[55F] Experiencing hot flashes and right upper abdominal pain with increased bilirubin

What might be happening

Based on the information you've provided, here are a few possibilities:

• Menopause: Hot flashes are a common symptom of menopause, which typically occurs in women around your age. The hormonal changes associated with menopause can also cause anxiety.

  • Treatment often involves hormone replacement therapy (HRT), which you're already receiving. Other treatments can include lifestyle changes and non-hormonal medications.

• Gilbert's Syndrome: This is a common, harmless liver condition in which the liver doesn't properly process bilirubin. It can cause mildly elevated bilirubin levels, but usually doesn't cause symptoms.

  • There's no specific treatment for Gilbert's syndrome. It's typically harmless and doesn't require treatment.

• Gallbladder Disease: Your right upper quadrant pain could be related to gallbladder disease, such as gallstones or cholecystitis (inflammation of the gallbladder). This can sometimes cause elevated bilirubin levels.

  • Treatment can include dietary changes, medications to dissolve gallstones, or surgery to remove the gallbladder.

• Hypothyroidism: You mentioned that you have hypothyroidism. This can sometimes cause anxiety and other symptoms. It's important to make sure your thyroid hormone levels are well-controlled with your current medication.

What you can do

1. Make sure you're taking your medications as prescribed, especially your thyroid medication.
2. Try to identify any triggers for your hot flashes, such as spicy foods, caffeine, or alcohol. Avoiding these triggers may help reduce the frequency and intensity of your hot flashes.
3. Regular exercise and a healthy diet can help manage many of your symptoms. This includes managing your weight, which can help with hot flashes and gallbladder disease.
4. Consider relaxation techniques, such as deep breathing, yoga, or meditation, to help manage your anxiety.

What you should look out for

Please seek immediate medical attention if you experience:

• Severe abdominal pain
• Jaundice (yellowing of the skin or eyes)
• Dark urine or light-colored stools
• Unexplained weight loss
• Severe anxiety or panic attacks

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care recommendations.