Loss of Appetite: Insights on Gastritis and GERD - Gastroenterology and Hepatology

Lack of appetite?

Hello, Doctor...
I would like to ask you a few questions.
Earlier this year, I underwent an upper gastrointestinal endoscopy and was diagnosed with mild gastritis, mild gastroesophageal reflux disease (GERD), and mild duodenitis.
I was prescribed medication, but I still experience belching and gastric pressure pain that doesn't seem to improve, although it doesn't feel severe.
After the Lunar New Year holiday, I inevitably consumed more sweets and snacks, and my food intake increased.
However, I noticed that I no longer feel hungry; sometimes, even after eating more, I don't feel full.
After 12 hours without eating, I still don't feel hungry, and there is no sensation of gastric acid churning or the usual gurgling sounds from my stomach, as if my gastrointestinal tract has shut down.
However, if I do eat or drink, I do experience some belching, and during this unusual period, my usual gastric pressure pain has actually disappeared.
I would like to ask the doctor if my gastritis has recurred.
Recently, I came across the term superficial gastritis and found that many of my symptoms are similar.
Is mild gastritis the same as superficial gastritis? Is it possible that my condition has developed into superficial gastritis? Thank you for your response, Doctor!

Saku, 30~39 year old female. Ask Date: 2017/01/31

Dr. Chen Qifeng reply Gastroenterology and Hepatology

Your symptoms indicate delayed gastric emptying, which can be caused by conditions such as gastroparesis, gastritis, or peptic ulcers.
As for gastritis, "mild" refers to the severity, while "superficial gastritis" describes the pathological condition; superficial gastritis is a form of chronic gastritis.

Reply Date: 2017/01/31

More Info

Loss of appetite can be a concerning symptom, especially when associated with conditions like gastritis and gastroesophageal reflux disease (GERD). Your experience of diminished hunger and changes in your gastrointestinal (GI) sensations may indeed be linked to your previous diagnoses of mild gastritis and GERD. Let's delve deeper into these conditions and their potential implications for your appetite.

Understanding Gastritis and GERD:
Gastritis refers to inflammation of the stomach lining, which can be acute or chronic. In your case, the diagnosis of mild gastritis suggests that there is some inflammation present, but it may not be severe enough to cause significant symptoms. Common causes of gastritis include infection (such as Helicobacter pylori), excessive alcohol consumption, certain medications (like NSAIDs), and stress. Symptoms can vary widely, including abdominal pain, nausea, vomiting, and loss of appetite.

GERD, on the other hand, is a condition where stomach acid frequently flows back into the esophagus, leading to symptoms such as heartburn, regurgitation, and sometimes difficulty swallowing. The relationship between GERD and appetite can be complex; some individuals may experience a reduced appetite due to discomfort or fear of triggering symptoms after eating.

Your Symptoms:
The absence of hunger, even after extended periods without food, is indeed unusual. It could be indicative of several factors:
1. Gastric Motility Issues: Sometimes, inflammation or irritation in the stomach can affect how well it contracts and moves food through the digestive tract. This could lead to a sensation of fullness or lack of hunger.

2. Psychological Factors: Stress and anxiety can significantly impact appetite. If you have been feeling anxious about your health or experiencing stress, this could contribute to your symptoms.

3. Dietary Changes: Increased consumption of sugary snacks and processed foods can also affect your appetite and digestion. These foods may lead to fluctuations in blood sugar levels, which can influence hunger signals.

Shallow Gastritis vs. Mild Gastritis:
Regarding your question about superficial gastritis, it is often used interchangeably with mild gastritis. Superficial gastritis typically refers to inflammation that is limited to the surface of the stomach lining, which aligns with your diagnosis of mild gastritis. It is possible that your condition has not worsened but rather remains consistent with your previous diagnosis.

What to Do Next:
1. Follow-Up with Your Doctor: It is essential to discuss your current symptoms with your healthcare provider. They may recommend further evaluation, such as repeat endoscopy or imaging studies, to assess the state of your gastritis and rule out other conditions.

2. Dietary Adjustments: Consider maintaining a balanced diet that avoids irritants like spicy foods, caffeine, and alcohol. Eating smaller, more frequent meals may also help manage symptoms.

3. Medication Review: If you are currently on medications for gastritis or GERD, discuss with your doctor whether adjustments are needed based on your symptoms.

4. Monitor Symptoms: Keep a journal of your symptoms, noting any patterns related to food intake, stress levels, and other lifestyle factors. This information can be helpful for your healthcare provider.

In conclusion, while your symptoms may be concerning, they are not uncommon in the context of gastritis and GERD. With appropriate management and follow-up, you can work towards alleviating your symptoms and restoring your appetite. Always consult with your healthcare provider for personalized advice and treatment options tailored to your specific situation.

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