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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Repulsion On Looking At Food Even If Hungry And Nausea?

Hello, I m having problems eating. I m extremely hungry but when I take a bite I m automatically repulsed by it and even if I enjoy the taste. I find myself burping even though I haven t had any soda. Sometimes I burp after drinking water. Also when I wake up in the morning I feel extra nauseous but it goes away after a minute or so. Please, I want to eat. My family has told me I might have gastritis. When I went to a local doctor he just prescribed me Xanax for my anxiety. I do have anxiety and yes it prevents me from eating but I had a good day today though. Help me please. Thank you Evan E.
Wed, 9 Mar 2016
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General & Family Physician 's  Response
Thank you for your query
Would you please clarify a few things for me?

1) how old are you? Are you overweight?
2)do you have a sedentary lifestyle?
3)do you smoke or consume alcohol on a regular basis? If so, how much, how frequently?
4) are you or were you on any medications?
5)did you have any recent history of diarrhea or food poisoning?
6)do you have a lot of meals out of home (meals that are not home cooked)?

Hunger and appetite are controlled by the brain and stomach. Once you start to get hungry, signals are sent by your body to the brain and stomach to prepare for food intake.
Your brains remembers and is responsible for remembering the taste, smell, likes and dislikes, and is responsible for your appetite. (sensory part of hunger)
Your stomach just needs food and has a lot of of mechanical and dynamic functions that include receiving, digesting and metabolizing food and tells the brain when it's full.
The stomach has strong acids to help with digestion. This occurs in pulses and is maximum when a person's hunger triggers it's stimulation.
When there is too much acid, it can irritate your stomach, esophagus (food pipe) and throat and lead to nausea and loss of appetite.
Too much acid or too concentrated acid occurs when you are on an empty stomach for too long, don't have enough water to drink, recently stomach infection (including Helicobacter Pylori which can become even chronic), certain medications.
Smoke, alcohol, caffeine are stomach irritants and worsen the situation.

I agree with your family. You seem to have gastritis. Anxiety adds fuel to the fire.
I recommend that you eat and drink as normally as possible. Start with bland foods. Frequent sips of water. Fresh fruits, vegetables.
Milk is a natural antacid. Have it at night just before bed. It will help to coat the stomach and reduce the effects of the acid.

As soon as you wake up, have about 300-400of fresh room temperature water (unless contraindicated by a medical condition - to be discussed with your doctor if you have any kidney or heart disease). Keep having sips through the day.

Avoid sugary, carbonated hot/ice cold and caffeinated beverages
Avoid bitter, spicy, citrus foods. Chew your food well before swallowing. Enhances digestion in stomach reducing the need for acid.
Elevate your upper body by 30 degrees when you sleep
Try this for 3-4days and see how you feel. If you don't feel better, you may need certain medications to help reduce the stomach acid and relieve your symptoms. I encourage you to make healthy lifestyle changes as well. (lose weight, quit smoking, exercise, proper hydratiin

If it doesn't help or if you develop severe heart burn with stomach pain, vomiting, good in your vomit or stools, visit the ER right away.

Hope this helps and you soon enjoy a hearty meal.
Please get back to us should you have further questions.
Wish you good health


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What Causes Repulsion On Looking At Food Even If Hungry And Nausea?

Thank you for your query Would you please clarify a few things for me? 1) how old are you? Are you overweight? 2)do you have a sedentary lifestyle? 3)do you smoke or consume alcohol on a regular basis? If so, how much, how frequently? 4) are you or were you on any medications? 5)did you have any recent history of diarrhea or food poisoning? 6)do you have a lot of meals out of home (meals that are not home cooked)? Hunger and appetite are controlled by the brain and stomach. Once you start to get hungry, signals are sent by your body to the brain and stomach to prepare for food intake. Your brains remembers and is responsible for remembering the taste, smell, likes and dislikes, and is responsible for your appetite. (sensory part of hunger) Your stomach just needs food and has a lot of of mechanical and dynamic functions that include receiving, digesting and metabolizing food and tells the brain when it s full. The stomach has strong acids to help with digestion. This occurs in pulses and is maximum when a person s hunger triggers it s stimulation. When there is too much acid, it can irritate your stomach, esophagus (food pipe) and throat and lead to nausea and loss of appetite. Too much acid or too concentrated acid occurs when you are on an empty stomach for too long, don t have enough water to drink, recently stomach infection (including Helicobacter Pylori which can become even chronic), certain medications. Smoke, alcohol, caffeine are stomach irritants and worsen the situation. I agree with your family. You seem to have gastritis. Anxiety adds fuel to the fire. I recommend that you eat and drink as normally as possible. Start with bland foods. Frequent sips of water. Fresh fruits, vegetables. Milk is a natural antacid. Have it at night just before bed. It will help to coat the stomach and reduce the effects of the acid. As soon as you wake up, have about 300-400of fresh room temperature water (unless contraindicated by a medical condition - to be discussed with your doctor if you have any kidney or heart disease). Keep having sips through the day. Avoid sugary, carbonated hot/ice cold and caffeinated beverages Avoid bitter, spicy, citrus foods. Chew your food well before swallowing. Enhances digestion in stomach reducing the need for acid. Elevate your upper body by 30 degrees when you sleep Try this for 3-4days and see how you feel. If you don t feel better, you may need certain medications to help reduce the stomach acid and relieve your symptoms. I encourage you to make healthy lifestyle changes as well. (lose weight, quit smoking, exercise, proper hydratiin If it doesn t help or if you develop severe heart burn with stomach pain, vomiting, good in your vomit or stools, visit the ER right away. Hope this helps and you soon enjoy a hearty meal. Please get back to us should you have further questions. Wish you good health