Which Specialist Should I See for My Persistent Appetite Issues?

Which specialty should I see?

Hello doctor, I have not felt full since November of last year.
I often eat until I vomit or feel nauseous before realizing I can't eat anymore, but the amount varies each time.
Sometimes it's really hard to gauge the portion of food.
I previously underwent a autonomic nervous system examination, which was normal, but my blood pressure is on the low side.
Which specialty should I see for this issue? Thank you.

Niming, 20~29 year old female. Ask Date: 2018/01/03

Dr. Ye Qianyu reply Family Medicine

Hello, since I'm not sure what you mean by autonomic nervous system examination, I would like to suggest a few directions for adjustment and treatment: 1.
In terms of diet, avoid high-starch foods and increase the proportion of protein and dietary fiber.
If you have any questions, you can consult a nutritionist.
2.
Consider checking for metabolic issues, such as blood sugar problems or thyroid disorders.
3.
Gastrointestinal examinations should also be considered, such as checking for gastric prolapse or ulcers.
4.
If none of the above adjustments or examinations yield any findings, you may consider seeking evaluation and treatment from a psychosomatic medicine clinic.
Thank you for your inquiry, and I wish you a speedy recovery!

Reply Date: 2018/01/03

More Info

If you have been experiencing persistent appetite issues, including a lack of satiety and episodes of nausea or vomiting after eating, it is essential to seek the right medical specialist to address your concerns. Given your symptoms, I would recommend starting with a visit to a gastroenterologist. This specialist focuses on the digestive system and its disorders, which includes issues related to appetite, digestion, and gastrointestinal health.

A gastroenterologist can conduct a thorough evaluation of your symptoms and may recommend tests such as an endoscopy, ultrasound, or other imaging studies to assess the health of your digestive tract. They can help determine if there are any underlying gastrointestinal conditions, such as gastritis, gastroparesis (delayed gastric emptying), or other disorders that could be affecting your appetite and causing nausea.

In addition to a gastroenterologist, you might also consider consulting with a nutritionist or dietitian. These professionals can provide guidance on managing your eating habits and help you develop a meal plan that accommodates your symptoms. They can also assist in identifying any potential food intolerances or sensitivities that may be contributing to your issues.

If your symptoms are related to psychological factors, such as anxiety or stress, it may be beneficial to see a mental health professional, such as a psychologist or psychiatrist. Conditions like anxiety disorders or depression can significantly impact appetite and eating behaviors. A mental health professional can help you explore any emotional or psychological factors that may be influencing your appetite and provide appropriate therapeutic interventions.

It’s also worth noting that since you mentioned having low blood pressure, it might be helpful to consult with a primary care physician or an internist. They can evaluate your overall health, including your blood pressure and any other systemic issues that may be contributing to your symptoms. They can also coordinate care among specialists if needed.

In summary, I recommend starting with a gastroenterologist for your appetite issues, as they can address potential gastrointestinal causes. Additionally, consider consulting a nutritionist for dietary guidance and a mental health professional if you suspect psychological factors may be at play. Finally, don’t hesitate to involve your primary care physician to ensure a comprehensive approach to your health concerns.

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