Not eating well, feeling sickly, hungry but can't eat, HELP!

Patient

Q: The last month or so I have not been eating well. I cannot finish food I would normally clear, instead it leaves me somewhat sickly. I am belching quite a lot, especially upon waking as well as having a stomach cramp. I have no known allergies. Have tried cutting out lactose, and then cutting gluten, all to no avail. I'm at a point where I'm only taking in roughly 600-800 calories daily, if even that much, where I used to take in about 2200-2600 depending if I worked out or not. I have not had the energy to work out, I've lost about 15lbs, and my sleep is suffering significantly, as well as my school work. I hope you guys might have some idea what I can do, or whats up with me. 19 year old male, 5'9", 170lbs roughly 14% body fat.

Symptoms:  Stomach cramps, belching, irritability, grouchy, hungry, sickly, feeling weak at times.
Doctor

A:   Thank you for your question.

When symptoms you are experiencing are ongoing for less than 7 days, there is little reason for concern. When they are continuing for 1 month or more, they need to be investigated. The cause may be as simple as stress or significant as cancer. Investigations need to be done.

When someone is experiencing constitutional symptoms such as weitght loss, fatigue and loss of appetite... cancer must be ruled out.

A chest xray, abdominal ultrasound and comprehensive blood work should be done as an initial step.

Additional testing should be done based on your family history and current symptoms.

Since your symptoms are largely abdominal in nature, an endoscopy or colonoscopy may be considered. While waiting for the specialist appointment, some doctors will put you on a trial of medications to manage your symptoms.

Once the results are in, a diagnosis and plan can be made.

Comments / Follow Ups

Doctor: Thank you for your question.

When symptoms you are experiencing are ongoing for less than 7 days, there is little reason for concern. When they are continuing for 1 month or more, they need to be investigated. The cause may be as simple as stress or significant as cancer. Investigations need to be done.

When someone is experiencing constitutional symptoms such as weitght loss, fatigue and loss of appetite... cancer must be ruled out.

A chest xray, abdominal ultrasound and comprehensive blood work should be done as an initial step.

Additional testing should be done based on your family history and current symptoms.

Since your symptoms are largely abdominal in nature, an endoscopy or colonoscopy may be considered. While waiting for the specialist appointment, some doctors will put you on a trial of medications to manage your symptoms.

Once the results are in, a diagnosis and plan can be made.

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