Please explain what does it mean when you have extreme hunger pains in the morning?

Get checked: Maybe just hungry, but "stomach pain" can be caused by lots of things & may originate outside GI tract. Further evaluation is in order before anyone can answer "what to do." your doctor will want to re-examine you as well as know the quality, timing, duration, location, & associations (eating, position, activity, stooling, urinating) of your pain to better direct the next appropriate testing.