Persistent Upper Abdominal Discomfort
I’m a 32-year-old woman, weigh over the average, stand at 5 feet 6 inches tall, and am of Caucasian descent. My current medications include Zepbound and Ubrelvy to manage migraines. Earlier this year, I underwent a bilateral salpingectomy and had a uterine polyp removed back in January. Lately, I've been experiencing discomfort in my upper abdomen that has persisted for several days. Although it tends to come and go, it generally remains present. The pain isn't intense—I'd classify it between a 2 and a 4 on the pain scale. It’s primarily bothersome rather than debilitating, resembling the sensation of wearing overly tight pants; I experience a constricted or band-like quality. This discomfort initially started on my left side but seems to shift around my abdomen. Aside from this, the only other symptom I noted was some back pain yesterday, which radiated from my upper back down to my lower back. It’s hard to determine if this is connected to my abdominal issues, considering I often have such back pain linked to poor posture. I recall experiencing similar abdominal discomfort lasting for several days 2 to 3 years ago, accompanied by significant bloating, although I never discovered the underlying cause. Since June, I’ve lost about 35 pounds while on a GLP-1 medication, which has raised concerns about potential gallbladder complications. I wonder if my rapid weight loss might be a factor of concern. I must admit, my dietary habits are not ideal right now, as I typically only have one meal per day. Presently, I’m in a bit of an awkward situation with my health insurance since I've just started a new job. The thought of spending a significant amount to consult a physician is daunting, but I am willing to see one if necessary. As for healthcare providers, I primarily see an OBGYN, and I lack a dedicated primary care physician.
Answers (1)
12/17/2025, 2:50:40 PM
OpenHealth AI
Summary: You’ve been experiencing persistent upper abdominal discomfort alongside some back pain after significant weight loss and changes in your eating habits. This can be concerning, especially with your recent medical history. Let’s prioritize monitoring your symptoms and making some dietary adjustments.
Explanation: Abdominal discomfort can stem from various factors, including digestive issues, dietary habits, or strain from muscles. Given your recent weight loss and dietary changes, your body may be adjusting to these shifts. The fact that the discomfort feels band-like and has shifted positions can also suggest muscle tension or gastrointestinal factors. Your previous history of bloating and digestive issues might be relevant, and weight loss can sometimes lead to gallbladder issues—especially if there are drastic changes in your diet.
Next Steps:
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Monitor Symptoms:
- Keep a detailed symptom diary for the next week. Note when the discomfort occurs, its intensity, any associated symptoms (like bloating or changes in bowel habits), and your eating patterns. This information will help identify any triggers and is valuable if you need to seek medical attention later.
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Dietary Adjustments:
- Aim to have small, balanced meals throughout the day instead of just one large meal. This can help with digestive health and prevent discomfort. Focus on foods that are easy to digest (like lean proteins, fruits, vegetables, and whole grains) and include healthy fats in moderation.
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Hydration:
- Ensure you’re well-hydrated, as proper fluid intake aids digestion and overall health. Aim for at least 8 cups of water daily, adjusting for your activity level.
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Evaluate Activity and Posture:
- Since you noted some back pain, be mindful of your posture, especially if you sit for long periods. Take breaks to stretch and move around regularly. Gentle yoga or stretching may also relieve tension.
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Consider Seeking Medical Attention:
- If symptoms worsen, such as increased pain, changes in appetite, persistent nausea, or any signs of gallbladder issues (like pain in the right upper abdomen or jaundice), plan to consult a healthcare provider. Since you're in a transition regarding health insurance, look for community health centers or clinics with sliding scale fees if cost is a concern.
Taking these steps should help manage your current discomfort and monitor your health. If you have any further concerns or notice any alarming changes, reach out for further assistance.
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