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What Could Be Causing My Stomach Pain and Reduced Appetite?

Overview

Abdominal discomfort may feel sharp, aching, or burning and is often accompanied by other symptoms, such as a decreased desire to eat. When pain is intense, it can make eating feel uncomfortable or unappealing.

At the same time, not eating enough can also lead to stomach pain. Skipping meals or eating very little may irritate the stomach and trigger discomfort. Loss of appetite refers to a lack of interest in food during times when you would normally eat.

A wide range of medical conditions, emotional factors, and lifestyle habits can contribute to both abdominal pain and appetite loss.

What can cause abdominal pain and loss of appetite?

Your abdomen contains several organs, including the stomach, intestines, liver, kidneys, pancreas, spleen, gallbladder, and appendix. Pain may develop if one or more of these organs are affected.

In some cases, emotional or mental health factors—such as stress, anxiety, grief, or depression—can also play a role, even when no clear physical cause is present.

Digestive-related causes

Conditions affecting the digestive system that may lead to abdominal pain and poor appetite include:

  • viral gastroenteritis (stomach flu)

  • acid reflux or gastroesophageal reflux disease (GERD)

  • Crohn’s disease

  • gastritis (inflammation of the stomach lining)

  • irritable bowel syndrome (IBS)

  • ulcerative colitis (UC)

  • peptic ulcers

  • celiac disease or gluten sensitivity

  • blockage of the bile ducts

  • gallstones

  • bacterial gastroenteritis

  • E. coli infection

  • peritonitis

  • appendicitis

  • acute or chronic pancreatitis

Infections and inflammatory conditions

Some infections and inflammatory diseases can also cause these symptoms, including:

  • hepatitis

  • yellow fever

  • typhus

  • tuberculosis

  • sarcoidosis

  • brucellosis

  • leishmaniasis

  • West Nile virus infection

  • botulism

  • chlamydia infection

  • urethritis

  • chickenpox

  • infectious mononucleosis

  • hookworm infection

  • giardiasis

Medication-related causes

Certain medications and treatments may irritate the stomach or suppress appetite. If you think a medication is contributing to your symptoms, talk with a healthcare provider before making changes.

Medications that may cause these effects include:

  • chemotherapy drugs

  • antibiotics

  • codeine

  • morphine

Misuse of substances such as alcohol, amphetamines, cocaine, or heroin can also result in stomach pain and appetite loss.

Other possible causes

Additional conditions that may lead to abdominal pain and reduced appetite include:

  • food poisoning

  • chronic kidney disease or kidney failure

  • chronic liver disease or liver failure

  • underactive thyroid (hypothyroidism)

  • pregnancy, especially early pregnancy

  • acetaminophen overdose

  • diabetic ketoacidosis

  • alcoholic ketoacidosis

  • hyperparathyroidism

  • Wilms’ tumor

  • aortic dissection

  • alcoholic liver disease

  • chemical burns

  • cirrhosis

  • thalassemia

  • pelvic inflammatory disease (PID)

  • leukemia

  • testicular torsion

  • medication allergies

  • adrenal crisis (Addisonian crisis)

  • pancreatic cancer

  • underactive pituitary gland (hypopituitarism)

  • Addison’s disease

  • stomach cancer

  • alcohol use disorder

  • ectopic pregnancy

  • ovarian cancer

  • premenstrual syndrome (PMS)

When to seek medical care

Get emergency medical help right away if abdominal pain and appetite loss occur with:

  • fainting

  • blood in the stool

  • vomiting blood

  • ongoing or uncontrollable vomiting

  • yellowing of the skin or eyes

  • thoughts of self-harm

  • feeling that life is no longer worth living

Make an appointment with a doctor if you experience:

  • abdominal swelling or bloating

  • diarrhea lasting longer than two days

  • sudden or unexplained weight loss

Let your doctor know if you are pregnant or think you might be pregnant.

You should also contact a healthcare provider if abdominal pain and appetite loss last more than two days, even without other symptoms, as this may signal a condition that needs treatment.

This information is general and not a substitute for medical care. Seek immediate help if you believe you are experiencing a medical emergency.

How abdominal pain and loss of appetite are treated

Treatment focuses on identifying and addressing the underlying cause. A doctor will usually begin by reviewing your symptoms and medical history and asking questions about the type, timing, and severity of your pain.

You may also be asked about new medications, recent meals, exposure to illness, or travel. Blood tests, urine tests, stool samples, or imaging studies may be ordered if needed.

Your treatment plan will depend on the diagnosis. Your healthcare provider can explain your options and what to expect.

If you suspect a medication is causing your symptoms, do not stop taking it without consulting your doctor.

Easing symptoms at home

Along with medical treatment, certain at-home measures may help reduce discomfort:

  • drink plenty of fluids to stay hydrated

  • eat smaller meals more frequently

  • choose bland, easy-to-digest foods

Gentle food options include:

  • applesauce

  • plain oatmeal

  • toast

  • white rice

  • crackers

  • clear soups or broth

  • eggs

Avoid spicy, raw, or high-fiber foods while symptoms continue.

If your symptoms are caused by a viral illness such as the stomach flu, rest and clear fluids are especially important.

Preventing abdominal pain and appetite loss

You may reduce your risk by:

  • avoiding raw or undercooked foods to prevent foodborne illness

  • washing hands often to reduce infection risk

  • limiting alcohol intake and avoiding illicit drugs

  • supporting mental health through stress-reduction practices like exercise, meditation, or journaling

  • asking a doctor or pharmacist how to reduce stomach-related side effects from medications, such as taking them with food

These steps may help lower the chances of developing abdominal pain and changes in appetite.

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