Concerns About Recent Health Changes: Should I Be Worried?
I’m a 33-year-old woman, a smoker, standing at 5’10” and weighing 280 pounds. I underwent weight loss surgery (lap band) back in 2012, significantly reducing my previous weight. Currently, I use birth control to suppress my menstrual cycle and take tizanidine as needed to manage migraines. Lately, I've noticed some troubling symptoms: - I find myself getting short of breath more quickly than I used to. - Increased flatulence has become quite noticeable. - My heels, especially the left one, are experiencing severe pain without any clear cause. While my job requires me to be on my feet a lot, my activity level hasn’t changed that much recently. - Intriguingly, I’ve been able to nap during the day, something I’ve never been able to do before. For example, yesterday I fell asleep around 1:30 PM and woke up at 4 PM. Today, I took a nap starting at 1 PM, sleeping until nearly 4 PM. - Additionally, I’ve begun feeling sporadic and sharp pains in my uterus, which started just yesterday. Should I be concerned about these issues?
Answers (1)

7/20/2025, 8:50:45 PM
OpenHealth AI
You've brought up several concerning symptoms, and it's understandable to feel worried about these changes in your health. Let's break down your symptoms and explore their potential meaning while focusing on actionable steps you can take.
Key Points:
- Shortness of Breath: This can indicate issues such as asthma, lung problems related to smoking, or even anxiety.
- Increased Flatulence: This might be related to diet changes or gastrointestinal issues.
- Heel Pain: This could be due to plantar fasciitis or overuse, especially if you stand for long periods.
- Increased Daytime Sleepiness: This might suggest sleep issues or other health changes.
- Uterine Pain: This warrants attention given its sudden onset and potential implications.
Explanation:
- Shortness of Breath: Smokers often face lung-related issues, so this is worth tracking and addressing early.
- Flatulence: Often linked to the digestive system, an increase can indicate changes in diet or the body’s processing of food.
- Heel Pain: Given your job requires you to be on your feet a lot, it’s possible your feet are bearing weight improperly or you may have developed a condition like plantar fasciitis.
- Excessive Napping: This might indicate changes in your sleep cycle or overall fatigue and could be a sign of underlying conditions, including sleep apnea or stress.
- Uterine Pain: This needs careful attention, especially if it persists or worsens, as it may signify gynecological issues.
Next Steps:
-
Shortness of Breath:
- Immediate Action: Keep track of when this occurs and any related activities. Avoid exertion and irritants (like smoke).
- Monitor: Note if it worsens or if you experience chest pain.
-
Heel Pain:
- Immediate Action: Try to rest your feet when possible and apply ice to the affected heel. Consider supportive footwear and stretching exercises.
- Monitor: Pay attention to when the pain increases and if it's impacting your daily activities.
-
Dietary Considerations for Flatulence:
- Immediate Action: Keep a food diary to identify any potential triggers. Eating smaller, more frequent meals may help, along with staying hydrated.
- Monitor: Notate any changes in symptoms with dietary adjustments.
-
Increased Daytime Napping:
- Immediate Action: Assess your overall sleep quality and duration. Aim for a consistent sleep schedule at night.
- Monitor: Track your energy levels throughout the day.
-
Uterine Pain:
- Immediate Action: Note the timing, duration, and severity of this pain. Keep track of any other symptoms (like changes in menstrual flow or pain during activities).
- Priority Action: Consult a healthcare provider if the pain continues or worsens.
In summary, be mindful of these symptoms and their contexts. Keeping a detailed diary of your experiences regarding each of these aspects will aid in assessing any patterns. Should any of these symptoms worsen or significantly affect your quality of life, seeking professional medical attention will be vital. Your health is important, and addressing these issues early can lead to better outcomes.
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