Dr. Ghulam Fareed
Medical Gastroenterology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hi doctor,
I recently started with Metformin tablet 1000 mg and raised it in 10 days up to 2000 mg. Since then, I have been feeling awful, and my adjustment was very rough as I felt nauseous. So, I skipped a day, and felt okay; the next day, I took it again and felt sick. Now I have permanent pain across my upper stomach, with a dry mouth, generally unwell after having medicine, and which goes up to the next day. I also have a history of gallbladder pain, so I am sensitive to what I eat. And years ago, I had the Metformin for PCOS and type 2 diabetes, but I stopped it as my diabetes number was stable with a plant-based diet. My laboratory test showed no issues except for A1C, which was high and all was normal. My A1C was 7.2 %. However, after two hours of eating last night, I had pain, and I am sick again this morning. I have taken a Metformin 1000 mg twice daily and Synthroid 25 mg for the last four years. So, my question is can it be a gallbladder or pancreas issue?
Thank you.
Hi,
Welcome to icliniq.com.
I have reviewed your case history in detail. As a tablet, Metformin is known to cause of gastric upset and upper abdominal discomfort. As you have already noticed, this occurs after increasing the dose of Metformin; I would like to suggest you reduce the dose or even stop it for a few days. You can visit your endocrinologist or physician to tell him that you are unable to tolerate a high dose of Metformin 2000 mg. Meanwhile, I would like to add some medicine for the symptomatic treatment of your complaints so that you can feel better. Consult your specialist doctor, talk to them, and take medications with their consent.
And regarding your other question, whether it is coming from the gall bladder or not, for this, you have to go for an ultrasound abdomen, and liver function tests to rule out biliary causes of abdominal pain or your symptoms. But I feel Metformin (metformin hydrochloride) 2000 mg can cause such issues.
Thank you.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Medical Gastroenterology
Related Questions
My stomach pain is radiating to my back and vomitus is yellow in color. Please help.
I experience severe dry mouth and memory problems on taking antibiotics. Why?
What causes headache, dry mouth and tightness in neck?
Diabetes Insipidus - Causes, Types, Symptoms, and Treatment
Diabetes - How Aware Are You?
Getting stomach pain and cramps during masturbation. Is that normal?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
