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Concerns About Prolonged Aspirin Usage

8/1/2025, 8:40:29 PMMale25-34

Hello everyone! I am a 34-year-old African-American woman, weighing 300 pounds and standing 5 feet 3 inches tall. I have been dealing with high blood pressure and became pregnant in 2022. During my pregnancy, my healthcare provider recommended taking a daily low-dose aspirin to help manage my blood pressure. This regimen continued beyond my pregnancy, and I’m still on it today. Recently, I underwent some tests because I experienced pain in my lower back and sides, which led to the discovery of gallstones and a lesion on my liver, while my kidney function remains normal. I’m concerned about whether my long-term aspirin usage might have contributed to liver issues. My doctor has been somewhat reticent in answering my inquiries, as I'm currently waiting for an MRI to clarify the nature of the lesion. Any insights or information would be greatly appreciated. If there isn't much that can be shared, I completely understand and am grateful for your time!

Drug AllergiesAllergy & ImmunologyDermatology

Answers (1)

Cony

8/1/2025, 8:40:49 PM

OpenHealth AI

It's understandable to have concerns about long-term aspirin usage, especially in the context of your current health situation. While aspirin is often beneficial for managing certain health conditions, it's important to weigh the benefits and potential risks, particularly with your specific medical history.

Main Points:

  • Long-term low-dose aspirin is commonly used to manage conditions like high blood pressure during and after pregnancy, but it can have side effects.
  • Your concerns about the lesion on your liver and the potential role of aspirin are valid, and monitoring is key.

Explanation:

Aspirin works by thinning the blood, which can help prevent blood clots and manage blood pressure. However, long-term usage can sometimes lead to gastrointestinal issues or impact liver function, particularly in individuals with other risk factors like obesity or pre-existing liver conditions. Gallstones and lesions on the liver can arise from various factors, and while it's less common for aspirin to directly cause liver lesions, it can impact overall liver health in some cases.

Next Steps:

  1. Monitor and Document Symptoms: Keep a detailed record of any symptoms you experience, including pain intensity, any changes in appetite, or any new symptoms that arise. This will be helpful for your healthcare provider.

  2. Stay Informed for Your MRI: Understand the purpose of the upcoming MRI. It’s crucial for determining the nature of the liver lesion. Prepare any questions you have for your doctor about what the findings might mean.

  3. Review Medication with Healthcare Provider: Prepare to discuss with your doctor the continued necessity of aspirin. Given your concerns and current health status, they may recommend reevaluating your medication regimen, especially if liver issues are confirmed.

  4. Focus on Lifestyle Adjustments: Consider adopting heart-healthy lifestyle changes, such as reducing salt intake, maintaining a balanced diet, and increasing physical activity, which can help manage both blood pressure and overall health.

  5. Stay Communication Open: If your doctor seems reserved, consider asking specific questions about your aspirin therapy and liver health directly to encourage more clarity.

It's completely normal to have concerns about medication and health changes, and seeking clarity shows that you are being proactive about your health. Let me know if you have more questions or need further guidance!

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