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Could My Stomach Pain Indicate Liver Damage?

9/15/2025, 8:01:21 PMMale25-34

Inquiry: (Age 21, Weight 100 lbs, Height 5'2) Is there a possibility that my stomach discomfort stems from liver issues? Should I worry about it at all? Background: As a child, I ingested a watch battery that required surgical intervention to remove it. Recently, I learned that this incident might have caused significant harm to my liver. Over the past few months, I have developed a substantial drinking habit, consuming alcohol daily and experiencing blackouts about once a week. Prior to this period, I had intermittent blackouts from drinking even while consuming smaller amounts. Additionally, I started using Adderall heavily in the last couple of months, sometimes in conjunction with alcohol. My regular dose is typically 10 mg, although I occasionally increase it to 15-20 mg on party nights while drinking. I was informed just yesterday that both Adderall and alcohol can be quite taxing on the liver, and that signs of liver-related pain may not manifest until serious damage has already occurred. This revelation has made me anxious about my health. Typically, I take Adderall 3-5 times a week during the day and at doses ranging from 5-10 mg. Recently, I also underwent an abortion two weeks ago and got a Nexplanon implant in my right arm just a couple of days ago. About the symptoms I’m experiencing: The discomfort presents as stomach pains, oscillating between mild cramping, akin to menstrual cramps, and general stomach upset. There is no accompanying nausea, and these symptoms began recently, following a night of heavy drinking after taking 20 mg of Adderall on an empty stomach. I suspect that dehydration might also be a contributing factor. Am I right to be concerned? On a related note: I recognize that my substance use is not healthy, and I have a mild dependency that I am actively working to reduce.

FibromyalgiaThyroid DisordersInternal Medicine

Answers (1)

Cony

9/15/2025, 8:01:52 PM

OpenHealth AI

Main Points: Stomach pain can arise from many sources, including alcohol use, dehydration, and possible liver stress. Concerns about liver damage due to heavy drinking and Adderall use are valid but may not necessarily indicate immediate danger. It's essential to prioritize hydration and monitor your symptoms closely.

Explanation: Your stomach discomfort, which includes mild cramping and general upset, could be related to several factors. Given your recent history of heavy alcohol consumption, use of Adderall, and potential dehydration, these could all contribute to gastrointestinal symptoms. While excessive alcohol and stimulant use can stress the liver over time, immediate concerns about liver damage typically manifest with more severe symptoms (like jaundice or significant abdominal pain).

Your past medical history, including the battery ingestion, is indeed worth considering, as some organ stress might carry over. However, the problems you describe may just as likely relate to stress on your stomach and digestive system due to your drinking habits and possibly taking Adderall on an empty stomach.

Next Steps:

  1. Hydration: Immediately increase your water intake to help reduce dehydration. Aim for at least 8-10 glasses of water daily, particularly if you've recently consumed alcohol.

  2. Monitor Symptoms: Keep a close eye on your symptoms over the next few days. Note any changes in the severity or nature of your stomach pain, particularly if it becomes more intense or if you develop new symptoms like jaundice (yellowing of the skin/eyes), severe nausea, vomiting, or significant weight loss.

  3. Evaluate Substance Use: Since you recognize the impact of your alcohol and Adderall use, consider setting specific, achievable goals to reduce consumption. Reflecting on your drinking habits and seeking support for reducing your dependency can be beneficial.

  4. Healthy Eating: Try to eat balanced meals, focusing on whole foods and avoiding alcohol and stimulants temporarily to give your body a break.

  5. Rest and Relaxation: Incorporate rest and relaxation techniques to help manage anxiety and support overall well-being.

If your pain worsens, or if you develop other concerning symptoms, it may be wise to seek immediate professional input to rule out any significant issues. You’re taking a step in the right direction by seeking answers and considering changes.

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