Complaints & connections · borters.ch
Appetite present, room used up — usually a sluggish stomach; with weight loss it needs prompt assessment.
Also known as: early satiety · full quickly · small portions · plate left half full
Open in the tool — with search and all the links →This compilation is for information and replaces neither medical diagnosis nor treatment. If you have symptoms, see a doctor.
Being full early is something other than having no appetite. The appetite is there, the meal starts willingly — and after a few bites the room runs out. That turns attention to the stomach and its surroundings. Most often a sluggish stomach lies behind it, emptying more slowly than usual; this occurs with long-standing diabetes, after certain operations, under some medicines and sometimes without a recognisable reason. A functional dyspepsia gives the same picture without a structural finding. Pressure from outside on the stomach — a large liver, fluid in the abdomen, a mass — reduces the room as well. Marked constipation can take room from below. Anxiety and tension act directly on the stomach muscle. In older people emptying slows a little anyway. The combination is decisive: if weight is also being lost, vomiting appears, swallowing is difficult or there is blood in the stool, that should be assessed promptly rather than watched.
Early fullness out of experience — because larger portions reliably cause pain — looks like a stomach problem and is not one.
Five to six small meals fill the day without overloading the stomach.
Drinking with the meal takes the room needed for food.
Same scale, same weekday. The trend matters more than any single number.
If little goes in, that little should contain a lot.
Prokinetics such as metoclopramide and domperidone speed up stomach emptying — they work within days and are meant for a limited time because of side effects: metoclopramide for at most five days. Low-dose erythromycin also works, but loses effect after weeks. What works independently: small meals, less fat and fibre, fluid between rather than with meals. Early fullness with weight loss is investigated before it is treated.
The stomach holds about fifty millilitres when empty and stretches to one to one and a half litres. A mixed meal is half gone after about ninety to a hundred and twenty minutes; fat slows that considerably. Early fullness together with weight loss over two to four weeks is investigated. In gastroparesis, emptying at four hours is more than ten per cent incomplete — that is the measure used in the scan.
This separates early satiety from loss of appetite — two different routes.
The pattern of delayed stomach emptying.
Pressure from outside on the stomach — that should be examined.
This combination is not watched but looked at promptly.
Anaemia belongs to the basic work-up when intake is low or weight is missing.
If only a little goes in, the order decides: protein first, then the rest. That keeps the muscle mass even when the portion is small.
Drinking with the meal fills the already tight space. The drinks belong half an hour before or after — that alone noticeably increases the portion for many.
With a stomach illness, after a stomach operation and under acid blockers it is taken up less well. That belongs checked if the early fullness lasts.
Taken up in the upper small bowel and needing stomach acid. An empty store despite normal eating points to a problem of uptake — not to too little iron on the plate.
Speeds stomach emptying slightly and is best studied against nausea — 1 g a day, spread out. With sluggish emptying that is the lever with the most data.
Here as a warning: bulking fibres slow stomach emptying further. Anyone full after a few bites needs denser small meals, not more volume.
Clearly worthwhile and well supported when deficient — vegan, older adults, certain drugs. No energy boost without a deficiency.
Clearly effective with proven deficiency, useless without. Take only with a documented deficiency — excess is harmful.
Released in the small bowel with fat and protein, it reports fullness to the brain while at the same time slowing the stomach. That is the normal road — it only becomes notable when a few bites are enough.
Slows the emptying of the stomach strongly. Drugs from this group cause exactly this feeling — with new, quick fullness the medication list belongs at the start.
Missing hunger before the meal is something other than quick fullness during it. The distinction is worthwhile, because it points to different causes.
If the stomach empties slowly, fluid at the meal takes up the space. Drinking 30 minutes before or after rather than with the meal makes room for food.
Both slow stomach emptying. With early fullness eating is therefore temporarily lower in fat and fibre — the exception to the usual rule.
Ginger slightly speeds stomach emptying — the fitting approach with early fullness from a sluggish stomach. If the feeling lasts or weight falls, the stomach belongs looked at.