[43F] With abdominal and back pain

What might be happening

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

1. Musculoskeletal Pain: The combination of back pain and rib pain that feels like a "belt" around your diaphragm could be related to musculoskeletal issues. This might be due to muscle strain or tension, especially if the pain is associated with certain movements or positions. Given your history of gastric bypass, changes in posture or muscle use could also contribute to this discomfort.

2. Gastrointestinal Issues: Since you've had a gastric bypass and your gallbladder removed, it's possible that your abdominal pain is related to changes in digestion or nutrient absorption. Low iron levels can also be a concern post-surgery, and they might contribute to fatigue or other symptoms.

3. Iron Deficiency: Your recent diagnosis of low iron levels could be contributing to your overall feeling of discomfort. Iron deficiency can cause fatigue, weakness, and sometimes abdominal pain.

It's important to consult with a healthcare professional to get a proper diagnosis and treatment plan. They may recommend blood tests, imaging, or other diagnostic procedures to better understand your symptoms.

What you can do

Musculoskeletal Pain:

• Consider gentle stretching exercises to relieve tension in your back and rib area. Yoga or physical therapy might be beneficial.
• Apply heat or cold packs to the affected area to help alleviate pain.
• Continue using over-the-counter pain relief like Tylenol or ibuprofen as needed, but be mindful of the recommended dosages.

Gastrointestinal Issues:

• Maintain a balanced diet that aligns with post-gastric bypass guidelines. Small, frequent meals might help manage discomfort.
• Stay hydrated and monitor any changes in your symptoms, especially after eating certain foods.

Iron Deficiency:

• Follow up with your healthcare provider about your low iron levels. They may recommend iron supplements or dietary changes to improve your iron intake.
• Keep track of any symptoms like fatigue or weakness, and report them to your doctor.

Remember, you can use MDandMe to journal your symptoms, track your progress, and share your medical notes with your healthcare provider.

What you should look out for

While your symptoms are not immediately life-threatening, it's important to monitor for any changes or worsening of your condition. Seek medical attention if you experience:

• Severe or persistent abdominal pain
• Difficulty breathing or chest pain
• Significant changes in bowel movements or stool color
• Unexplained weight loss or fatigue

Please consult with a healthcare professional for a formal diagnosis and treatment plan. If you have more questions or need further assistance, feel free to reach out.