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c/sideeffects·posted 3 days ago by u/pancreatitis_scare· stickied

[PSA] severe abdominal pain is not a forum question

PSA Cold Box ×8 Slow Clap ×1

I ignored escalating upper abdominal pain for four days because I wanted to know whether it was "normal" before bothering anybody.

It was not normal. I went to A&E on day five, lipase came back normal, and it turned out to be gallstones — which is a real thing, needed sorting, and was made no better by the four days of waiting.

The thing I want to say to the person currently doing what I did: you are not being sensible by gathering information first. Severe or escalating abdominal pain, persistent vomiting, jaundice or sudden vision changes are same-day medical questions. This community cannot examine you and would not want to.

9,494 up / 6,986 down58% upvoted51 commentsid 1gp35626 Jul 2026

51 comments

12 in this archive, depth 5

best — the order this archive was captured in

u/quiet_moderatorMOD445 points·3 days ago

Stickying this permanently. It is the post I link when I lock a thread, and it is better than anything the mod team has written on the subject because it comes from someone who made the mistake.

To be explicit about how we handle these: the thread stays up, speculation about the individual case gets shut down, and we point at real help. That is not us being unhelpful — it is the only genuinely helpful thing available to a group of strangers on the internet.

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u/gallbladder_gary234 points·3 days ago

Gallstones with rapid weight loss are common enough that it should be part of the standard briefing and it almost never is. Rapid loss changes bile composition; the mechanism is not mysterious and the incidence is not trivial.

Mine came out at month 7 and I would still do the whole thing again. But I would have liked to know it was on the list.

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u/pancreatitis_scareOP154 points·3 days ago

nobody mentioned it to me either, and i had read this entire site. it is in the wiki now, which is at least a fixable gap.

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u/reads_the_wiki121 points·3 days ago

added to the first-twelve-weeks page in the urgent-care callout after this thread. one of the more direct wiki changes we have made.

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u/liver_enzyme_liz96 points·3 days ago

and worth saying: normal lipase does not rule out a problem, it rules out one specific problem. people read one normal result as an all-clear.

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u/pancreatitis_scareOP88 points·2 days ago

which is exactly what i did in the waiting room, mentally, for about ten minutes.

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u/dizzy_on_standing132 points·3 days ago

adjacent one worth flagging: my dizziness turned out to be a blood pressure med that was now too strong for my weight. also not a forum question, also fixed in one appointment.

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u/wholesome_lurker104 points·3 days ago

the four-days-of-waiting bit is the part that will actually change somebody's behaviour. thank you for including it rather than just the outcome.

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u/nurse_ish_202578 points·3 days ago·edited

the instinct to check whether you are overreacting before seeking help is nearly universal and it is the thing that costs people days. edit: and it is worse for people who have been told they are dramatic before.

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[removed]-14 points·3 days ago

[removed by moderator]

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u/quiet_moderatorMOD121 points·3 days ago

Removed a reply speculating about a specific reader's symptoms. This is the one thing that is never allowed in this community, no matter how well-intentioned.

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[deleted]3 points·3 days ago

[deleted]

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About c/sideeffects

Side-effect experience and management, with a strong bias toward the ones that are common and boring (nausea, constipation, reflux, fatigue, sulphur burps) and a hard line on the ones that are not (severe abdominal pain, persistent vomiting, jaundice, vision changes). This community is not a substitute for urgent care and the mods will say so bluntly.

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c/sideeffects rules
  1. Severe or escalating abdominal pain is an urgent-care question, not a forum question. We will lock those threads with a pointer to help.
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