Sudden Decrease in Appetite: Causes and Solutions - Gastroenterology and Hepatology

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Recently, my appetite has suddenly decreased?


About three weeks ago, I experienced some abdominal bloating and pain for a few days, along with mild nausea.
I ate less than usual or skipped meals altogether, and I had diarrhea for a few days, but it seemed to improve after that.
Since then, I've been eating less, and I didn't have a bowel movement for about a week, but fortunately, I was able to go the next day.
However, it wasn't constipation; my stool was softer but still formed.
I've recently noticed that my appetite has decreased compared to before.
I used to eat a full meal, but now I might eat half for lunch and the other half for dinner, and that amount makes me feel very full.
My weight has only decreased by about 1 kg, and the last time I had a bowel movement was about 4 to 5 days ago (I generally have fewer bowel movements).
Additionally, I feel like my upper abdomen is protruding when I stand, and sometimes it can be a bit painful, but it doesn't protrude or hurt as much when I lie down.
I have a normal body shape.

I would like to know if the changes in my appetite over the past three weeks are related to the issues I experienced earlier.
Could it be due to eating less during those days, or is there something else going on? Could it be related to the upcoming exams and irregular schedule due to remote learning, which has increased my stress levels? I'm worried that it might be something serious, and I would like to know how to improve this situation.
(I've found some alarming information online, and I'm wondering if it's typical for someone aged 17-18, or if I'm overthinking it.)

Niming, 10~19 year old female. Ask Date: 2021/07/08

Dr. Chen Shidian reply Gastroenterology and Hepatology


It may be overthinking; just maintain a normal lifestyle and diet for now, and monitor any changes in weight or food intake.

Reply Date: 2021/07/08

More Info


Understanding a sudden decrease in appetite can be quite complex, as it can stem from a variety of causes, both physical and psychological. In your case, the timeline of events you described suggests that your recent gastrointestinal issues may have played a significant role in your current appetite changes.

Initially, you experienced abdominal bloating, pain, and nausea, which can often lead to a temporary reduction in appetite. This is a common physiological response; when the body is under stress or discomfort, it naturally tends to eat less. The fact that you had diarrhea for a few days could also contribute to a temporary decrease in appetite, as the body may still be recovering from the gastrointestinal upset. After such episodes, it is not unusual for individuals to find that their appetite does not return to baseline levels immediately, especially if they are still feeling some residual discomfort or anxiety about eating.

The subsequent week of reduced bowel movements, even if not classified as constipation, can also influence appetite. The gastrointestinal tract plays a crucial role in signaling hunger and satiety, and any disruption in its normal function can lead to changes in appetite. Additionally, the sensation of a "stomach bulge" or discomfort in the upper abdomen that you mentioned could further deter you from eating, as the body may associate food intake with discomfort.

Moreover, psychological factors such as stress and irregular sleep patterns can significantly impact appetite, especially in adolescents. The pressure of upcoming exams and the shift to remote learning can create anxiety, which is known to affect eating habits. Stress can lead to either increased or decreased appetite, and in your case, it appears to have contributed to a decrease.
Given your age, it is essential to recognize that fluctuations in appetite can be common during periods of stress or change. However, it is crucial to monitor your symptoms closely. If the decrease in appetite persists, or if you experience additional symptoms such as significant weight loss, persistent abdominal pain, or changes in bowel habits, it would be wise to consult a healthcare professional. They can perform a thorough evaluation to rule out any underlying conditions, such as gastrointestinal disorders, hormonal imbalances, or psychological issues like anxiety or depression.

To address your concerns and improve your appetite, consider the following strategies:
1. Regular Eating Schedule: Try to establish a regular eating routine, even if you do not feel very hungry. Eating small, frequent meals can help stimulate your appetite.

2. Nutrient-Dense Foods: Focus on consuming nutrient-dense foods that are high in calories but low in volume, such as smoothies, nuts, avocados, and protein-rich foods. This can help ensure you are getting adequate nutrition even if your portion sizes are smaller.

3. Hydration: Ensure you are staying hydrated, as dehydration can also affect appetite. However, try to avoid drinking large amounts of fluids right before meals, as this can make you feel fuller.

4. Relaxation Techniques: Engage in relaxation techniques such as deep breathing, meditation, or light exercise to help manage stress levels.

5. Consult a Professional: If your appetite does not improve or if you have ongoing concerns, consider speaking with a healthcare provider or a registered dietitian. They can provide tailored advice and support based on your specific situation.

In conclusion, while your recent gastrointestinal issues and stress may have contributed to your decreased appetite, it is essential to monitor your symptoms and seek professional guidance if necessary. Your health and well-being are paramount, and addressing these concerns early can help prevent further complications.

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