Unusual Digestive Symptoms: When Hunger Persists After Eating - Gastroenterology and Hepatology

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I feel something is off?


Hello doctor, my symptoms are quite strange.
A few minutes after I eat, I go to the bathroom and my stomach still feels empty...
and I still feel very hungry.
I just keep drinking water.
What could this symptom be? Also, I feel like my back is getting heavier and I have been taking something to make my stomach smaller.
What could this symptom be? Which specialist should I see?

Lang Gui, 10~19 year old female. Ask Date: 2015/06/25

Dr. Cai Anshun reply Gastroenterology and Hepatology


Hello: Please adhere to a regular and balanced diet.
You may consider consulting a gastroenterologist to check for any gastrointestinal issues, as well as an endocrinologist to determine if there are any problems related to hyperthyroidism or blood sugar levels.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.

Reply Date: 2015/06/25

More Info


Your symptoms of persistent hunger shortly after eating, along with feelings of heaviness in your back, can be quite concerning and may indicate several underlying issues. It’s essential to understand that the digestive system is complex and can be influenced by various factors, including diet, psychological state, and underlying medical conditions.

Firstly, the sensation of hunger after eating could be related to several physiological factors. One possibility is that the food you are consuming is not providing adequate nutrition or satiety. For example, meals that are low in protein or fiber may not keep you feeling full for long. Protein and fiber are essential for promoting feelings of fullness, as they take longer to digest and help regulate blood sugar levels. If your meals are predominantly composed of simple carbohydrates or processed foods, this could lead to rapid spikes and drops in blood sugar, resulting in feelings of hunger shortly after eating.

Another possibility is that your body may be experiencing a condition known as "dumping syndrome." This condition can occur when food moves too quickly from the stomach into the small intestine, leading to symptoms such as nausea, diarrhea, and persistent hunger. Dumping syndrome is often associated with certain surgeries, such as gastric bypass, but it can also occur in individuals without a surgical history if there are issues with gastric emptying.

Additionally, psychological factors such as stress, anxiety, or depression can significantly impact your appetite and digestion. Stress can lead to hormonal changes that affect hunger signals, potentially causing you to feel hungry even after eating. If you are experiencing emotional distress, it may be beneficial to explore this aspect with a mental health professional.

The heaviness in your back could also be related to gastrointestinal issues. Conditions such as gastroesophageal reflux disease (GERD) or gastritis can cause discomfort that may be perceived as heaviness or pressure in the back. Furthermore, if you are experiencing any gastrointestinal symptoms such as bloating, gas, or changes in bowel habits, it would be prudent to discuss these with a healthcare provider.

Given these possibilities, it is advisable to consult with a healthcare professional who specializes in gastrointestinal disorders, such as a gastroenterologist. They can perform a thorough evaluation, which may include blood tests, imaging studies, or endoscopy, to determine if there are any underlying conditions contributing to your symptoms.

In the meantime, consider keeping a food diary to track what you eat and how it makes you feel. This can help identify any patterns or specific foods that may be contributing to your symptoms. Additionally, focusing on a balanced diet rich in whole foods, including fruits, vegetables, whole grains, lean proteins, and healthy fats, may improve your overall digestive health and help regulate your appetite.

In conclusion, your symptoms warrant further investigation to determine the underlying cause. A comprehensive approach that includes dietary modifications, stress management, and professional medical evaluation will be essential in addressing your concerns and improving your quality of life.

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