Persistent Hunger Sensation Despite Full Stomach
A 36-year-old male weighing 190 pounds is experiencing a persistent, nagging sensation resembling intense hunger, located just beneath the breastbone. Engaging in running triggers nausea in that same region. Despite consuming large meals, the discomfort persists, leaving him with a continuous feeling of hunger. Currently, he is prescribed sertraline and Concerta. He had been taking significant amounts of ibuprofen and paracetamol recently, but he has since ceased that practice. Additionally, he has initiated treatment with omeprazole, a proton pump inhibitor, though he has yet to find any relief after several days of use.
Answers (1)
3/22/2025, 10:30:35 AM
OpenHealth AI
It sounds like you’re dealing with a persistent sensation of hunger and discomfort in your upper abdomen, which can be frustrating and concerning. This feeling may relate to several factors, including gastrointestinal issues, stress, or side effects from medications.
Explanation:
The persistent hunger-like sensation you describe, along with nausea triggered by running, could be due to a few possible reasons:
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Gastric Issues: Even though you are on omeprazole, which helps reduce stomach acid, it might take time for your symptoms to improve. Other digestive issues, such as gastritis or functional dyspepsia, could also be at play.
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Medication Side Effects: Both sertraline (an antidepressant) and Concerta (a stimulant for ADHD) can influence appetite and gastrointestinal function. It's worth tracking how your symptoms correlate with these medications.
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Increased Stress or Emotional Factors: Sometimes, emotional stress can manifest as physical symptoms, including hunger pangs or gastrointestinal discomfort.
Next Steps:
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Monitor Symptoms: Keep a daily log of your symptoms, including when they occur, their intensity, and any relation to food intake or activity levels. Note any patterns or triggers.
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Dietary Adjustments: Try eating smaller, more frequent meals instead of large ones. Focus on balanced meals that include protein, fiber (like whole grains and vegetables), and healthy fats, which can help regulate hunger feelings.
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Hydration and Lifestyle: Ensure you're drinking enough water throughout the day, as dehydration can contribute to feelings of hunger. Additionally, engage in mild activities (like walking) instead of hitting the pavement running, especially if it triggers nausea.
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Consult with Your Healthcare Provider: Given the persistence of your symptoms and the recent adjustment of your medications, it’s important to discuss these ongoing issues with your healthcare provider. They can evaluate whether any adjustments in your medication regimen or further investigations into gastrointestinal health are needed.
Please try these steps, and keep a close watch on how they affect your feelings of hunger and discomfort. I'm here if you have more questions!
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