Hunger pains that actually wake you up are much more likely to be "actual hunger" than any false hunger you might deal with while you're awake and your waking p

Hunger pains that actually wake you up are much more likely to be "actual hunger" than any false hunger you might deal with while you're awake and your waking psyche is in control. It's similar to how having thirst wake you up is a much stronger sign of potential diabetes than "feeling thirsty" during the day. If it's happening while you're sleeping, it's probably not psychogenic (or psychosomatic).