Gastrointestinal bloating
I consulted a doctor.
At the end of 2020, I lost 26 kilograms through fasting over two months.
Then, after a week of binge eating, I regained nearly 10 kilograms.
Since then, I have been experiencing post-meal bloating and a sensation of something being stuck in the right side of my waist or tightness in the right upper abdomen.
I am unsure what this issue might be.
The symptoms have persisted for over a year, and I find some relief after passing gas.
Could this possibly be related to a gallbladder issue? Here is the link to my examination report: https://drive.google.com/drive/u/0/folders/1V0_QVHjqZqb4HjGkJcbbLMBndLVs0K-F
Zhang Ke 0, 30~39 year old female. Ask Date: 2022/05/15
Dr. Chen Shidian reply Gastroenterology and Hepatology
You can seek medical examination.
Reply Date: 2022/05/15
More Info
Bloating and discomfort, particularly in the upper right abdomen, can indeed be indicative of gallbladder issues, especially considering your recent history of significant weight loss followed by rapid weight gain. The gallbladder plays a crucial role in digestion, particularly in the emulsification and absorption of fats. When the gallbladder is not functioning optimally, it can lead to symptoms such as bloating, discomfort, and a sensation of fullness after eating.
Your symptoms of bloating and a feeling of something being "stuck" in the right upper abdomen could suggest several potential issues related to the gallbladder. One common condition is gallstones, which can form when there is an imbalance in the substances that make up bile. Gallstones can obstruct the bile ducts, leading to pain and discomfort, particularly after meals that are high in fat. The fact that you experience some relief after passing gas may indicate that your symptoms are related to digestive issues, possibly exacerbated by gallbladder dysfunction.
Another possibility is biliary colic, which occurs when a gallstone temporarily blocks the bile duct, causing intense pain that can radiate to the back or shoulder. This pain typically occurs after eating, especially after consuming fatty foods. If the blockage persists, it can lead to more severe complications, such as cholecystitis (inflammation of the gallbladder), which may require surgical intervention.
Given your history of significant weight fluctuations, it is also important to consider the impact of rapid weight loss on gallbladder health. Rapid weight loss can increase the risk of gallstone formation, as the liver secretes more cholesterol into the bile, which can lead to crystallization and stone formation. Additionally, the reintroduction of food after a period of fasting can overwhelm the digestive system, leading to symptoms of bloating and discomfort.
To further evaluate your condition, it would be beneficial to review your medical history, including any imaging studies such as an abdominal ultrasound or CT scan, which can help visualize the gallbladder and identify any stones or inflammation. Blood tests may also be useful to assess liver function and check for signs of infection or inflammation.
In terms of management, dietary modifications can play a significant role in alleviating symptoms. A diet low in fat and high in fiber may help reduce the workload on the gallbladder and improve digestion. Staying hydrated and incorporating regular physical activity can also support digestive health.
If gallbladder issues are confirmed, treatment options may include medication to dissolve gallstones or, in more severe cases, surgical removal of the gallbladder (cholecystectomy). It's important to discuss your symptoms and concerns with a healthcare provider who can guide you through the appropriate diagnostic tests and treatment options based on your specific situation.
In conclusion, while your symptoms may suggest gallbladder-related issues, a thorough evaluation by a healthcare professional is essential to determine the exact cause and appropriate treatment. Don't hesitate to seek medical advice to address your concerns and improve your quality of life.
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