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    Severe bloating, pain,swelling etc...
    JaimeRiddle posted:
    For more than a year now I have been experiencing severe abdomenal bloating, heavy menstrual bleeding with large clots, swelling in hands and abdomen, and dry mouth. I've had lots of bloodwork done, ct scan, colonoscopy, and so on and no one has been able to figure out what is happening. The only thing found was that I have non-alcoholic fatty liver. Now I am in the beginning stages of working with a fertility specialist b/c my husband and I have been trying to get pregnant for more than a year.....conincidence or are all of the problems related. I don't know and neither do any of the doctors I've seen apparently. I need help, PLEASE!!! Thank you-Jaime
    Jane Harrison Hohner, RN, RNP responded:
    Dear Jaime: The easiest question first, OK? It is not likely that the nonalcoholic fatty liver is the direct culprit in your delay to conceive. As you may have read, there can be a number of causes of fatty liver including: being middle-aged and obese, some medications, viral hepatitis, autoimmune liver disease, and malnutrition. Of this list, being older and heavy set, and having an autoimmune disorder can impact fertility.

    The heavy menstrual bleeding can have many causes which MIGHT decrease fertility. These include: infrequent ovulations, fibroids inside the uterine cavity, endometriosis of the muscular walls of the uterus, and infections inside the uterus.

    Severe abdominal bloating can be caused by fluid shifts in the gut, food allergies/intolerances, irritable bowel syndrome, and masses in side the abdomen. None of these would be as directly related to fertility as problems with ovulation.

    In your work with the infertility specialist they should be able to determine if there is a problem with ovulations, structural problems within the uterus (eg endometriosis, fibroids), or even male factors (low sperm counts). There are even so uncommon autoimmune disorders which can impact fertility.

    My best GUESS is that none of your doctors have been able to find a clearly delineated connection between your current symptoms and one specific diagnosis. It is often difficult to find a final common pathway for all symptoms--heaven knows MDs try and patients really want this kind of clarity.

    JaimeRiddle replied to Jane Harrison Hohner, RN, RNP's response:
    Thank you for taking time to respond, it means alot!
    Jane Harrison Hohner, RN, RNP replied to JaimeRiddle's response:
    Dear Jaime: Gosh, we hope that you can both conceive and have a healthy pregnancy/delivery. You are definitely doing the right thing in working with an infertility specialist.


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