Feeling hungry but lacking appetite?
For the past week, I have been feeling hungry but have no appetite.
I've only been drinking some watermelon juice or milk tea, and sometimes I only eat one meal a day, which I can't finish.
For example, I can only take one or two bites of a sandwich before I can't eat anymore.
I've lost two kilograms, and my sleep has become very light and difficult to initiate.
Once I finally fall asleep, I wake up many times throughout the night, and in the morning, I wake up around 4 or 5 AM and can't fall back asleep.
What could be wrong with me? If I need to see a doctor for an examination, which specialty should I consult?
Xingzi, 10~19 year old female. Ask Date: 2015/08/21
Dr. Chen Bozhang reply Family Medicine
The letter mentions that you have experienced a lack of appetite, weight loss, and difficulty sleeping over the past week.
These symptoms could be caused by various physiological or psychological factors.
It is recommended that you visit a family medicine clinic at a hospital, where a physician will conduct necessary examinations based on your medical history to identify the underlying cause.
I hope this information is helpful to you.
Reply Date: 2015/08/21
More Info
It sounds like you are experiencing a combination of symptoms that can be quite distressing. The fact that you feel hungry but have no appetite, along with significant weight loss, poor sleep quality, and difficulty falling asleep, suggests that you may be dealing with an underlying issue that needs to be addressed.
Firstly, it’s important to understand that a loss of appetite can be caused by various factors, including psychological, physiological, or even lifestyle-related issues. Stress, anxiety, and depression are common culprits that can lead to changes in appetite and sleep patterns. When someone is under emotional distress, it can manifest physically, leading to symptoms like those you described.
In your case, the combination of feeling hungry yet unable to eat, along with sleep disturbances, could indicate that you might be experiencing anxiety or depression. These conditions can lead to a cycle where emotional distress affects your physical health, which in turn exacerbates your emotional state. For example, not eating enough can lead to low energy levels, which can further impact your mood and motivation, creating a vicious cycle.
Additionally, physical health issues such as gastrointestinal problems, hormonal imbalances, or infections can also lead to a loss of appetite and changes in sleep patterns. It’s crucial to consider these possibilities, especially if your symptoms persist.
Given your symptoms, I would recommend that you seek medical attention. The first step would be to visit a primary care physician or a general practitioner. They can conduct a thorough evaluation, including a physical examination and possibly some blood tests, to rule out any underlying medical conditions that might be contributing to your symptoms. If they suspect that your symptoms are primarily psychological, they may refer you to a mental health professional, such as a psychologist or psychiatrist, for further evaluation and treatment.
In the meantime, there are some strategies you can employ to help manage your symptoms. Here are a few suggestions:
1. Maintain a Routine: Try to establish a daily routine that includes regular meal times, even if you don’t feel hungry. Eating small, nutritious snacks throughout the day can help maintain your energy levels.
2. Stay Hydrated: Since you mentioned drinking watermelon juice and milk tea, ensure you’re also drinking enough water throughout the day. Dehydration can also affect your appetite and energy levels.
3. Practice Relaxation Techniques: Incorporating relaxation techniques such as deep breathing, meditation, or gentle yoga can help reduce anxiety and improve your sleep quality.
4. Limit Stimulants: Reduce your intake of caffeine and sugar, especially in the afternoon and evening, as these can interfere with your sleep.
5. Seek Support: Talk to friends or family about how you’re feeling. Sometimes, sharing your thoughts and feelings can provide relief and help you feel less isolated.
6. Consider Professional Help: If your symptoms persist or worsen, don’t hesitate to reach out to a mental health professional. They can provide you with coping strategies and therapeutic interventions tailored to your needs.
In conclusion, while it’s essential to address the physical aspects of your symptoms, it’s equally important to consider the emotional and psychological factors at play. Seeking help from a healthcare professional is a crucial step in understanding and managing your symptoms effectively. Remember, you don’t have to go through this alone, and there are resources available to support you.
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