Should I Consult My GP About Potential Ascites?
At 22 years old and identifying as FTM, I've been on testosterone for just under 23 months. I stand at 5 feet (153 cm) tall and weighed 61 kg two months ago. I'm contemplating whether I should approach my general practitioner (NHS) regarding my anxieties about possibly having ascites. However, I'm hesitant because I worry that I might be unnecessarily fretting, and I don't want to take up their time unnecessarily. I've struggled with alcoholism for approximately two years. During the first year, my consumption was quite high, reaching over 120 units a week. Fortunately, I’ve reduced it to about 15 units weekly this year, which is still above the NHS's recommended limit of 14 units. In early 2022, I was diagnosed with fatty liver deposits—not cirrhosis—after experiencing multiple overdoses of paracetamol in late 2021. I also faced liver failure during that episode and couldn't complete the required NAC drip treatment, yet I have not undergone any liver scans since then. Currently, I'm anxious about the possibility of having ascites because my abdomen protrudes significantly, giving me a pregnant appearance (I've taken several pregnancy tests while on both birth control and testosterone). Additionally, I often feel fatigued, have little appetite, and get filled after just a couple of bites of food. Lately, I've also been experiencing intermittent, sharp pains in my lower abdomen, rated around 3-5 on a scale of 10. Despite regular exercise and a minimal diet, I've observed weight loss in various areas except my stomach, which appears bloated rather than being typical body fat. I used to comfortably consume three meals daily before the bloating began. However, I’m conflicted about whether these worries are overblown. I do not have jaundice, and while I do feel some abdominal discomfort, it's manageable and not severe. My breathing issues seem to stem from my smoking and vaping habits. I'm uncertain if my symptoms are significant enough to warrant concern for ascites. I would greatly appreciate any insights on this matter.
Answers (1)
7/10/2025, 2:50:43 AM
OpenHealth AI
It's completely understandable to feel anxious about your health, especially with a history of liver issues and alcohol consumption. Given your concerns about ascites, let's break down what you’re experiencing and what steps to take.
Main Points:
- Symptoms and Concerns: You have abdominal bloating, fatigue, reduced appetite, and intermittent abdominal pain, which can indeed raise concerns about liver health and ascites.
- Medical History: Given your history with liver issues and alcohol consumption, it's crucial to monitor any changes closely.
- Next Steps: Prioritize discussing your symptoms with your GP. It's not unnecessary; they are there to help you.
Explanation:
Ascites, or fluid buildup in the abdomen, is often associated with liver problems, such as cirrhosis or severe liver disease, but it can also have non-liver-related causes. Your symptoms of bloating, decreased appetite, and abdominal pain are worth discussing with a healthcare professional, especially since you have experienced previous liver issues.
Key Symptoms to Note:
- The bloating and feeling full quickly could indicate fluid accumulation or another issue related to the digestive system.
- Fatigue and appetite loss can also be linked to many health conditions, including liver problems.
Actionable Steps:
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Consult Your GP: It's important to address your concerns with your doctor. Prepare a brief list of your symptoms, concerns about ascites, and your history with alcohol and liver health. This will help the doctors understand your situation better.
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Consider a Liver Assessment: Ask about getting a liver scan (e.g., ultrasound) and any necessary lab tests to assess liver function. This can help rule out or confirm any potential issues.
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Monitor Your Symptoms: Keep a diary of your symptoms over the next week, noting when they occur, their severity, and any changes. This information can be helpful in your consultation.
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Limit Alcohol Consumption: Given your background, further reducing your alcohol intake, as you have been doing, can significantly benefit your liver health. Aim for the NHS-recommended alcohol limits or even lower, if possible.
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Evaluate Lifestyle Factors: Address smoking and vaping habits, as these can complicate respiratory symptoms and overall health.
Reassurance:
It's normal to have concerns about your health, and reaching out to a healthcare professional is the right thing to do. Addressing these symptoms early can lead to better management and outcomes, so don’t hesitate to seek help. You deserve to feel confident about your health! If you need further clarification or support, feel free to ask.
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