Which Specialist to See for Stress-Related Appetite Loss? - Family Medicine

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Which specialty should I see?


Hello Doctor: I have been under a lot of stress lately and have suddenly lost my appetite and do not feel hungry.
My weight has been dropping continuously.
I don't have any discomfort in my abdomen, but I just can't eat.
I'm feeling quite anxious and have also started experiencing insomnia.
What tests should I undergo?

Lin Xiansheng, 30~39 year old female. Ask Date: 2018/02/05

Dr. Huang Xunying reply Family Medicine


If there is weight loss, decreased appetite, and insomnia, it is recommended to visit a family medicine clinic for an evaluation.
Blood tests may be necessary to determine the underlying causes of the weight loss.
Thank you.

Reply Date: 2018/02/05

More Info


When dealing with stress-related appetite loss, it is essential to understand the interplay between mental health and physical well-being. Stress can significantly impact various bodily functions, including appetite regulation. In your case, the sudden loss of appetite, weight loss, and insomnia are concerning symptoms that warrant professional evaluation.

The first step is to consult a healthcare professional who specializes in mental health, such as a psychiatrist or a clinical psychologist. These specialists can help assess whether your symptoms are related to stress, anxiety, or depression. They can provide a comprehensive evaluation and determine if your appetite loss is a symptom of a larger mental health issue.
In addition to mental health professionals, you may also consider seeing a primary care physician. They can conduct a physical examination and run necessary tests to rule out any underlying medical conditions that might be contributing to your symptoms. Conditions such as gastrointestinal disorders, hormonal imbalances, or infections can also lead to appetite loss and should be evaluated.

During your consultation, be prepared to discuss your recent stressors, lifestyle changes, and any other symptoms you may be experiencing. This information will help the healthcare provider understand the context of your appetite loss. They may ask about your sleep patterns, emotional state, and any significant life changes that could be contributing to your stress levels.

In the meantime, there are several strategies you can implement to help manage your stress and improve your appetite:
1. Mindfulness and Relaxation Techniques: Practices such as meditation, deep breathing exercises, and yoga can help reduce stress and promote a sense of calm. These techniques can also improve your overall mental health and may help restore your appetite.

2. Regular Physical Activity: Engaging in regular exercise can help alleviate stress and improve mood. Even a short daily walk can have positive effects on your mental well-being and may stimulate your appetite.

3. Balanced Nutrition: While you may not feel hungry, try to consume small, nutritious meals or snacks throughout the day. Focus on foods that are easy to digest and appealing to you. Staying hydrated is also crucial, so ensure you are drinking enough fluids.

4. Sleep Hygiene: Since you mentioned experiencing insomnia, establishing a regular sleep routine can be beneficial. Aim to go to bed and wake up at the same time each day, create a relaxing bedtime environment, and limit screen time before bed.

5. Social Support: Reach out to friends or family members to share your feelings and experiences. Social support can be a powerful tool in managing stress and improving your overall mood.

6. Professional Help: If your symptoms persist or worsen, do not hesitate to seek professional help. Therapy can provide you with coping strategies to manage stress and address any underlying mental health issues.

In summary, it is crucial to consult with a mental health specialist and possibly a primary care physician to address your stress-related appetite loss. They can help identify the root cause of your symptoms and develop a tailored treatment plan. Meanwhile, implementing stress management techniques and maintaining a balanced lifestyle can aid in improving your overall well-being. Remember, seeking help is a sign of strength, and taking proactive steps can lead to positive changes in your health.

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