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Seeking Advice: My Stomach Appearance Is Misleading

8/9/2025, 3:50:19 AMMale25-34

I am a 30-year-old woman, weighing 140 pounds and standing at 5 feet 7 inches tall. I've never experienced pregnancy. Recently, my abdomen has taken on a peculiar appearance resembling that of someone who is expecting. It has drawn attention from others, prompting them to inquire about my supposed pregnancy. Despite working out regularly and maintaining a modest diet, I find myself in this situation. Remarkably, I do not experience any pain, and my medications have not changed. Currently, I am on the following prescriptions: - Adderall XR 15mg - Mounjaro 5mg - Pristiq 50mg - Lybrel birth control pill - Tizanidine 2mg as needed Regarding my medical history, I have undergone a few surgical procedures, including: - Tonsillectomy - Gallbladder removal - A LEEP procedure in 2018 - Wisdom teeth extraction If anyone has insights or advice regarding this situation, I would greatly appreciate your help!

NutritionFamily MedicineInternal Medicine

Answers (1)

Cony

8/9/2025, 3:50:44 AM

OpenHealth AI

Your description of a noticeable change in your abdominal appearance, especially without any pain or recent medication changes, raises understandable concerns. Given your age and health history, it's important to consider various factors that might contribute to this change.

Main Points:

  1. Swelling or changes in abdominal appearance can result from various non-serious issues, such as bloating, weight distribution, or hormonal changes.
  2. Your current medications may have effects that could influence your body’s appearance, particularly Mounjaro, which is used for weight management and can affect body composition.
  3. Monitoring your symptoms and habits closely will help identify any underlying causes.

Explanation: An abdomen that appears larger can often be attributed to:

  • Bloating: This common issue can result from dietary choices (like high-sodium or high-fiber foods), digestive disorders, or even the menstrual cycle.
  • Weight Distribution: As we age, body fat can shift, changing the contour of the abdomen without noticeable weight gain.
  • Hormonal Effects: Birth control pills and medications can also cause changes in fluid retention and fat distribution.

Since you’re not experiencing pain and seem to maintain a healthy lifestyle, this might be attributed to benign factors, but it’s wise to remain vigilant.

Prioritized Next Steps:

  1. Dietary Assessment: Keep track of your meals to see if certain foods are causing bloating (e.g., dairy, gluten, gas-producing foods) and consider reducing those.
  2. Monitor Physical Changes: Take note of any additional symptoms, such as changes in appetite, digestion, or energy levels over the next few weeks, and observe if there's a pattern.
  3. Hydration: Stay well-hydrated, as sometimes dehydration can exacerbate bloating.
  4. Weight Management: Although you workout regularly, consider reviewing your fitness routine and eating patterns to ensure they align with your goals. It may help to incorporate practices like yoga or Pilates, which can improve core strength and posture, often enhancing abdominal appearance.
  5. Consult with a healthcare professional: While you can monitor these changes, if your abdominal appearance persists or worsens, or if you develop new symptoms, seeking a professional opinion would be the next step to rule out any underlying conditions.

If you need further guidance on any specific aspect, feel free to ask!

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