Seeking Help with Lab Results and Ongoing Symptoms
I am a 23-year-old individual, assigned male at birth but identifying as a transgender woman, currently residing in the U.S. I've been struggling with significant health anxiety, which prompted a visit to the hospital on April 1st after an Urgent Care assessment indicated the possibility of diverticulitis or some form of inflammation in the lower left abdomen. During my hospital visit, I underwent a series of tests including a urine analysis, blood sampling, and a CT scan. I experienced severe anxiety, tremors, chills, nausea, food aversion, persistent diarrhea, and a low-grade fever. Notably, one of my bowel movements before my urgent care visit contained what appeared to be blood. Although most of these symptoms faded during the night (from 9 PM to 8 AM), they resurfaced upon returning home. I suspect that anxiety may play a significant role in exacerbating my condition, though I also wonder if I might have a mild viral infection contributing to these feelings. Currently, I continue to experience chills, sweating, anxiety, nausea, loss of appetite, and diarrhea. Below are the medications I'm on (all oral): - **Sertraline** 75mg administered each morning for anxiety, depressive symptoms, OCD, and panic disorder. My psychiatrist advised me to pause this medication for 2-3 days starting March 29th, proposing a switch to **Venlafaxine**. However, after 36 hours without Sertraline, I began to experience heightened anxiety, tension, frequent bowel movements (not diarrhea yet), appetite loss, sweating, chills, and more. These symptoms saw slight improvement after resuming Sertraline, but have since fluctuated between moderate and severe. My psychiatrist believed the Sertraline may have been less effective due to my high anxiety levels, yet I had been feeling stiffness and discomfort in my left side, abdomen, and lower back for about a week prior to our meeting. - **Spironolactone** 100mg each morning as part of my hormone therapy regimen and functioning as an anti-androgen. - **Estradiol** 2.5mg each morning and 2mg at night to boost estrogen levels as part of hormone therapy. - **Hydroxyzine** 25mg on an as-needed basis, up to twice daily, for managing anxiety. I've used this every other day since March 29th. - **Propranolol** 10mg daily as necessary for psychosomatic anxiety symptoms. I haven't started this drug yet because it is new to me, and I want to ensure consistent sleep for a few days to assess my symptoms accurately. While I did manage to sleep for ten hours last night, I was unable to find rest the night before as I couldn’t take my sedative during my pre-CT fasting period. - **Seroquel** 50mg at night to help with insomnia and manage manic symptoms and psychosomatic anxiety that disrupt my sleep. - For over-the-counter options, if sleep is elusive, I will take **Melatonin** 1mg, along with **Ginger Chews** containing calcium carbonate or TUMS (Calcium Carbonate) approximately twice per week. **Diagnosed Conditions Include:** - **Physical**: Asthma, mononucleosis (diagnosed in September 2022), scarlet fever (also treated in September 2022), pollen and tree nut allergies, sickle cell trait, pigeon chest, deviated septum, and amblyopia in my left eye. I frequently deal with acid reflux, having undergone two courses of Omeprazole in November and January. - **Mental**: Diagnoses include generalized anxiety disorder (features hypochondriasis, panic disorder, agoraphobia), complex PTSD, major depressive disorder, and ADHD. **Current Symptoms:** I continue to suffer from anxiety, chills, sweating, nausea, loss of appetite, diarrhea, intermittent pain in my side/back, radiation of spasms or tension in my left leg, side, shoulder, and gastrointestinal discomfort. My body temperature fluctuates between 98.2°F and 99.5°F. I persist in feeling unwell, akin to having the flu, without any respiratory issues. **Vital Signs Recorded at the Hospital:** - **Temperature**: 97.9°F - **Blood Pressure**: 121/78 mm Hg, falling within a normal range - **Oxygen Saturation**: 98% - **Respiratory Rate**: 18 breaths per minute - **Pulse**: 75 BPM - **Weight**: 141.54 lbs, reduced to 137.8 lbs as of this morning - **Height**: 5 ft 