Loss of appetite
Sudden loss of appetite over a few days after a large meal, followed by persistent early satiety and mild post-meal nausea. No vomiting recently. Significant anxiety about serious illness leading to sleep disturbance and constant worry. Currently trying multiple GI medications (prokinetics/antiemetic/acid reducer) with limited improvement so far. Mild weight loss likely secondary to reduced intake rather than inability to eat. Hydration is adequate with normal urine output. Symptoms are fluctuating, with slight improvement on some days but overall ongoing reduced food intake and fear-driven worsening of symptoms.