Why Do I Feel Hungry but Experience Nausea After Eating?

Feeling hungry, but as soon as I eat, I feel nauseous and want to vomit?

Hello Dr.
Hong,
I would like to ask you about an issue I've been experiencing since Tuesday night.
I have been feeling very hungry and can feel my stomach constantly churning and making noises.
However, whenever I eat or drink anything (water or tea), I start to feel nauseous and want to vomit.
Additionally, I have a heavy, dizzy sensation in my head.
When I press on my stomach and abdominal area, it feels painful, but the pain only occurs when I apply pressure; otherwise, I do not experience any stomach or abdominal pain.

I am not pregnant, as I am currently on the fourth day of my menstrual cycle.
I have a history of gastroesophageal reflux disease (GERD), gastric ulcers, and duodenal ulcers, all of which have been monitored with regular endoscopies.
My doctor mentioned that my condition has improved compared to the first endoscopy during my initial visit (I have had three endoscopies so far).

Why might I be experiencing these symptoms? Should I return to my treatment clinic for further examinations by my primary physician? I would appreciate your advice.
Thank you.

carry, 30~39 year old female. Ask Date: 2018/06/21

Dr. Hong Yuanbin reply Internal Medicine

Based on your description, the most likely conditions are gastroesophageal reflux disease (GERD) or a peptic ulcer.
These conditions are typically confirmed and diagnosed through an upper gastrointestinal endoscopy.
Your physician has already prescribed medication for peptic ulcers.
Here are several recommendations for improvement:
1.
Try to eat smaller, more frequent meals.
2.
Avoid lying down for at least half an hour after meals, and try not to sit still for long periods; a light walk is beneficial.
3.
Avoid tea, coffee, dairy products, and spicy foods.
4.
Avoid staying up late and maintain a regular sleep schedule.
5.
If symptoms persist after trying these methods, consult your physician about the possibility of adding antacids or other gastric medications.
Thank you for your inquiry.

Reply Date: 2018/06/21

More Info

Feeling hungry while simultaneously experiencing nausea after eating can be a perplexing and uncomfortable situation. Based on your description, it appears that you are dealing with a combination of gastrointestinal symptoms that may be related to your existing conditions, such as gastroesophageal reflux disease (GERD), peptic ulcers, and possibly other digestive issues.

When you mention feeling hungry but also experiencing nausea and discomfort after eating or drinking, several factors could be at play. First, the sensation of hunger is often regulated by hormones such as ghrelin, which signals the brain that the body needs food. However, if your stomach is irritated or inflamed due to ulcers or reflux, the act of eating can trigger nausea instead of relief. This is because the stomach lining may be sensitive to food intake, especially if the food is irritating or if there is excessive acid production.

The symptoms you describe—persistent hunger, stomach rumbling, and nausea—could also indicate a condition known as "functional dyspepsia." This is characterized by discomfort or pain in the upper abdomen, often accompanied by bloating, nausea, and early satiety. In your case, the presence of ulcers and GERD may exacerbate these symptoms, leading to a cycle of hunger and nausea.

Additionally, the heaviness in your head and the feeling of dizziness could be related to several factors, including dehydration, low blood sugar levels, or even anxiety, which can sometimes accompany gastrointestinal distress. It’s essential to ensure you are adequately hydrated and consuming balanced meals to maintain stable blood sugar levels.

Given your medical history of ulcers and GERD, it is crucial to manage these conditions effectively. Here are some recommendations:
1. Dietary Modifications: Avoid foods that trigger your symptoms, such as spicy, fatty, or acidic foods. Eating smaller, more frequent meals may help reduce the burden on your stomach and prevent nausea.

2. Hydration: Ensure you are drinking enough fluids, but try to avoid drinking large amounts of water immediately before or during meals, as this can exacerbate feelings of fullness and nausea.

3. Medication Review: Since you have a history of ulcers and GERD, it may be beneficial to review your current medications with your healthcare provider. They may consider adjusting your treatment plan or prescribing medications that can help manage your symptoms more effectively.

4. Follow-Up with Your Doctor: Given the persistence of your symptoms, it would be wise to schedule a follow-up appointment with your gastroenterologist. They may recommend further testing, such as an upper endoscopy, to assess the current state of your ulcers and any potential complications.

5. Stress Management: Stress can significantly impact gastrointestinal health. Consider incorporating stress-reducing techniques such as mindfulness, yoga, or gentle exercise into your routine.

In summary, the combination of hunger and nausea you are experiencing is likely related to your existing gastrointestinal conditions. It is essential to address these symptoms with your healthcare provider, who can offer tailored advice and treatment options based on your specific situation. Remember, managing your diet, staying hydrated, and following up with your doctor are key steps in alleviating your discomfort and improving your overall digestive health.

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