
What Causes Early Satiety With A Few Bites Of Food?

Needs work up and management.
Detailed Answer:
Thank you for asking
I read your question and i understand your concern. Early satiety with a few bites of food has thousand of causes . With you mentioning of multiple transfusions in history and iron overload, that can play a role in this early satiety symptoms. Apart from it, smoking, hypertension, anxiety and depression and hyperlipidemia altogether also play a role in satiety .
Iron overload compromises gastric motility by causing gastroparesis and only way to get back the satiety is to reduce the iron overload. Bringin back iron levels to normal would help.
Meanwhile a complete gastrointestinal tract evaluation with ultrasound, endoscopies to rule out any obstructions or strictures etc would be wise. Take some prokinetics like metoclopramide or domperidone with some appetizers like eplazymes to help the feeding.
Nutshell it needs work up to find out the cause. Either its morbidity with already present illnesses, a manifestation of iron over load or some new symptom to be dug up by work up.
I hope it helps. take good of yourself and dont forget to close the discussion please.
Regards
Khan

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