[51F] Experiencing abdominal pain, itching, and shortness of breath

What might be happening

Based on the information you provided, possible diagnoses include:

• Gallstones or Biliary Dyskinesia: Even though your gallbladder has been removed, it's possible to have stones in the bile ducts or dysfunction of the bile ducts. This could explain the right-sided abdominal pain and nausea/vomiting. However, this wouldn't necessarily explain the itching or weight loss.

  • Treatment typically involves medication to dissolve the stones or surgery to remove them. In the case of biliary dyskinesia, medications to improve bile flow may be helpful.

• Liver Disease: Elevated ALT levels, itching, and right-sided abdominal pain could be signs of liver disease. However, this would typically also cause other symptoms such as jaundice (yellowing of the skin and eyes), and changes in stool or urine color, which you did not report.

  • Treatment depends on the specific type of liver disease, but generally involves lifestyle changes, medication, or in severe cases, a liver transplant.

• Chronic Pancreatitis: This condition can cause abdominal pain, nausea, vomiting, and weight loss. However, it would typically also cause changes in stool, which you did not report.

  • Treatment usually involves pain management, dietary changes, and sometimes surgery.

• Fibromyalgia: This condition can cause widespread pain, fatigue, and other symptoms. However, it wouldn't explain your gastrointestinal symptoms or itching.

  • Treatment typically involves a combination of medication, exercise, stress management, and healthy lifestyle habits.

Please note that these are just possibilities based on the information you provided. You should consult with a healthcare professional for a formal diagnosis.

What you can do

In the meantime, here are some things you can do:

1. Continue taking your medications as prescribed.
2. Try to maintain a healthy diet and stay hydrated, especially since you're experiencing nausea and vomiting.
3. Try to get regular exercise, as this can help with many health conditions.
4. Keep track of your symptoms and any potential triggers or patterns. This could be helpful information for your healthcare provider.

What you should look out for

Please seek immediate medical attention if you experience any of the following:

• Severe abdominal pain
• Blood in your vomit or stool
• Yellowing of the skin or eyes
• Swelling in your abdomen
• Difficulty breathing
• Confusion or changes in consciousness

Again, please consult with a healthcare professional for a formal diagnosis and treatment plan.