I always feel like I'm not full?
I have recently been feeling constantly hungry and keep eating.
If I try to resist eating between meals, I experience stomach pain and cramps.
Sometimes, even when my stomach hurts, I feel pain while eating.
In just a week, my weight has increased by three kilograms! This has been going on for about 1 to 2 weeks.
My diet consists of regular meals, and my routine is to go to bed at 11:00 PM and wake up at 8:00 AM.
I am a bit worried; could I have a hormonal imbalance or some underlying health issue? I don’t want to keep eating and become overweight.
Doctor, please tell me what I should do.
Which specialist should I see for an examination? Thank you!
uuu, 30~39 year old female. Ask Date: 2014/05/20
Dr. Chen Qifeng reply Gastroenterology and Hepatology
Hello: Please visit the gastroenterology department first, as you need to schedule an upper gastrointestinal endoscopy to rule out peptic ulcer disease.
Wishing you safety and health.
Sincerely, Dr.
Chi-Feng Chen, Gastroenterology Department, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2014/05/20
More Info
Feeling constantly hungry and experiencing gastrointestinal discomfort can be distressing and may indicate underlying issues that need to be addressed. Based on your description, it seems that you are experiencing symptoms such as persistent hunger, stomach pain, and weight gain over a short period. These symptoms can be associated with various gastrointestinal disorders, hormonal imbalances, or lifestyle factors.
Possible Causes
1. Gastrointestinal Disorders: Conditions such as gastritis, peptic ulcers, or gastroesophageal reflux disease (GERD) can cause stomach pain and discomfort after eating. If you have a history of gastritis or ulcers, these conditions can lead to increased hunger due to the stomach's inability to properly digest food or produce adequate digestive enzymes.
2. Irritable Bowel Syndrome (IBS): This functional gastrointestinal disorder can cause symptoms like abdominal pain, bloating, and changes in bowel habits. IBS can also lead to increased hunger as the body may not be absorbing nutrients effectively, prompting a feeling of hunger even after eating.
3. Hormonal Imbalances: Hormones play a crucial role in regulating appetite and metabolism. Conditions such as hypothyroidism or insulin resistance can lead to increased hunger and weight gain. If your body is not effectively utilizing insulin, it can cause fluctuations in blood sugar levels, leading to cravings and increased appetite.
4. Dietary Factors: The types of foods you consume can also impact your feelings of hunger. Diets high in refined carbohydrates and sugars can lead to rapid spikes and drops in blood sugar levels, causing increased hunger. Additionally, a lack of fiber and protein in your diet can leave you feeling unsatisfied after meals.
5. Stress and Sleep: Stress can significantly impact your appetite and digestive health. It can lead to overeating or cravings for unhealthy foods. Moreover, inadequate sleep can disrupt hormonal balance, particularly hormones like ghrelin (which stimulates appetite) and leptin (which signals satiety).
Recommendations
1. Consult a Healthcare Professional: Given your symptoms, it would be advisable to consult a gastroenterologist to evaluate your gastrointestinal health. They may recommend tests such as an endoscopy, ultrasound, or blood tests to rule out any underlying conditions.
2. Dietary Adjustments: Focus on a balanced diet rich in whole foods, including fruits, vegetables, whole grains, lean proteins, and healthy fats. Incorporating fiber can help you feel fuller for longer and improve digestive health. Avoid processed foods and sugary snacks that can lead to rapid spikes in hunger.
3. Regular Meal Patterns: Instead of skipping meals or going long periods without eating, try to establish regular meal patterns. Eating smaller, more frequent meals can help stabilize blood sugar levels and reduce feelings of hunger.
4. Hydration: Sometimes, feelings of hunger can be mistaken for thirst. Ensure you are drinking enough water throughout the day, which can also aid digestion.
5. Stress Management: Engage in stress-reducing activities such as exercise, meditation, or yoga. These practices can help regulate appetite and improve overall well-being.
6. Sleep Hygiene: Aim for consistent sleep patterns and ensure you are getting enough restful sleep. Poor sleep can exacerbate hunger and cravings.
Conclusion
Your symptoms of constant hunger and gastrointestinal discomfort warrant further investigation. It is essential to consult with a healthcare professional who can provide a thorough evaluation and guide you on the appropriate tests and treatments. In the meantime, making dietary adjustments, managing stress, and ensuring adequate hydration and sleep can help alleviate some of your symptoms. Remember, addressing these issues early can prevent further complications and help you maintain a healthy weight and lifestyle.
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