Struggling with Appetite and Health: Tips for Improvement - Family Medicine

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Poor appetite and physical condition?


I often have trouble eating breakfast and lunch, which makes social gatherings stressful for me as I can't eat and often face ridicule from others.
This increases my psychological pressure, making it even harder to eat.
Additionally, I frequently catch colds and my cough takes a long time to resolve.
Sometimes, when the weather turns cooler, I feel a bit of warmth in my muscles, which also decreases my appetite.
I'm not sure if this is related to my habit of skipping breakfast during my college years.
In recent years, I've been forcing myself to drink a cup of warm milk in the morning, but it hasn't been effective.
I usually go to bed around 2:00 AM and wake up at 8:30 AM.
After having breakfast, I often go back to sleep until 10:00 AM (I have a flexible work schedule).
I'm unsure if my irregular sleep schedule is contributing to my issues.
Even when I sleep for over 7 hours, I don't feel any improvement; it seems like my body needs more than 8 hours of sleep.
A health check indicated that my liver appears fatigued, but my blood tests have not shown any abnormal values.
I would like to consult a physician on how to improve my physical condition and appetite issues.
Thank you.

Niming, 30~39 year old female. Ask Date: 2021/02/11

Dr. Liao Yaopan reply Family Medicine


Hello, maintaining a regular lifestyle and exercise routine is the most fundamental advice.
You can start by adjusting your daily schedule and developing consistent habits to see if there is any improvement.
Online consultations are not equivalent to in-person medical visits and cannot provide diagnoses or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2021/02/11

More Info


Struggling with appetite and health issues can be quite challenging, especially when it affects your social interactions and overall well-being. Based on your description, it seems that several factors may be contributing to your decreased appetite and health concerns. Here are some insights and recommendations that may help you improve your situation.


Understanding the Factors
1. Sleep Patterns: You mentioned that you typically go to bed around 2:00 AM and wake up at 8:30 AM, often returning to sleep until 10:00 AM. This irregular sleep schedule can significantly impact your overall health and appetite. The body thrives on routine, and inconsistent sleep can lead to hormonal imbalances that affect hunger signals. Aim for a more regular sleep schedule, ideally going to bed and waking up at the same time each day. Adults generally need between 7 to 9 hours of sleep per night for optimal health.

2. Dietary Habits: Skipping breakfast and having a limited intake during lunch can lead to a cycle of poor appetite. Breakfast is crucial as it breaks the overnight fasting period and kick-starts your metabolism. Consider incorporating small, nutrient-dense meals or snacks throughout the day rather than forcing yourself to eat large meals. Foods rich in protein, healthy fats, and complex carbohydrates can help stabilize blood sugar levels and improve energy.

3. Psychological Factors: The pressure you feel during social gatherings can exacerbate your appetite issues. Anxiety and stress can lead to a decreased desire to eat. It might be beneficial to explore relaxation techniques such as mindfulness, meditation, or even speaking with a mental health professional if the anxiety around eating in social situations persists.

4. Physical Health: Frequent colds and prolonged coughs can also affect your appetite. If your body is constantly fighting off infections, it may divert energy away from digestion. Consider consulting a healthcare provider to rule out any underlying conditions that could be contributing to your frequent illnesses. Additionally, the mention of your liver appearing "tired" during health checks suggests that it might be beneficial to focus on liver health through diet and lifestyle changes.


Recommendations for Improvement
1. Regular Eating Schedule: Try to establish a routine where you eat at similar times each day. Incorporate small meals or snacks that are easy to digest, such as yogurt, smoothies, or oatmeal, especially in the morning.

2. Hydration: Ensure you are drinking enough fluids throughout the day. Sometimes, dehydration can mimic feelings of hunger. Warm beverages like herbal tea or broth can be soothing and help stimulate appetite.

3. Nutrient-Rich Foods: Focus on foods that are high in nutrients but low in volume. For example, avocados, nuts, seeds, and smoothies can provide essential nutrients without overwhelming your stomach.

4. Physical Activity: Engage in light physical activity, such as walking or yoga, which can help stimulate appetite and improve mood. Exercise has been shown to enhance appetite in some individuals.

5. Consult a Professional: If your appetite issues and health concerns persist, consider consulting a registered dietitian or a healthcare provider. They can provide personalized advice and may suggest blood tests to check for deficiencies or other health issues.

6. Mental Health Support: If social anxiety around eating is a significant concern, consider seeking support from a therapist or counselor who can help you develop coping strategies.


Conclusion
Improving your appetite and overall health is a multifaceted process that involves addressing sleep, diet, psychological factors, and physical health. By making gradual changes and seeking support when needed, you can work towards a healthier lifestyle that enhances your appetite and well-being. Remember, small, consistent changes often lead to the most sustainable results.

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