Im never hungry, plz help.

Roen1969
on 8/18/09 11:28 pm - Albion, PA
Hi folks. I had a lap bypass on Halloween of 2006, then a revision due to a massive ulcer that closed my stomach in Dec 2007. Since my first bypass I have no urge to eat anything. Seriously I never get hungry. I dont even get hunger pangs anymore. I eat only because my hubby nags me too LOL. I know its not funny at all but that is truly the only way I'll remember to eat. When I do eat something I have to eat it very very slowly or Ill get nauseous. I dont throw up or anything but just very yakky. My doc has put in my medical records that Im Anorexic, but they usually dont eat on purpose. I dont know why I have no appetite. Does anyone else out there experience this, and what are you and your doc doing for it. My doc is at a loss. TIA
peggy76
on 8/21/09 12:23 am - girardville, PA
 im going through simular.. not wanting to eat at all and skipping meals etc.. never hungry ever..  i also get nasuas if i eat to quickly but rarely if ever throw up.. i just dont have any desire to eat anymore... doc suggested i go back on protein shakes so i atleast get in my protein requirements.. and some calories... till my appitite starts to come back....  i also dont eat untillmy husband nags me telling me i havent eaten and i need to.. etc.. food is the last thing on my mind nowadays.. im only 6months post op tho....  ur a few yrs out... sighs.... i hope it gets better for us both... 


                
Waterwench
on 8/21/09 11:36 am - portland, OR
Hi, Tia! I'm sorry your appetite isn't working.

Anorexia is just the medical term for not eating or a loss of appetite. It can be because of anything. It can be "anxiety-induced anorexia" or "medication-related anorexia." It can be anorexia because of nausea due to chemotherapy. My mom had that! It can be anorexia in response to chronic pain. It's not a judgment against you.

In contrast, anorexia nervosa is the psychiatric problem that leads people to obsess over and control the food in their lives, some eventually starving themselves, because of the feelings of reassurance and self-worth they gain from being thin or through the actual process of losing weight. It is very deep-seated and complex, and can take a lifetime to treat.

Your sort of lack of appetite is very common among patients who've had WLS--but only for the first 6 months to 1 year! It is very unusual for it to continue for this long, so if you are not deliberately suppressing your appetite or food intake, it may very well be a neurological issue. Damage may have been done to the nerve centers responsible for communicating emptiness or hunger to your brain. If the nerve center can't send the message, the brain can't pick it up! 

What is your current BMI? Unless you're underweight, just making sure that you are eating a balanced diet (whether you feel hungry or not) and taking your supplements should be enough to keep you healthy. If you are severely underweight, you may have to actually eat more nutrient-dense foods and some high-fat foods to make up for what your body has lost.  

It sucks that a major pleasure of life may have gone out the window for you. But nerves are tricky things. For years after my reduction surgery, I was absolutely numb in both breasts. Lame! But sensation gradually returned as the nerve endings that were severed during surgery regrew. Eventually, full sensation returned.

Some people have responded to the drug Reglan to improve appetite, and I've known others to report an improved appetite while on SSRIs, like Wellbutrin, which are a type of anti-depressant medication. Hope this helps!
Roen1969
on 8/21/09 9:38 pm - Albion, PA
thank you both for your replies. I appreciated it. I do have severe nerve damage in my feet, lower legs and fingertips due to a B12 deficiency while I was hospitalized, Maybe that is why Ive lost the desire to eat. I went to a Pro Ana website (for ppl who actually want to be anorexic ) and found out the longer you dont eat the less you actually want to eat so maybe that is what happened.....who knows, hopefully my appetitie will come back someday and hubby will get off my back LOL
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