[30M] Experiencing severe swelling and difficulty urinating post-alcohol cessation

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for your condition:

Cirrhosis and Fluid Retention

• Cirrhosis: Given your history of cirrhosis, the swelling (edema) in your lower body and difficulty urinating could be related to fluid retention, a common complication of liver disease. Cirrhosis can lead to portal hypertension, causing fluid to accumulate in the abdomen (ascites) and lower extremities.
• Typical Treatments: Management often includes diuretics (medications that help remove excess fluid), dietary changes (such as reducing salt intake), and sometimes procedures to remove fluid. Regular monitoring by a healthcare provider is essential.

Possible Kidney Involvement

• Kidney Function: Difficulty urinating and variable urine output could indicate that your kidneys are not functioning optimally, possibly due to the effects of cirrhosis or other factors. Kidney issues can also contribute to fluid retention.
• Typical Treatments: Blood tests and urine tests can help assess kidney function. Treatment may involve medications, dietary changes, and managing underlying conditions.

Heart-Related Issues

• Heart Failure: The swelling and shortness of breath you described could also be related to heart failure, where the heart is not pumping blood effectively, leading to fluid buildup.
• Typical Treatments: This would require a thorough evaluation by a healthcare provider, including imaging tests like an echocardiogram. Treatment may involve medications, lifestyle changes, and monitoring.

What you can do

Swelling and Fluid Retention

• See a Doctor: Given the severity of your symptoms, it's crucial to see a healthcare provider as soon as possible. They may perform blood tests, urine tests, and imaging studies to determine the cause of your swelling and fluid retention.
• At Home:
  • Elevate Your Legs: When resting, try to keep your legs elevated to help reduce swelling.
  • Limit Salt Intake: Reducing salt in your diet can help manage fluid retention.
  • Stay Hydrated: Drink plenty of water, but follow any fluid restrictions your doctor may recommend.

Difficulty Urinating

• See a Doctor: Difficulty urinating can be a sign of a serious condition, especially in the context of your other symptoms. Your doctor may need to perform tests to assess your bladder and kidney function.
• At Home:
  • Monitor Urine Output: Keep track of how much you urinate and any changes in your symptoms. This information can be helpful for your healthcare provider.

Shortness of Breath

• See a Doctor: Shortness of breath, especially when associated with swelling, can be a sign of heart or lung issues. It's important to get this evaluated promptly.
• At Home:
  • Rest Frequently: Take breaks and avoid overexertion.
  • Monitor Symptoms: Keep track of when you experience shortness of breath and any activities that trigger it.

What you should look out for

Given the severity of your symptoms and the potential for serious underlying conditions, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe Shortness of Breath: If you find it very difficult to breathe, seek emergency care immediately.
• Severe Pain: Any severe pain, especially in your chest or abdomen, should be evaluated right away.
• Changes in Urine Output: If you stop urinating altogether or notice a significant decrease in urine output, seek medical attention.
• Confusion or Altered Mental State: This could be a sign of worsening liver function or other serious conditions.

Remember, while I can provide information and suggestions, it's essential to consult with a healthcare professional for a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.