9.7 in - **BMI**: 20.49 kg/m² **CT Scan with Contrast Findings:** *Reason for Exam*: CT abdomen pelvis (with IV contrast) due to pain (location specified). *HISTORY*: Left lower quadrant pain, diarrhea, and bloody stool. *TECHNIQUE*: A CT scan of the abdomen and pelvis was made with IV contrast; 88 mL was administered. *FINDINGS*: No abnormalities in the lung bases. The liver, gallbladder, spleen, pancreas, and adrenal glands showed no notable issues. No significant bowel wall thickening, adjacent inflammation, or obstructions were detected. The urinary bladder and reproductive organs appeared normal, with no free fluid or collections present, and the abdominal aorta was normal in appearance. *IMPRESSION*: No acute abnormalities noted in the abdomen and pelvis. **Blood Test Report Overview:** *Results Overview*: The following table presents my lab outcomes compared to normal ranges: |**Test**|**Value**|**Normal Range**| |---|---|---| |WBC|11.79 k/uL|4.00-10.80 k/uL| |Hgb|15.3 gm/dL|12.5-16.5 gm/dL| |Hct|41.90%|37.5-49.5%| |Platelet|253 k/uL|145-400 k/uL| |MCH|31.4 pg|27.0-31.0 pg| |Neutro %|70.60%|43.0-75.0%| |...|...|...| |Albumin Level|5.4 gm/dL|3.2-4.8 gm/dL| |...|...|...| *Additional Notes*: In Urgent Care, my initial urine tests did not show ketones; however, the hospital urine analysis indicated otherwise, which confuses me. I am uncertain of the clinical implications of these discrepancies. The medical staff at the hospital did not express concern regarding my blood or urine results, leading me to wonder whether I should seek further clarification or a follow-up.*
Answers (1)
4/3/2025, 8:21:05 PM
OpenHealth AI
It's understandable to feel overwhelmed given your complex health history and current symptoms. Your experience of anxiety, abdominal discomfort, and gastrointestinal issues, particularly after your recent health assessments, is significant and deserves attention. It sounds like your primary concerns are managing ongoing symptoms and obtaining clarity regarding your recent lab results.
Key Points to Address:
- Persistent anxiety can exacerbate physical symptoms.
- No acute abdominal abnormalities were noted in your scans, which is reassuring.
- Follow-up on lab discrepancies and symptom management will be crucial.
Explanation:
- Anxiety and Physical Symptoms: Anxiety can indeed manifest with physical symptoms such as nausea, diarrhea, and chills. The stress of health concerns may contribute to these feelings, as we've seen with your recent fluctuations in symptoms when changing anxiety medications.
- Lab Results: Your elevated white blood cell count and albumin level could be indicative of an inflammatory response, but given the lack of acute findings in your CT scan, it may not signal a severe issue. However, discrepancies in urine test results can be confusing; the variations in ketone presence suggest that hydration status could influence results.
Next Steps:
- Track Symptoms: Keep a log of your daily symptoms, noting their frequency and intensity. This can help provide clarity for your next medical visit.
- Communicate with Your Psychiatrist: Consider discussing how your anxiety and medication adjustments are impacting your symptoms with your psychiatrist. A carefully managed medication strategy is essential during this transition, and don’t hesitate to express ongoing issues with side effects or efficacy.
- Hydration and Nutrition: Focus on staying well-hydrated and gradually reintroducing nutrients into your diet, even if it’s small portions to alleviate nausea and support overall health. Foods like broth, crackers, or bananas can be gentle on your stomach.
- Manage Stress: Incorporate calming techniques, such as deep breathing exercises or mindfulness practices, to help manage anxiety whenever it arises.
- Follow-Up: If symptoms persist or worsen—especially symptoms like blood in your stool, severe abdominal pain, or significant changes in temperature—seek follow-up care to ensure there are no underlying concerns that need addressing.
Taking these steps should provide some clarity and comfort as you manage your symptoms and concerns. Remember, you don’t have to navigate this alone; being proactive about your health is a powerful step forward.
