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Published on: 7/22/2025

Sudden 20lb Weight Gain, Abdominal Pain, Facial Changes: What's Happening?

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20s, Female

Within the past 3 weeks, I have gained 20 pounds (which has never happened to me before, much less so quickly) and my stomach is suddenly larger than the rest of my body and painful. My hair suddenly looks and feels different, and my facial shape and features look noticeably different than they did 6 months ago. I have had the same diet and exercise habits for years, and have been on all my medications for at least 2 years. I’m very concerned about what is happening to me. Changing so quickly has made me not recognize myself.

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Dr. Taylor’s Response

I understand you're experiencing rapid weight gain, changes in your appearance, and abdominal pain. These sudden changes are understandably concerning, and I appreciate you sharing this information.

Given the rapid nature of these changes and the symptoms you're describing, I strongly recommend seeing a doctor as soon as possible. This situation requires prompt medical evaluation. Some potential conditions that could cause these symptoms include:

  • Hormonal imbalances (like thyroid disorders or Cushing's syndrome)
  • Fluid retention (which can be caused by various medical conditions)
  • Ovarian issues (such as cysts or tumors)
  • Liver or kidney problems
  • Certain medications (though you mentioned being on the same ones for years)

In my experience, sudden weight gain of 20 pounds in 3 weeks, especially when accompanied by changes in facial features and hair texture, warrants immediate medical attention. The abdominal pain you're experiencing is an additional reason for concern.

While waiting for your appointment, try to:

  • Keep a detailed log of your symptoms
  • Avoid any drastic changes to your diet or exercise routine
  • Stay well-hydrated

Remember, only a healthcare professional can provide an accurate diagnosis after a thorough examination and possibly some tests. Don't delay in seeking medical attention. Your health is important, and these changes deserve proper evaluation. Take care, and I hope you get answers soon.

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