[33F] With shortness of breath and abdominal pain post-cholecystectomy

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Shortness of Breath and Abdominal Pain

1. Post-Cholecystectomy Syndrome: After gallbladder removal, some people experience symptoms like bloating, gas, and abdominal pain. This could be contributing to your discomfort and possibly your shortness of breath, especially if the pain is severe enough to affect your breathing.
2. Gastroesophageal Reflux Disease (GERD): Your symptoms of acid reflux, bloating, and gas could be related to GERD, which can sometimes cause shortness of breath due to acid irritating the airways.
3. Hiatal Hernia: This condition occurs when part of the stomach pushes up through the diaphragm, which can cause symptoms like bloating, gas, and shortness of breath, especially after eating.

Rapid Weight Loss

1. Malabsorption: After gallbladder removal, some people may experience issues with fat digestion, leading to malabsorption and weight loss.
2. Hyperthyroidism: This condition can cause rapid weight loss, along with other symptoms like shortness of breath and gastrointestinal issues.

Unifying Diagnosis

1. Functional Gastrointestinal Disorder: Conditions like Irritable Bowel Syndrome (IBS) can cause a range of symptoms including abdominal pain, bloating, gas, and changes in bowel habits. These symptoms can sometimes be severe enough to cause secondary issues like shortness of breath.

What you can do

Shortness of Breath

• See a Doctor: Given the severity and duration of your shortness of breath, it's important to consult a healthcare provider as soon as possible. They may perform tests like a chest X-ray, pulmonary function tests, or an echocardiogram to rule out serious conditions.
• Breathing Exercises: Practice deep breathing exercises to help manage your symptoms. Inhale deeply through your nose, hold for a few seconds, and then exhale slowly through your mouth.

Abdominal Pain and Gastrointestinal Symptoms

• Dietary Changes: Avoid foods that trigger your symptoms, such as fatty foods, spicy foods, and caffeine. Eating smaller, more frequent meals may also help.
• Over-the-Counter Medications: Antacids or medications like omeprazole can help manage acid reflux and bloating. However, consult your doctor before starting any new medication.
• Hydration and Fiber: Ensure you are drinking plenty of water and consuming a diet high in fiber to help with constipation.

Rapid Weight Loss

• Nutritional Support: Consider consulting a dietitian to ensure you are getting adequate nutrition. They can help you create a meal plan that supports weight maintenance and addresses any malabsorption issues.
• Monitor Symptoms: Keep a journal of your symptoms, including what you eat and how you feel afterward. This can help identify triggers and provide useful information for your healthcare provider. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

What you should look out for

Given the complexity and severity of your symptoms, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe or worsening shortness of breath
• Chest pain that radiates to your arm, neck, or jaw
• Unexplained weight loss despite adequate food intake
• Persistent or severe abdominal pain

Remember, while I can provide information and suggestions, it's crucial to consult a healthcare professional for a formal diagnosis and appropriate treatment.