Related Questions
Understanding Atrial Fibrillation and Thyroid Issues: Variability in Cardioversion Decisions
Hello everyone, I’m reaching out for guidance regarding my mother’s current health situation, and I’d greatly appreciate any shared experiences or thoughts. **My mother's background:** - **Age**: 55 years - **Weight**: Recently dropped to 116 kg from 118 kg in just two days, likely due to diuretics. - **Health history**: Previously an underactive thyroid, undiagnosed and untreated, now presenting as overactive. - **Medications**: Currently taking thyroid medication and a beta-blocker (Rapiblock). **Current health status:** My mother has been hospitalized since Tuesday, experiencing **atrial fibrillation with heart rates exceeding 200** beats per minute due to her thyroid's hyperactivity. - The plan for cardioversion was initially settled on Tuesday. However, the following day, the medical team advised postponing it until her thyroid levels could be stabilized, believing that her heart rate would return to normal once her thyroid condition was managed. - Her **obesity** precludes her from undergoing a transthoracic echocardiogram, and due to her thyroid concerns, she cannot handle contrast dye (this has been a consistent issue for over four years). Therefore, the only feasible option was a **transesophageal echocardiogram (TEE)**, which has yet to be performed. - She has been prescribed various medications including beta-blockers and thyroid treatments in the past. - On Friday, a doctor proposed proceeding with cardioversion; however, the attending senior physician objected. - Today (Saturday), another clinician has expressed a desire to move forward with cardioversion, having initiated a new medication, as the senior physician is unavailable. - **Communication has been unclear**, as we were notified of developments by a nurse rather than the physician in charge, causing confusion and anxiety. - Currently, only a **chest X-ray** is scheduled, and the TEE remains unaddressed. **My inquiries are as follows:** 1. Is it common for medical professionals to have varying opinions and frequently revise medication or treatment plans like cardioversion? 2. Is it safe to conduct cardioversion in the absence of a TEE? I presumed that this was a standard procedure to exclude the presence of blood clots. 3. Is it usual practice to have only a chest X-ray prior to moving ahead with cardioversion? 4. How typical is it for patients or their families to not be directly informed about treatment changes and learn about them through nursing staff instead? I recognize that this cannot substitute for professional medical advice. I’m simply trying to discern whether these circumstances are typical or if we should express our concerns more assertively with the healthcare facility. Thank you for your insights!
28-Year-Old Male Experiencing Scalp Sensations Post-Amitriptyline Treatment
I am a 28-year-old man in generally good health, without any cardiac concerns. Approximately a month ago, I encountered intense pain localized to one side of my head, which was unresponsive to paracetamol. However, a single dose of a migraine treatment provided substantial relief. Following that, I began a regimen of amitriptyline, starting at a nightly dose of 10 to 25 mg. While my head pain has diminished significantly—by about 90 to 95%—I now experience occasional uncomfortable sensations on my scalp. These feelings include pins and needles, a cooling sensation, and some crawling feelings near my hairline and ears. There are fleeting moments where I feel brief throbs lasting a second, but I do not have any persistent headaches. To clarify, I do not experience any of the following: - Nausea - Weakness in my limbs - Numbness - Changes in my vision - Coordination difficulties - Seizures The symptoms I have are transient, shifting around and often intensifying when I become conscious of them or as the day progresses. I would like to know: Is it common to experience these sensations during the recovery stage following episodes of neuralgia or migraine-like discomfort? Additionally, could the amitriptyline potentially be causing these temporary paresthetic sensations? I am seeking some reassurance or advice on what is typically observed during this healing process. Thank you.
