Unexplained Excessive Eating and Sleeping: Seeking Medical Advice - Family Medicine

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Unexplained excessive eating and sleeping?


Hello Dr.
Liao! I am 19 years old and have been experiencing irritable bowel syndrome and gastrointestinal issues.
Just last week, I had a stomach flu, and I often feel unexplained pain after eating, which has led to a poor appetite.
However, yesterday I ate significantly more than usual (for example: two square sandwiches for breakfast, a lunch box for lunch, and a bowl of rice for dinner).
Normally, I would never be able to finish that much food...
But yesterday, due to hunger, I quickly finished my lunch and ended up feeling faint around 3:00 PM! I felt dizzy...
and although my stomach didn't hurt after eating, I also didn't feel full! It felt like I was filling a bottomless pit...
My food intake has been large for the past two days, and I'm worried that this will damage my gastrointestinal health.
Additionally, I usually sleep around 8 hours, and last night was no different, but today I have been constantly drowsy, sometimes waking up only to realize I had fallen asleep...
I haven't overexerted myself or taken any medication, so why has there been such a sudden increase in eating and sleeping? Could you please advise me on how to improve this situation? Thank you!

Yuki, 10~19 year old female. Ask Date: 2016/02/24

Dr. Liao Yaopan reply Family Medicine


Hello, regarding your inquiry, if there are ongoing abnormal eating or sleeping patterns, it is recommended to seek an evaluation from a metabolic specialist.
Of course, emotional responses can also impact these conditions.
Maintaining a regular daily routine is still the most important.
Changhua Hospital cares about you.

Reply Date: 2016/02/24

More Info


It sounds like you're experiencing a concerning combination of excessive eating and excessive sleeping, which can be quite distressing, especially given your history of gastrointestinal issues and irritable bowel syndrome (IBS). Let's break down your situation and explore some potential explanations and recommendations.

Firstly, the sudden increase in appetite and the inability to feel full could be linked to several factors. One possibility is that your body is reacting to the stress of your recent gastrointestinal illness. Stress can significantly impact appetite regulation, often leading to fluctuations in eating patterns. Additionally, if you have been experiencing discomfort or pain after eating, it may have caused you to eat less in the past, leading to a compensatory increase in hunger when you felt better. This could explain why you felt the need to eat more than usual after a period of reduced appetite.

Another factor to consider is the possibility of emotional eating. Sometimes, individuals may eat more when they are feeling anxious, stressed, or even bored. Given that you mentioned feeling dizzy and hungry after eating, it might be worth reflecting on whether there are any emotional triggers that could be influencing your eating habits.

Regarding your excessive sleeping, it’s essential to consider the quality of your sleep as well as the quantity. While you mentioned that you typically get around eight hours of sleep, the feeling of constantly needing to sleep or experiencing episodes of falling asleep unexpectedly could indicate an underlying issue. Conditions such as sleep apnea, depression, or even certain medications can lead to excessive daytime sleepiness. Given that you have not engaged in any strenuous activities or taken medications that could contribute to this, it might be beneficial to evaluate your sleep hygiene and overall mental health.

Here are some recommendations to help you manage your symptoms:
1. Monitor Your Eating Habits: Keep a food diary to track what you eat, how much you eat, and how you feel before and after meals. This can help identify patterns or triggers related to your eating behavior.

2. Mindful Eating: Practice mindful eating techniques, which involve paying attention to your hunger cues and eating slowly. This can help you recognize when you are truly hungry and when you are full.

3. Regular Meal Schedule: Try to establish a regular eating schedule with balanced meals and snacks throughout the day. This may help regulate your appetite and prevent extreme hunger.

4. Hydration: Ensure you are drinking enough water throughout the day. Sometimes, feelings of hunger can be confused with thirst.

5. Sleep Hygiene: Improve your sleep environment by ensuring your bedroom is dark, quiet, and cool. Establish a calming bedtime routine to signal to your body that it’s time to wind down.

6. Consult a Healthcare Professional: Given your history of gastrointestinal issues and the recent changes in your eating and sleeping patterns, it would be wise to consult a healthcare professional. They can conduct a thorough evaluation to rule out any underlying medical conditions, such as hormonal imbalances, sleep disorders, or mental health issues.

7. Consider Therapy: If emotional factors are contributing to your eating habits, speaking with a therapist or counselor may provide valuable support and coping strategies.

In summary, while your symptoms may be concerning, they can often be managed with lifestyle changes and professional guidance. It’s essential to listen to your body and seek help when needed, especially if these patterns continue or worsen.

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