Doctor, I feel very full after just a small breakfast?
Doctor, I used to eat a normal amount for breakfast, or even more, but now I feel very full after eating just a little.
For example, today I only had five small dumplings, four small pieces of broccoli, and a cup of milk tea, and I already feel very full.
Is this normal? Also, my stool hasn't been as well-formed as it used to be for a while.
Could this indicate a potential illness? Can mild hemorrhoids affect the shape of my stool? Do I need to get a colonoscopy?
EDK, 20~29 year old female. Ask Date: 2016/01/20
Dr. Lin Minghui reply Gastroenterology and Hepatology
1.
Pay attention to your diet by reducing the intake of fried foods and dairy products, as some individuals may experience bloating, abdominal pain, and loose stools.
2.
If you frequently experience indigestion and bloating, it is advisable to follow up with outpatient care for gastrointestinal endoscopy and ultrasound examinations to check for any gallbladder or pancreatic diseases.
Wishing you good health.
Lin Ming-Hui
Reply Date: 2016/01/20
More Info
Feeling full after a small breakfast can be a perplexing experience, especially if you previously had a larger appetite. This change in your eating habits could be attributed to several gastrointestinal concerns, which may warrant further investigation.
Firstly, it’s important to consider the role of gastric emptying in how full you feel after eating. If your stomach is emptying more slowly than usual, you may feel full after consuming less food. Conditions such as gastroparesis, where the stomach takes longer to empty its contents, can lead to early satiety. This condition can be caused by various factors, including diabetes, certain medications, or even previous gastrointestinal surgeries.
Another possibility is that you may be experiencing increased sensitivity in your gastrointestinal tract. This can occur due to inflammation or irritation in the stomach lining, which might be a result of gastritis or peptic ulcers. If you have a history of ulcers, as mentioned in your previous medical history, this could be a contributing factor. The sensation of fullness can also be accompanied by discomfort or pain, which might indicate that your stomach is reacting to the food differently than it used to.
Additionally, changes in your bowel habits, such as the consistency and shape of your stool, can provide important clues about your digestive health. If your stools are not forming well, this could indicate an underlying issue such as irritable bowel syndrome (IBS), food intolerances, or even infections. It’s worth noting that mild hemorrhoids can affect the ease of bowel movements, but they typically do not alter the shape of your stool significantly. However, if you are experiencing changes in your bowel habits along with discomfort, it may be prudent to consult a healthcare professional.
Regarding your question about whether you need a colonoscopy, this decision should be based on a comprehensive evaluation of your symptoms. If you are experiencing significant changes in your bowel habits, persistent abdominal discomfort, or any alarming symptoms such as weight loss or blood in your stool, a colonoscopy may be warranted to rule out any serious conditions, including colorectal cancer or inflammatory bowel disease.
In summary, feeling full after a small breakfast can be linked to various gastrointestinal issues, including delayed gastric emptying, increased sensitivity, or underlying conditions affecting your digestive system. Changes in stool consistency and shape can also indicate potential health concerns. It is advisable to keep a detailed record of your symptoms, dietary habits, and any changes you notice, and to discuss these with a healthcare provider. They may recommend diagnostic tests, including imaging or endoscopic procedures, to better understand your condition and guide appropriate treatment. Remember, early intervention can often lead to better outcomes, so don’t hesitate to seek medical advice if you have concerns about your digestive health.
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