[24F] With decreased appetite and sleep disturbances

Patient Description

A 24-year-old female reports a sudden onset of decreased appetite over the past month, leading to weight loss. She experiences nausea after eating a few bites and has lost 8 pounds unintentionally. Additionally, she has been experiencing sleep disturbances for a few months, often falling asleep in the early morning and getting only a few hours of rest. Smoking weed has been somewhat helpful for sleep. The patient reports increased feelings of depression, hopelessness, and a loss of interest in activities. She experienced a panic attack two weeks ago and has engaged in self-harm by burning herself with a lighter. Her medical history includes depression and anxiety, diagnosed at age 16. She is allergic to Sulfamedicines and Bactrim. Currently, she is not on any medications except for Advil Dual Action, taken 3-4 times a month for period cramps.

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Arora's Assessment

What might be happening

Your symptoms could be related to several issues:

  1. Depression and Anxiety: These conditions can significantly impact appetite, sleep, and weight. The stress from recent life events may have exacerbated these symptoms. Treatment often involves therapy, medication, or a combination of both.

  2. Gastrointestinal Issues: Nausea and early satiety (feeling full quickly) can sometimes be related to gastrointestinal problems. A healthcare provider might suggest tests to rule out conditions like gastritis or ulcers.

  3. Stress and Trauma: Recent stressful events can lead to physical symptoms, including changes in appetite and sleep patterns. Support from mental health professionals can be beneficial.

What you can do

For Appetite and Weight Loss:

  • Try to eat small, frequent meals throughout the day.
  • Focus on nutrient-dense foods like smoothies or soups if solid foods are difficult.
  • Consider speaking with a healthcare provider about your symptoms to rule out any underlying conditions.

For Sleep Issues:

  • Establish a regular sleep routine by going to bed and waking up at the same time each day.
  • Limit screen time before bed and create a calming bedtime routine.
  • If sleep issues persist, consider consulting a healthcare provider.

For Depression and Anxiety:

  • Reach out to a mental health professional for support and guidance.
  • Practice stress-reducing activities like meditation, yoga, or deep breathing exercises.
  • Journaling your symptoms and feelings using MDandMe can help track your progress and share insights with your provider.

What you should look out for

  • If you experience worsening depression, persistent thoughts of self-harm, or any new symptoms, seek medical attention promptly.
  • Look out for any significant changes in your physical health, such as severe weight loss or persistent nausea.

Remember, it's important to consult with a healthcare professional for a formal diagnosis and treatment plan. They can provide personalized care and support tailored to your needs.

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4 mo ago

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People Also Ask

What are the common symptoms of depression and anxiety that can affect appetite and sleep?

Common symptoms of depression and anxiety that can affect appetite and sleep include a loss of interest in eating, changes in weight, difficulty falling or staying asleep, and feeling tired despite getting enough rest. These symptoms can vary in intensity and duration.

How can gastrointestinal issues contribute to nausea and early satiety?

Gastrointestinal issues such as gastritis, ulcers, or irritable bowel syndrome can cause nausea and a feeling of fullness after eating only a small amount. These conditions can irritate the stomach lining or affect digestion, leading to discomfort and reduced appetite.

What are some effective strategies for managing sleep disturbances?

Effective strategies for managing sleep disturbances include establishing a consistent sleep schedule, creating a relaxing bedtime routine, limiting screen time before bed, and ensuring a comfortable sleep environment. If these strategies do not help, consulting a healthcare provider is recommended.

When should someone seek medical attention for depression and self-harm?

Someone should seek medical attention for depression and self-harm if they experience worsening symptoms, persistent thoughts of self-harm, or any new concerning symptoms. Immediate help from a mental health professional is crucial to ensure safety and receive appropriate treatment.

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