7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options
# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - **Portocaval shunt size: 9.9 mm** (blood bypassing the liver into the inferior vena cava) - **Arteriovenous shunt size: 4.4 mm** - **Portal vein size: 6.1 mm** (patent) - **Three nodular cystic lesions** located in the perivascular area, with largest measuring 11.6×20.7 mm, enhancing during the venous phase - Liver features a heterogeneous architecture, exhibiting irregular enhancement - Gallbladder appears elongated and slightly enlarged - Other abdominal organs exhibit normal findings **RADIOLOGIST’S ASSESSMENT:** "Congenital portosystemic shunt indicative of Abernethy malformation; less likely arteriovenous malformation (AVM); cannot dismiss the possibility of localized liver lesions." **ADVICE:** Seek consultations with an abdominal and vascular surgeon. ### Blood Tests (August 1, 2025): **Complete Blood Count:** - WBC: 10.44 × 10⁹/L (normal range) - **RBC: 2.1 × 10¹²/L** (LOW - indicating severe anemia) - **Hemoglobin: 69 g/L** (CRITICALLY LOW; normal is 117-166) - Platelets: 403 × 10⁹/L (elevated) **Biochemistry Analysis:** - Urea: 1.80 mmol/L (normal) - Creatinine: 33.4 μmol/L (normal) - **ALT: >1000 IU/mL** (EXTREMELY HIGH - severe liver dysfunction) --- ## FOLLOW-UP IMAGING (December 16, 2025 - 5.5 Months Old) ### Liver Ultrasound: **RESULTS:** - Right lobe: 64 mm, left lobe: 43 mm - Liver capsule appears irregular and vague - **Parenchyma: heterogeneous, showing 7 hypo-isoechoic nodules** (sizes range from 11.5×10.7 mm to 17.6×15.4 mm) - Capsule features uneven contours - Blood flow noted during Doppler examination - No dilation in intrahepatic bile ducts - **Portal vein: 3.9 mm** (decreased from 6.1 mm - indicating improvement) - Common bile duct: 1.4 mm - Gallbladder: measures 43.7×9.2 mm (pear-shaped, wall thickness 2.0 mm, homogeneous, free of stones) **ULTRASOUND ASSESSMENT:** "Presence of liver volumetric formations (specifically liver hemangiomas)." --- ## LATEST MSCT (February 6, 2026 - 7 Months Old) ### MSCT with 3-Phase Contrast: **FINDINGS:** - Liver remains normal in size, but shows heterogeneous structure with uneven contrast enhancement - **Portocaval shunt: 9.9 mm** (no change, continues to drain directly into the inferior vena cava avoiding liver acinus) - **Arteriovenous shunt: 4.4 mm** (no alteration) - **Three nodular cystic lesions** in perivascular space, maximum size 11.6×20.7 mm, enhancing in the venous phase - **Portal vein: 6.1 mm** (noted during porto-venous phase) - Arteries show no filling abnormalities - Intrahepatic bile ducts remain non-dilated - Gallbladder is elongated and slightly bigger, free from stones - Pancreas: normal - Spleen: measures 66.9×38.5 mm (not enlarged), splenic vein is 3.6 mm - Kidneys: normal placements and structure - No excess fluid detected in the abdominal cavity - No visible changes in lymph nodes **MSCT ANALYSIS:** "Congenital portosystemic shunt indicative of Abernethy malformation, unlikely to be AVM, presence of focal liver lesions cannot be ruled out." **RECOMMENDATION:** Engage with an abdominal and vascular surgeon. --- ## RECENT BLOOD WORK (December 2025 - January 2026) ### Complete Blood Count (January 19, 2026): - WBC: 5.8 × 10⁹/L (SHOWS IMPROVEMENT) - **RBC: 2.93 × 10¹²/L** (IMPROVED but still low) - **Hemoglobin: 72 g/L** (SHOWS IMPROVEMENT but still low) - Platelets: 223 × 10⁹/L (BACK TO NORMAL) - Neutrophils: 30.0% - Lymphocytes: 64.8% - Monocytes: 4.6% ### Biochemistry (January 28, 2026): - Total protein level: 67 g/L (slightly deficient) - Creatinine: 20.7 μmol/L - **Total Bilirubin: 242 μmol/L** (STILL HIGH - unchanged) - **Direct Bilirubin: 142 μmol/L** (VERY HIGH) - **ALT: 50 IU/mL** (DRASTICALLY LOWER from >1000!) --- ## OVERVIEW OF PROGRESS OVER 6 MONTHS | Parameter | August 2025 | January 2026 | Change | |------------------|-------------|---------------|--------------------------| | **Hemoglobin** | 69 g/L | 72 g/L | ↗ Slight improvement | | **RBC** | 