Decreased Appetite: Possible Causes and Solutions - Surgery

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Decreased appetite?


Recently, my appetite has decreased.
I feel hungry, but I get full after eating just a little bit.
I used to finish my lunch box, but now I almost always leave half of it.
If I force myself to finish the lunch box, my stomach feels very uncomfortable and bloated.
What could be the possible reasons for this?

zoe, 20~29 year old female. Ask Date: 2015/07/27

Dr. Xu Kaixi reply Surgery


The symptoms of early satiety, poor appetite, and bloating, accompanied by a persistent feeling of hunger, are most likely indicative of a peptic ulcer.
It is recommended that you visit a gastroenterologist for an endoscopy to confirm the diagnosis and rule out other potential conditions.

Reply Date: 2015/07/27

More Info


Decreased appetite, or anorexia, can be a concerning symptom that may arise from various underlying causes. Understanding the potential reasons behind this change in eating habits is crucial for addressing the issue effectively. In your case, where you mention feeling hungry but becoming full after eating only a small amount, several factors could be at play.

1. Gastrointestinal Issues: One of the most common reasons for a decreased appetite and early satiety (feeling full after eating a small amount) is gastrointestinal problems. Conditions such as gastritis, peptic ulcers, or gastroesophageal reflux disease (GERD) can lead to discomfort and a feeling of fullness. Inflammation of the stomach lining (gastritis) can cause pain and discomfort, which may discourage eating. Similarly, ulcers can lead to pain after eating, resulting in a reduced desire to consume food.

2. Psychological Factors: Stress, anxiety, and depression can significantly impact appetite. When individuals experience emotional distress, their eating patterns may change, leading to decreased appetite. This psychological component is often overlooked but is essential to consider, especially if there have been recent changes in your life or emotional state.

3. Medications: Certain medications can also cause decreased appetite as a side effect. If you have recently started any new medications or changed dosages, it may be worth discussing this with your healthcare provider. Common medications that can affect appetite include some antidepressants, anti-anxiety medications, and pain relievers.

4. Metabolic or Endocrine Disorders: Conditions such as diabetes, hyperthyroidism, or chronic illnesses can lead to changes in appetite. For instance, hyperthyroidism can increase metabolism, leading to weight loss and decreased appetite. Conversely, diabetes can cause fluctuations in hunger levels, especially if blood sugar levels are not well controlled.

5. Age-Related Changes: As people age, their appetite can naturally decrease due to changes in metabolism, taste, and smell. Older adults may also experience dental issues or difficulty swallowing, which can further contribute to reduced food intake.

6. Nutritional Deficiencies: Deficiencies in certain vitamins and minerals, such as vitamin B12 or iron, can lead to a decrease in appetite. These deficiencies can also cause fatigue and weakness, further discouraging eating.


Solutions and Recommendations
To address your decreased appetite, consider the following steps:
- Consult a Healthcare Provider: It is essential to discuss your symptoms with a healthcare professional. They may recommend tests to rule out any underlying gastrointestinal issues or other medical conditions.

- Keep a Food Diary: Tracking what you eat and how you feel after meals can help identify patterns or triggers that may be contributing to your decreased appetite.

- Small, Frequent Meals: Instead of three large meals, try eating smaller, more frequent meals throughout the day. This approach can help manage feelings of fullness and ensure you are getting adequate nutrition.

- Focus on Nutrient-Dense Foods: When you do eat, prioritize foods that are high in nutrients but low in volume, such as smoothies, soups, and pureed foods. These can provide essential vitamins and minerals without overwhelming your stomach.

- Stay Hydrated: Sometimes, dehydration can mimic feelings of hunger. Ensure you are drinking enough fluids throughout the day, but try to avoid drinking large amounts right before meals to prevent feeling too full.

- Manage Stress: If psychological factors are contributing to your decreased appetite, consider stress management techniques such as mindfulness, meditation, or speaking with a mental health professional.

In conclusion, decreased appetite can stem from a variety of causes, ranging from gastrointestinal issues to psychological factors. It is crucial to identify the underlying reason to address the problem effectively. Consulting with a healthcare provider is the best course of action to ensure that any potential medical issues are appropriately evaluated and treated.

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