[39F] With worsening abdominal pain and fullness

What might be happening

Based on the symptoms you've described, there are a few potential explanations for what you might be experiencing:

1. Gastrointestinal Issues: The pain under your left ribcage, feeling of fullness, and changes in bowel movements could be related to gastrointestinal issues such as constipation, gas buildup, or even an enlarged spleen. The sensation of fullness and tight clothing might suggest bloating or fluid retention.

2. Ovarian Cysts or Masses: Given your history of large masses and cysts on your ovaries, these could be contributing to your abdominal pain and fullness. Ovarian cysts can sometimes cause bloating, changes in bowel habits, and discomfort.

3. Respiratory or Cardiovascular Concerns: The shortness of breath, wheezing, and chest pain, especially with a history of smoking, could indicate a respiratory issue such as bronchitis or even a cardiovascular concern. The swelling in your legs or ankles could be related to fluid retention, which can sometimes be associated with heart or lung issues.

4. Hormonal or Menstrual Changes: The recent changes in your menstrual cycle and discharge could be related to hormonal fluctuations or issues with your reproductive system, possibly linked to the ovarian cysts or masses.

What you can do

Abdominal Pain and Fullness:

• See a Doctor: It's important to consult with a healthcare provider to evaluate the cause of your abdominal pain and fullness, especially given your history of ovarian cysts. They may recommend imaging tests like an ultrasound or CT scan.
• Dietary Adjustments: Try to eat smaller, more frequent meals and avoid foods that cause gas or bloating. Staying hydrated can also help with bowel movements.

Shortness of Breath and Chest Pain:

• Seek Medical Attention: Given the combination of chest pain, shortness of breath, and wheezing, it's crucial to seek medical attention promptly. These symptoms could indicate a more serious condition that needs evaluation.
• Smoking Cessation: Consider reducing or quitting smoking, as it can exacerbate respiratory and cardiovascular issues. Your doctor can provide resources to help with this.

Swelling in Legs or Ankles:

• Elevate Your Legs: When resting, try to elevate your legs to help reduce swelling. Compression stockings may also be beneficial.
• Monitor Symptoms: Keep track of any changes in swelling or other symptoms and share this information with your healthcare provider.

Menstrual Changes:

• Track Your Cycle: Use a journal or app like MDandMe to track your menstrual cycle and any changes in discharge or bleeding patterns. This information can be helpful for your doctor.

What you should look out for

• Worsening Symptoms: If your pain becomes severe, or if you experience new symptoms like fever, severe shortness of breath, or fainting, seek immediate medical attention.
• Signs of Infection: Watch for signs of infection, such as fever or chills, especially if related to your respiratory symptoms.
• Changes in Symptoms: Keep an eye on any changes in your symptoms, such as increased swelling, changes in bowel habits, or worsening respiratory issues.

Remember, while I can provide information and suggestions, it's important to consult with a healthcare professional for a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to reach out.