2.1 | 2.93 | ↗ Improved | | **ALT** | >1000 | 50 | ✓✓ MAJOR IMPROVEMENT | | **Bilirubin** | 245 | 242 | → Unchanged (still elevated) | | **Portal vein** | 6.1 mm | 3.9 mm (US) | ↗ Decreased | | **Platelets** | 403 | 223 | ↘ Normalized | | **Shunt size** | 9.9 mm | 9.9 mm | → No Change | --- ## CURRENT SITUATION (February 2026 - 7 Months Old) - **Weight:** 9 kg (good growth rate in spite of condition) - **Jaundice:** Continues to be present (yellow skin) - **Stools:** Remain pale/clay-colored - **Development:** Achieving appropriate milestones - **Energy:** Appears to have a good energy level - **Feeding:** Normal appetite --- ## QUESTIONS FOR r/AskDocs We have been informed this is **Type 2 Abernethy malformation** (portal vein present). **Three treatment avenues have been proposed:** ### Option 1: **Endovascular Coil Embolization** (minimally invasive approach) - A catheter is inserted via the leg vein to access the shunt and deploy coils/plugs to close the abnormal vessels - Pros: No surgical incision, minimal discomfort, short hospital stay (2-4 days), no scars, enhanced safety - Duration: 1-2 hours - Recovery: 2-4 weeks for jaundice to show improvement ### Option 2: **Open Surgical Intervention** - An incision in the abdomen to ligate abnormal vessels and redirect blood to the liver - Pros: Direct visualization, effective results - Cons: Surgical scar, longer recovery time (7-14 days in hospital) - Duration: 2-4 hours ### Option 3: **Liver Transplantation** - We have been advised this is not necessary as the portal vein is functional and liver health is improving. --- ## SPECIFIC QUESTIONS TO CONSIDER: 1. **With a functional portal vein (6.1 mm) and improving liver function (ALT normalized), is it advisable to pursue endovascular closure as the preferred treatment?** 2. **Despite ALT levels improving, the bilirubin remains consistently high (242). Should this be a cause for concern? Is there a prospect for it to normalize post shunt closure?** 3. **Are the hemangiomas/nodules (11.6×20.7 mm) linked to the shunt? Will they likely resolve following shunt repair?** 4. **How urgent is the proposed intervention? Is immediate action required, or is there flexibility to wait a few months?** 5. **What complications should we be vigilant for during the waiting period?** 6. **Regarding endovascular closure - what is the average success rate for infants aged 7 months? Are there concerns regarding the shunt size (9.9 mm)?** 7. **The measurement of the portal vein has shown improvement from 6.1 mm to 3.9 mm; should this be perceived as a positive sign or a reason for concern?** 8. **Are there special directives (diet modifications, medications) we should consider while awaiting the procedure?** 9. **Post-procedure, how long should we expect it might take for:** - Normalization of bilirubin levels? - Return of stool color to normal? - Resolution of jaundice? - Regression of hemangiomas? 10. **Can you recommend any specialized centers for pediatric Abernethy malformation treatments? We are located in Uzbekistan but are prepared to travel (to Turkey, Russia, South Korea, etc.)** --- ## ADDITIONAL INFORMATION - No family history of hepatic diseases - Pregnancy and delivery were normal - No additional congenital defects identified - Immunizations up to date - No history of bleeding disorders - No signs indicative of encephalopathy - Child is alert and engaged --- **I can supply actual MSCT images and comprehensive lab reports if they would be of assistance.** We sincerely appreciate any insights you can provide. We are striving to make the most informed decision regarding our daughter’s care and highly value expert medical opinions. **TL;DR:** 7-month-old diagnosed with Abernethy Type 2 malformation (9.9 mm portocaval shunt, patent portal vein). Liver functionality is improving (normalized ALT) while bilirubin remains elevated (242). Evaluating options between endovascular coil embolization and open surgery. Seeking expert advice on optimal treatment strategy and timing.
