may be contributing to your loss of appetite. Mindfulness and relaxation techniques may also be beneficial.

4. Medication Review: Discuss your current medications with your psychiatrist to evaluate if they could be contributing to your appetite issues. Sometimes, adjusting the dosage or switching to a different medication can alleviate side effects.

5. Monitor Symptoms: Keep a journal of your eating habits, symptoms, and any triggers you notice. This can help both you and your healthcare providers identify patterns and potential causes of your appetite loss.

6. Hydration and Supplements: Ensure you are staying hydrated, as dehydration can also affect appetite. If solid foods are challenging, consider liquid nutrition supplements to help maintain your caloric intake.

7. Gradual Exposure: If certain foods or meals feel overwhelming, try to gradually reintroduce them into your diet. Start with small portions and gradually increase as your appetite improves.

Conclusion
Persistent loss of appetite can be distressing and may require a multifaceted approach to treatment. By addressing both the physical and psychological aspects of your condition, you can work towards regaining your appetite and overall health. It’s essential to maintain open communication with your healthcare providers and advocate for your needs as you navigate this challenging situation. Remember, recovery can take time, and it’s important to be patient with yourself throughout this process.

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