Loss of Appetite: Causes and Solutions for Teens - Gastroenterology and Hepatology

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Poor appetite?


Hello Doctor, I haven't been feeling quite normal with my appetite lately.
Sometimes when I see food, I feel indifferent about eating it; even when I do want to eat, I only have a little.
Other times, I might not want to eat at all, but if I start eating, I can eat a lot.
I used to look forward to having burgers and hot dogs for breakfast, but now I have no interest.
Recently, I've also been feeling tightness in my abdomen; sometimes I manage to feel a bit hungry, but then the tightness in my lower abdomen makes me lose that hunger.
Overall, my digestive system has been off for about a month.
A month ago, when I was out on a trip, I kept feeling a sweet taste in my throat and mouth, and that's when my loss of appetite started.
I went to see a family doctor, and he said it was gastroesophageal reflux disease (GERD).
While the sweet taste has indeed gone away since I started treatment, my lack of appetite persists.
I'm really scared that I might have something serious like cancer.
I'm only 16 years old, and I feel terrified every day; just thinking about it makes me want to cry.
I hope the doctor can provide me with some analysis and advice.

Wei Xiang, 10~19 year old female. Ask Date: 2022/08/30

Dr. Chen Shidian reply Gastroenterology and Hepatology


It should be unrelated to cancer, so please maintain a positive mood and engage in regular activities.

Reply Date: 2022/08/30

More Info


Hello! Thank you for sharing your concerns about your recent loss of appetite and gastrointestinal discomfort. It's understandable to feel anxious when experiencing changes in your eating habits, especially at your age. Let's break down some potential causes and solutions for your situation.


Understanding Loss of Appetite
Loss of appetite can stem from various factors, and it's essential to consider both physical and psychological aspects. Here are some common causes:
1. Gastrointestinal Issues: As you mentioned, you have been diagnosed with gastroesophageal reflux disease (GERD). This condition can lead to discomfort, which may affect your desire to eat. Symptoms like a tight feeling in your abdomen can also be linked to digestive issues, such as bloating or constipation, which can further diminish your appetite.

2. Psychological Factors: Stress, anxiety, and depression can significantly impact your appetite. At 16, you may be facing various pressures—academic, social, or familial—that can lead to feelings of anxiety or sadness, which might manifest as a reduced appetite.

3. Changes in Routine: Adolescence is a time of significant change, and shifts in your daily routine, such as starting high school or changes in friendships, can affect your eating habits.
4. Physical Health: Illness, even minor ones like a cold or flu, can temporarily reduce appetite. Additionally, hormonal changes during puberty can also influence your hunger cues.

5. Dietary Habits: Sometimes, the types of food you consume can affect your appetite. A diet low in nutrients or high in processed foods can lead to feelings of lethargy and a lack of interest in eating.


Solutions and Recommendations
1. Consult a Healthcare Professional: Since you have already seen a doctor about your symptoms, it’s crucial to follow up if your appetite does not improve. A gastroenterologist may provide further insights into your digestive health. They can perform tests to rule out any serious conditions, including cancer, which you mentioned you are worried about. Remember, at your age, serious conditions like cancer are rare, but it’s always best to get a professional opinion.

2. Dietary Adjustments: Focus on eating small, frequent meals rather than large ones. This approach can help manage feelings of fullness and discomfort. Incorporate nutrient-dense foods that are easy to digest, such as bananas, rice, applesauce, and toast (often referred to as the BRAT diet) if you're experiencing gastrointestinal distress.

3. Hydration: Ensure you are drinking enough fluids. Sometimes, dehydration can contribute to feelings of nausea and a lack of appetite.

4. Mindfulness and Relaxation Techniques: If anxiety is a contributing factor, consider practicing mindfulness, meditation, or yoga. These techniques can help reduce stress and improve your overall mental health, which may, in turn, help restore your appetite.

5. Social Support: Talk to someone you trust about how you’re feeling—whether it’s a family member, friend, or school counselor. Sharing your concerns can alleviate some of the emotional burdens you may be carrying.

6. Routine: Establish a regular eating schedule. Even if you don’t feel hungry, try to eat at the same times each day to help train your body to expect food.

7. Limit Caffeine and Sugary Foods: These can sometimes exacerbate gastrointestinal issues and may affect your appetite.


Conclusion
It's essential to address both the physical and emotional aspects of your loss of appetite. While it’s natural to feel anxious about changes in your body, remember that many factors can contribute to these feelings, and they are often temporary. Continue to seek medical advice and support, and don’t hesitate to reach out for help when needed. Your health and well-being are paramount, and taking proactive steps can lead to improvement. Take care!

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