Unraveling the Puzzle of Persistent Abdominal Discomfort
I'm genuinely bewildered by my situation. As an 18-year-old female, I have been experiencing discomfort in my upper left abdomen, just beneath the rib cage, for over a year. This pain often varies based on my position and occasionally responds to medications like Tylenol or NSAIDs. My stools tend to be soft and frequently contain small white or beige specks that appear smeared. Depending on the day, the pain manifests either as a dull ache or as a gripping sensation. Despite attempting various dietary changes—such as eliminating dairy, going gluten-free, increasing my fruit intake, and reducing processed foods—nothing has yielded any improvement. This all began during a school trip to New York City. Other symptoms I endure include nausea, fatigue, and a heightened need to urinate, although it’s unclear if these are connected. Given my past with kidney stones, I initially consulted my nephrologist, whose only response was that everything seemed fine and to check back in a year. Following that, I visited my primary care physician, who dismissed my concerns as constipation and recommended Miralax. Unfortunately, this did not improve my pain. My next step was to see a gastroenterologist, who suggested a colonoscopy. The findings indicated some mucosal changes and moderate hemorrhoids, but nothing substantial was diagnosed. A follow-up appointment is scheduled in a few weeks. Despite my efforts to seek help, it feels as though none of my healthcare providers are taking my issues seriously. This condition has profoundly disrupted my life; I often find myself spending at least two hours daily in bed due to discomfort, and there are days when I’m incapacitated. While some days my pain is minimal, on others it is entirely debilitating. I aspire to pursue a career in field science, yet I feel as though my aspirations are slipping away even before they can truly commence. I am left wondering what my next steps should be. Am I destined to live like this?
Answers (1)
7/15/2025, 4:30:59 AM
OpenHealth AI
I understand that dealing with persistent abdominal discomfort can be incredibly frustrating and disheartening, especially when it affects your daily life and aspirations. Let's break down your situation and identify some essential next steps.
Key Points:
- Symptoms and Exploration: You've been experiencing upper left abdominal pain for over a year, with various associated symptoms like nausea and fatigue.
- Current Investigations: You’ve consulted multiple healthcare providers, with a recent colonoscopy showing some mucosal changes and hemorrhoids but no definitive diagnosis.
- Desire for Improvement: Your primary goal is to identify the underlying issue and find relief from the discomfort that is impacting your quality of life.
Explanation:
Abdominal pain can stem from various causes, including gastrointestinal disorders, muscle strain, or even issues related to other organs. Given your history of kidney stones and no clear diagnosis so far, it’s possible that your symptoms may be linked to functional gastrointestinal disorders like Irritable Bowel Syndrome (IBS) or other conditions that may require deeper investigation.
Since you’ve made dietary changes and pursued medical opinions without significant improvement, it’s essential to focus on actionable steps and better symptom management.
Next Steps:
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Symptom Diary: Keep a detailed diary for at least two weeks, tracking your food intake, symptoms (pain, nausea, fatigue), bowel movements, and activities. Note any patterns or triggers that worsen or relieve your pain. This can provide valuable information for your healthcare providers.
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Follow-up with Your Gastroenterologist: Bring your symptom diary to your next appointment. Discuss your pain's variability and other symptoms, and consider asking about conditions like IBS, functional dyspepsia, or even food intolerances that may not have been fully explored.
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Evaluation for Stress and Mental Health: Since chronic pain can sometimes be exacerbated by stress or anxiety, think about discussing your mental health with a professional. Coping strategies or therapy might help you manage not just the pain but also the emotions tied to your situation.
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Lifestyle Adjustments:
- Engage in gentle regular exercise, which can improve gut motility and overall well-being.
- Stay well-hydrated, aiming for at least 8 cups of fluids a day.
- Experiment with small, frequent meals instead of three large ones, which can sometimes help alleviate digestive discomfort.
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Consider Another Specialist: If you feel your concerns aren't being addressed adequately, you might consider seeking a second opinion from another gastroenterologist, preferably one specializing in motility disorders or functional gastrointestinal disorders.
Reassurance:
It’s understandable to feel overwhelmed, but you are not destined to live with this discomfort indefinitely. The path to understanding and alleviating your symptoms may require persistence and continued dialogue with medical professionals until the right diagnosis and treatment plan is found. Your hope for a career in field science is valid, and addressing your health concerns is the first step toward achieving those dreams. I'm here to support you through this journey; please continue to advocate for yourself and seek the answers you need.
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# 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:** - 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