Battling Chronic Nausea and Vomiting for Over Two Years
For the past two years, I (age 26, female) have been enduring an incredibly challenging health situation. I experience intense nausea daily and find myself vomiting numerous times, with almost nothing providing relief. To provide some background, I’m from West Texas and I currently weigh around 190 pounds, standing at 5’7”. Initially, my weight was about 211 pounds when these symptoms began, and it fluctuates frequently between 190 and 225 pounds. I engage in vaping and consume THC. Previously diagnosed with hypothyroidism, my condition seemingly resolved, according to my healthcare providers. Additionally, I have polycystic ovarian syndrome (PCOS). I have consistently faced irregular bowel movements, with stools that are loose and sometimes appear to have mucus. Compounding my struggles, I've also suffered from migraines. I have had an IUD for over five years, experiencing two insertions of the Kyleena device. In December 2022, my battle with health took a severe turn when I was diagnosed with stage 4 Hodgkin’s Lymphoma, requiring chemotherapy treatment, specifically AVBD (Apologies for not recalling the exact medication names). By July 2023, I had fortunately achieved remission. However, after reaching remission, my vomiting worsened, transforming from primarily white foam to a mixture of 80% bile, any food I attempt to consume, and still white foam. This intense vomiting, accompanied by significant pain in my upper back, escalated to more than eight episodes daily by November 2023. At that time, THC seemed to be the only avenue for me to retain any food. During this tumultuous period, I consulted various doctors who, after confirming I wasn’t pregnant, attributed my symptoms to Cannabinoid Hyperemesis Syndrome (CHS). Immediately, I ceased THC consumption for over six months, yet the vomiting continued unabated. Each time, doctors would prescribe ondansetron, regardless of my claims that it provided no relief. I experimented with various diets recommended by medical professionals, but there were no improvements in my condition. Eventually, I obtained a referral to a gastroenterologist who intended to perform an endoscopy. However, the procedure was prohibitively expensive even with insurance, and thus was never conducted. This doctor also ordered blood tests to rule out several gastrointestinal disorders, such as Crohn's disease, Irritable Bowel Syndrome (IBS), and gluten sensitivity, but all results came back normal. Afterward, I had another appointment with a different gastroenterologist, but the doctor failed to meet with me. Instead, a nurse informed me that the doctor had merely recommended promethazine without conducting any tests or scheduling further visits. When I mentioned the possibility of gallbladder issues, the doctor laughed dismissively at my suggestion. Discussing my situation with my oncologist, he suggested that my heightened sensitivity to food odors stemmed from my chemotherapy experiences while I was working in fast food. While food smells indeed affect me, I'm primarily triggered by medical scents such as rubbing alcohol and cleaning agents. This ongoing ordeal has been overwhelmingly distressing. I now experience episodes of vomiting accompanied by bright red blood, presumably due to a throat tear. When I first encountered this troubling symptom, I consulted a doctor who appeared unfazed and prescribed a promethazine suppository, which does help but makes me extremely drowsy. My nausea persists nearly around the clock, often feeling as if there’s a heaviness in the upper part of my abdomen. I frequent urgent care facilities when my symptoms intensify, only to be met with minimal assistance since this is a chronic issue. Currently, I lack a primary care physician. Whenever I sought one, I encountered skepticism regarding my condition, with some healthcare professionals implying that I was exaggerating my symptoms. Though many physicians who do take my situation seriously seem baffled, I've lost count of the diverse medical experts I've consulted about these ongoing issues. If anyone has insight or suggestions, I would genuinely appreciate it. I can share my latest bloodwork results if that would be helpful—just let me know!
Strange Stomach Sensation Leading to Waking Up
Greetings. I'm a 36-year-old male, standing at 172 centimeters and weighing 90 kilograms. I don't take any medications, nor do I smoke. I've been living with diastasis recti for several years now, and I may also have irritable bowel syndrome (IBS). Additionally, I deal with fatty liver and kidney stones, though I assume these last two conditions are not related to my current concern. Occasionally, I experience a peculiar sensation that jolts me awake; it feels like a quick pulsing in my stomach. I’ve noticed it tends to affect the left side when I’m lying on my left side and the right side when on my right. Remarkably, it can occur even when I’m on my back. This strange feeling often escalates into a surge that fully rouses me. Alongside this, I sometimes feel prickling sensations throughout my body and fleeting lightheadedness. When this sensation disturbs my sleep while I’m turned to my side, shifting onto my back or the opposite side might alleviate it, but not always. In instances where I awaken while lying on my back, I discovered that gently pressing my hands on either side of my stomach can help, as can rising to a sitting or standing position. However, during my last two episodes—one a couple of weeks ago and another tonight—those techniques weren’t effective right away, which made me feel a bit anxious, prompting me to seek advice. Does anyone have insight into what might be going on? By the way, I’ve undergone routine ultrasound examinations of my abdomen by two different physicians during check-ups, both of whom assured me that everything appears normal, including my abdominal aorta and internal organs. They didn’t identify any issues at that time.