Hunger is a natural signal from your body, but when it feels persistent or confusing, it may be time to explore what’s really going on.

From hormone imbalances to emotional triggers, there are many reasons you might feel hungry all the time.

“There are two kinds of hunger,” says Catherine Izzo, registered dietitian at Tidelands Health. “Physical hunger is fairly straightforward. Emotional hunger cues develop as we grow through childhood into adulthood, caused by social and behavioral influences.”

Physical hunger is your body’s biological response to needing fuel. It’s regulated by hormones such as ghrelin, which stimulates appetite, and leptin, which signals fullness.

Common causes of frequent physical hunger

• High-carb diets: Foods such as white bread, pasta and sugary snacks digest quickly, leaving you hungry sooner. Meals rich in protein, fiber and healthy fats help you feel full longer.
• Hormonal imbalances: Elevated ghrelin or low leptin sensitivity can increase hunger signals. You can optimize ghrelin and leptin levels by prioritizing sleep, managing stress, eating balanced protein-rich meals, staying hydrated and exercising regularly.
• Dehydration: Thirst is often mistaken for hunger. Even mild dehydration can trigger stomach growling.
• Increased stomach motility: Some people naturally have more active digestion, which can make hunger cues feel more intense.

Unlike physical hunger, emotional hunger is driven by feelings rather than biological need. It often comes on suddenly and is linked to cravings for specific comfort foods.

Emotional hunger cues can be driven by:

• Stress or anxiety
• Boredom or loneliness
• Over-scheduling and burnout
• Habitual eating patterns
• Mental health conditions like depression or ADHD

“Emotional eating is not uncommon and not inherently bad,” Izzo says. “But a frequent reliance on food for emotional regulation can disrupt natural hunger and fullness cues.”

“Food noise” refers to persistent, intrusive thoughts about food, even when you’re not physically hungry. It’s often a sign that emotional hunger is overriding your body’s natural signals.

To reduce food noise:

• Practice mindful eating
• Build flexibility into your diet by allowing occasional treats in moderation
• Find non-food outlets for stress relief, such as walking, reading or creative hobbies

To curb constant hunger, focus on nutrient-dense foods that digest slowly and keep you satisfied:

• Protein: Eggs, poultry, fish, Greek yogurt, tofu, beans
• Healthy fats: Avocados, nuts, seeds, olive oil, fatty fish
• Fiber: Vegetables, legumes, whole grains

Eating at regular intervals and avoiding extreme hunger can also help you make better food choices and avoid overeating.

Izzo recommends a hunger and fullness scale to help strengthen the connection between hunger and fullness cues and eating.

A typical hunger/fullness scale goes from one to 10, with one being very hungry and 10 being very full. Aim to eat when you’re around a 3 to 4, or moderately hungry, and stop at a 6 to 7, or comfortably full.

Families can use the scale in conversation to increase their self-awareness and learn a common language to reduce “food noise” and enable more conscientious assessment of what the body needs.

For children and adolescents, this practice can establish skills to guide healthy eating habits throughout their lives. Of course, it’s never too late for adults to sharpen those skills as well.

If you’re constantly hungry despite eating well and managing stress, it could be a sign of an underlying medical condition such as:

• Diabetes
• Hyperthyroidism
• Depression or anxiety
• Medication side effects

Talk to your health care provider if your hunger feels extreme, disruptive to your quality of life or unmanageable.