[49F] Experiencing bloating, nausea, and pain with a history of meth use

What might be happening

Based on the symptoms and history you've provided, here are some possible explanations for what might be happening:

Hepatitis C

Given your family history and symptoms, Hepatitis C is a concern. Symptoms like nausea, fatigue, dark urine, and loss of appetite can be associated with liver issues, including Hepatitis C. However, you mentioned that you have tested negative for Hepatitis C in the past. It might be worth re-testing, as the virus can sometimes be undetectable in early stages or due to other factors.

Liver Disease

Your symptoms of bloating, swelling in the feet, right-side pain, nausea, and dark urine could indicate liver disease or liver dysfunction. Elevated liver enzymes in the past also support this possibility. Chronic liver disease can lead to fluid retention (ascites), which might explain the bloating and swelling.

Gastrointestinal Issues

The combination of nausea, diarrhea, constipation, and bloating could also point to gastrointestinal issues such as Irritable Bowel Syndrome (IBS) or other digestive disorders. These conditions can cause a range of symptoms that come and go.

Substance Use History

Your history of meth use could have long-term effects on your liver and overall health, contributing to some of the symptoms you're experiencing.

What you can do

For Nausea and Bloating

• Dietary Changes: Try eating smaller, more frequent meals and avoid foods that trigger your symptoms. Keeping a food diary might help identify any patterns.
• Hydration: Ensure you stay well-hydrated, especially if you're experiencing diarrhea.
• Over-the-Counter Medications: Continue using Pepcid AC if it provides some relief, but consult your doctor for more effective treatments.

For Swelling in Feet

• Elevate Your Feet: When resting, try to keep your feet elevated to reduce swelling.
• Compression Stockings: Wearing compression stockings can help manage swelling.
• Limit Standing: Try to avoid standing for long periods.

For Right-Side Pain

• Consult a Doctor: Given the severity of your pain, it's important to consult a healthcare provider for a thorough evaluation.
• Pain Management: Over-the-counter pain relievers like acetaminophen can help, but avoid NSAIDs like ibuprofen if you have liver concerns.

General Health

• Regular Check-Ups: Schedule regular check-ups with your healthcare provider to monitor your liver function and overall health.
• Avoid Alcohol and Drugs: Continue to avoid substances that can harm your liver.
• Symptom Tracking: 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 severity and range of your symptoms, you should seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Jaundice: Yellowing of the skin or eyes.
• Severe Pain: Any sudden, severe pain in your abdomen.
• Severe Swelling: Rapidly worsening swelling in your feet or abdomen.
• Changes in Mental State: Confusion, drowsiness, or other changes in mental state.

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