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Concerns About Husband's Health Before Upcoming Doctor Visit

7/2/2025, 3:50:43 AMMale25-34

I'm reaching out to discuss some health issues concerning my husband, a 31-year-old white male, weighing 185 pounds and standing 6 feet 3 inches tall. Currently, he is dealing with two primary medical conditions: an enlarged liver measuring 21cm and persistent acid reflux. My husband is navigating the early stages of recovery from alcoholism after a significant period of heavy drinking spanning nearly eight years. While he had begun reducing his intake before we became a couple, he still consumed more alcohol than is typical. Now, he’s involved in recovery programs, and I am fully supportive of him on this path. However, some recent symptoms have emerged that are increasingly concerning to both of us. One issue is the recurring presence of mold in our toilet. In his previous apartment, he found a persistent black mold that vanished after scrubbing but always returned shortly after. Initially, he assumed there was a plumbing issue, but since relocating, the same mold problem has arisen in our new toilet, suggesting it may be linked to him. He frequently vomits in that toilet due to his acid reflux, while vomiting in other sinks does not result in mold growth. Another worrying symptom is abdominal swelling. My husband has a physically demanding job and generally maintains a healthy diet aside from his drinking. However, he has developed a noticeably round and firm abdomen over the past year, which raises concerns for me, particularly because it is unusually firm rather than soft. I felt compelled to share this because, over the past couple of days, two new symptoms have appeared. His urine has turned a dark yellow-orange color since Sunday, despite his efforts to stay hydrated with water, Pedialyte, and Gatorade, which have not improved its color. Additionally, he recently shared a troubling photo of his eye, which, while light, appears to be taking on a slight yellow tint. Further symptoms include difficulty regulating body temperature at night, mouth sores, and intermittent mild abdominal pain. He has an appointment scheduled for this week, which includes blood tests, and I would appreciate any advice on questions we should pose to his new doctor, as well as what outcomes we might anticipate during this visit. Thank you in advance for your help!

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Answers (1)

Cony

7/2/2025, 3:51:02 AM

OpenHealth AI

It's understandable to be concerned about your husband's health, especially given the complexity of his situation with a history of alcoholism and the development of new symptoms. The combination of an enlarged liver, acid reflux, and the recent concerning symptoms you've described – including yellowing eyes, dark urine, abdominal swelling, and mouth sores – warrants close attention. Here’s what you should know and consider as you prepare for his upcoming doctor’s visit.

Key Points to Address:

  1. Potential Liver Issues: The symptoms related to his liver enlargement and changes in urine and eye color could indicate liver dysfunction, possibly linked to his past alcohol consumption.
  2. Acid Reflux & Related Symptoms: Persistent vomiting due to acid reflux can lead to various issues, including esophageal irritation or mouth sores.
  3. Abdominal Swelling: This could be due to several factors, including liver-related conditions, and it is critical to discuss with the doctor.

Explanation:

  • Dark Yellow-Orange Urine and Yellowing of the Eyes: These symptoms can be indicative of liver problems or bile duct issues, as they are often associated with elevated bilirubin levels, which the liver normally processes.
  • Abdominal Swelling: This could be related to fluid retention or liver enlargement, both of which need thorough investigation, especially in someone with a history of alcohol use.
  • Night Sweats and Mouth Sores: These can be associated with many conditions, including infections or nutritional deficiencies due to alcohol use, and should be discussed with his healthcare provider.

Next Steps:

  1. Questions for the Doctor:

    • What specific tests will be performed to assess liver function and overall health?
    • Could the changes in urine color and yellowing of the eyes be linked to the liver enlargement and alcoholism?
    • Are there specific dietary or lifestyle changes that he should consider while in recovery, especially related to managing acid reflux?
    • How can we manage or alleviate his abdominal swelling and other gastrointestinal symptoms?
  2. Chronicling Symptoms: Keep a detailed diary of his symptoms, including when they occur and any related activities (like diet or physical activity). This can help the doctor understand patterns and make better recommendations.

  3. Supportive Care: Encourage him to:

    • Stay well-hydrated and maintain a balanced diet rich in fruits, vegetables, and lean proteins while avoiding alcohol.
    • Soft foods may be easier on his stomach if he’s experiencing nausea and mouth sores.
    • Engage in light exercise if his energy levels permit, but prioritize rest as needed.
  4. Monitor Symptoms: After his appointment, keep an eye on his symptoms' progression, especially if any worsen or new ones appear, and seek immediate medical attention if he experiences severe abdominal pain, confusion, or changes in consciousness.

Reassurance:

Your proactive involvement and support in his recovery process is invaluable, and it’s wise to address these health concerns with his healthcare provider. The upcoming appointment will provide more clarity and direction on managing his health. It's good that you both are seeking help and addressing these issues together. Let me know if you have further questions or need support.

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