Anxiety-Induced Nausea and Loss of Appetite

Q: Anxiety-Induced Nausea and Loss of Appetite

Hello Steven： Discomfort in the body often requires some time to gradually recover. <br>Since you have already undergone the necessary examinations and treatments, the next step is to maintain a positive mindset and give your body some time, patiently waiting for it to heal. <br>

Loss of appetite and nausea?

Hello, doctor.
I am a regular office worker and I have a habit of playing sports and exercising.
However, whenever I feel unwell, my life is greatly affected.
Recently, I experienced discomfort and pain in my upper abdomen and chest, which led me to seek medical attention at the hospital.
I have a history of gastroesophageal reflux disease (GERD), and during the waiting period for my test results, I become very worried and anxious.
I also become quite sensitive; for instance, if I happen to have neck and shoulder pain, I rush to schedule an appointment with an orthopedic specialist.
I have noticed that my subconscious harbors some negative emotions and thoughts, often leading me to think about my bodily reactions in the worst possible way.

Recently, my chest examination results were normal, and although I am still waiting for the results of my endoscopy, I find myself feeling nauseous and having a poor appetite every day upon waking.
I usually go to bed around midnight and do not wake up during the night, but I have noticed that I wake up 1 to 2 hours earlier than usual.
The first thing I do upon waking is to lie in bed and think, "Does my stomach still hurt? Am I still feeling nauseous? Can I eat?" I also worry that if the endoscopy results are normal, I should consider getting a colonoscopy.
In the past, just visiting the hospital would make the waiting time at home torturous and I would lose my appetite, but this time it seems worse as I am also feeling nauseous.

This constant worry has diminished my interest in the sports I enjoy, and I am even considering canceling a planned trip abroad with my family next week.
Doctor, do you think I need to see a psychiatrist? Am I being overly panicked?

Steven, 30~39 year old female. Ask Date: 2017/01/10

Dr. Liang Sunyuan reply Psychiatry

Hello Steven: Discomfort in the body often requires some time to gradually recover.
Since you have already undergone the necessary examinations and treatments, the next step is to maintain a positive mindset and give your body some time, patiently waiting for it to heal.
Before fully recovering, it is advisable to focus your attention on other aspects of daily life, such as work, interests, hobbies, learning, and personal growth.
If you find it difficult to adjust, it is recommended to seek an in-person evaluation and discussion.
Wishing you all the best.

Reply Date: 2017/01/10

More Info

It sounds like you're experiencing a significant amount of anxiety that is manifesting physically, particularly through symptoms like nausea and loss of appetite. This is not uncommon, especially for individuals who have a history of gastrointestinal issues, such as gastroesophageal reflux disease (GERD), which can exacerbate feelings of anxiety.
When we experience anxiety, our body goes into a "fight or flight" response, which can lead to various physical symptoms. Nausea and loss of appetite are common reactions to anxiety, as the body prioritizes immediate survival over digestion. The discomfort you feel in your abdomen and chest can heighten your anxiety, creating a vicious cycle where anxiety leads to physical symptoms, which in turn increases anxiety.

Your concern about your health, particularly regarding your gastrointestinal symptoms, is understandable. The anticipation of medical tests and the fear of potential diagnoses can be overwhelming. It’s important to recognize that while it’s natural to worry about health issues, excessive worry can lead to heightened anxiety and physical symptoms, as you’ve described.
The fact that you are experiencing early morning awakenings and immediately focusing on your physical symptoms suggests that anxiety is significantly impacting your daily life. This can lead to avoidance behaviors, such as skipping activities you once enjoyed, like exercising or traveling, which can further exacerbate feelings of anxiety and depression.

Regarding whether you should see a psychiatrist or psychologist, it may be beneficial to consult with a mental health professional. They can help you explore your feelings of anxiety and provide coping strategies to manage your symptoms. Cognitive-behavioral therapy (CBT) is particularly effective for anxiety disorders, as it helps individuals identify and challenge negative thought patterns that contribute to anxiety.
In addition to therapy, there are various treatment options available for anxiety, including medication. However, it’s essential to discuss these options with a healthcare provider who can assess your specific situation and recommend an appropriate treatment plan.
In the meantime, consider implementing some self-care strategies to help manage your anxiety. Regular physical activity, such as your routine of playing sports and exercising, can be a great way to reduce anxiety levels. Mindfulness practices, such as meditation or deep-breathing exercises, can also help calm your mind and body.
It’s also important to maintain a balanced diet and stay hydrated, as physical health can significantly impact mental well-being. If you find that your symptoms persist or worsen, don’t hesitate to reach out to a healthcare professional for further evaluation and support.

In summary, your symptoms of anxiety-induced nausea and loss of appetite are valid and warrant attention. Seeking help from a mental health professional can provide you with the tools to manage your anxiety effectively, allowing you to regain control over your life and enjoy activities that you once loved. Remember, you are not alone in this, and support is available.

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