[45F] With right rib pain, severe fatigue, jaundice, and diarrhea

What might be happening

Based on the information you have provided, here are some possible explanations for your symptoms:

• Liver Disease: The combination of right upper abdominal pain, jaundice (yellowing of the skin and eyes), severe fatigue, and weight loss could indicate liver disease. Chronic methamphetamine use can lead to liver damage, which might explain your symptoms. Common liver conditions include hepatitis, cirrhosis, and liver cancer.

  • Typical Treatments and Testing: Blood tests to check liver function, imaging studies like an ultrasound or CT scan, and possibly a liver biopsy. Treatment depends on the specific condition but may include medications, lifestyle changes, and in severe cases, liver transplantation.

• Gallbladder Disease: Pain under the right rib, especially if it is constant, could be related to gallbladder issues such as gallstones or cholecystitis (inflammation of the gallbladder).

  • Typical Treatments and Testing: Ultrasound of the abdomen, blood tests to check for infection or inflammation, and possibly surgery to remove the gallbladder if gallstones are present.

• Pancreatitis: Inflammation of the pancreas can cause severe abdominal pain, jaundice, and digestive issues like diarrhea.

  • Typical Treatments and Testing: Blood tests to check pancreatic enzymes, imaging studies like a CT scan, and hospitalization for severe cases to manage pain and provide supportive care.

What you can do

While you should seek medical attention to get a formal diagnosis and appropriate treatment, here are some steps you can take in the meantime:

1. Avoid Alcohol and Drugs: Since you have a history of methamphetamine use, it is crucial to avoid any substances that can further harm your liver or overall health.
2. Stay Hydrated: Drink plenty of water to help manage diarrhea and prevent dehydration.
3. Eat a Balanced Diet: Focus on a nutritious diet that is low in fat and high in fiber. Avoid fatty, greasy, or spicy foods that can exacerbate digestive issues.
4. Rest: Ensure you get plenty of rest to help your body recover from fatigue and other symptoms.
5. Monitor Symptoms: Keep track of your symptoms, including any changes in pain, jaundice, or digestive issues. Use the MDandMe journal to record your symptoms, track progress, and share this information with your healthcare provider.

What you should look out for

Seek medical attention more urgently if you experience any of the following:

• Severe Abdominal Pain: If the pain becomes unbearable or spreads to other areas.
• High Fever or Chills: Indicating a possible infection.
• Confusion or Drowsiness: Signs of severe liver dysfunction.
• Blood in Stool or Vomit: Indicating possible internal bleeding.
• Inability to Eat or Drink: Leading to severe dehydration or malnutrition.

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