Constant Hunger: Causes and Solutions for Unexplained Weight Loss - Family Medicine

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Always feeling hungry?


Recently, I have been feeling hungry all the time.
Not long after eating, I start to feel hungry again, and I don't feel full after meals.
It's also difficult for me to fall asleep at night.
My weight has dropped from 60 kg to 45 kg (I don't have a habit of exercising or dieting, but my weight has inexplicably decreased).
What could be the cause of this? I have anemia and chronic gastritis, and my mother has diabetes.

Pei Ru, 10~19 year old female. Ask Date: 2020/07/03

Dr. Ye Qianyu reply Family Medicine


Hello! Based on your description, since your weight has decreased by more than 10% in a short period of time, it could be related to metabolic issues or an infection.
It is recommended that you seek medical attention as soon as possible.

Reply Date: 2020/07/03

More Info


Experiencing constant hunger and unexplained weight loss can be concerning and may indicate underlying health issues. Given your symptoms of persistent hunger, significant weight loss from 60 kg to 45 kg without any dietary changes or increased physical activity, and your existing health conditions like anemia and chronic gastritis, it is crucial to explore potential causes and solutions.


Possible Causes
1. Metabolic Disorders: Conditions such as hyperthyroidism can lead to increased metabolism, causing weight loss and constant hunger. The thyroid gland produces hormones that regulate metabolism, and an overactive thyroid can lead to symptoms like increased appetite, weight loss, and insomnia.

2. Diabetes: Given your family history of diabetes, it is essential to consider this condition. Diabetes can cause excessive hunger and weight loss, especially if blood sugar levels are poorly controlled. When the body cannot utilize glucose effectively, it may lead to increased hunger as the body seeks energy.

3. Gastrointestinal Issues: Chronic gastritis can affect nutrient absorption and digestion, leading to feelings of hunger even after eating. If your stomach lining is inflamed, it may not effectively signal satiety, causing you to feel hungry more often.

4. Anemia: Anemia, particularly iron-deficiency anemia, can lead to fatigue and weakness, which might be misinterpreted as hunger. The body may crave more food in an attempt to obtain the energy it lacks due to insufficient red blood cells.

5. Psychological Factors: Stress, anxiety, or depression can also manifest as increased appetite or cravings. Emotional eating can lead to a cycle of hunger and weight loss if the body is not receiving adequate nutrition.

6. Infections or Chronic Illnesses: Certain infections or chronic illnesses can lead to weight loss and increased appetite. Conditions like tuberculosis or cancer can cause significant weight loss and changes in appetite.


Recommended Actions
1. Consult a Healthcare Professional: It is crucial to seek medical advice to evaluate your symptoms comprehensively. A healthcare provider can perform blood tests to check for thyroid function, blood sugar levels, and anemia, as well as assess for any gastrointestinal issues.

2. Nutritional Assessment: Consider consulting a registered dietitian who can help you develop a balanced meal plan that addresses your hunger while ensuring you receive adequate nutrition. They can also help you manage your chronic gastritis by recommending foods that are gentle on your stomach.

3. Monitor Symptoms: Keep a food diary to track what you eat and how you feel afterward. This can help identify patterns and triggers for your hunger and may provide valuable information for your healthcare provider.

4. Manage Stress: If psychological factors are contributing to your symptoms, consider stress management techniques such as mindfulness, meditation, or counseling. Addressing emotional health can significantly impact physical health.

5. Regular Follow-ups: Given your weight loss and existing health conditions, regular follow-ups with your healthcare provider are essential to monitor your health and adjust any treatment plans as necessary.


Conclusion
Unexplained weight loss and constant hunger can stem from various medical conditions, and it is essential to approach this issue holistically. By consulting healthcare professionals and addressing both physical and psychological aspects of your health, you can work towards understanding the root causes of your symptoms and finding effective solutions. Remember, early intervention is key to preventing further complications and improving your overall well-being.

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