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PCOS and Scary pains with Metformin

I was diagnosed with PCOS last year. I began taking Metformin a few months later in an effort to help with weight loss to ease my symptoms. I was on 500 mg a day in the morning. I lost about 15 lbs but that was all (I was about 60 lbs overweight, about 35 lbs away from being able to have cycles on my own). As a side-note, I also was put on birth control which helped tremendously with my cycles and irritability.
My doctor upped my dose of Metformin about 4 months ago. I take two 750 mg slow-release capsules a day (1500 mg total--3x my original dosage per day). Yesterday, after dinner, I had some chocolate (I should not have, I had several pieces, but not a truck-load or anything...was not anticipating anything bad coming from it). I woke up at about 3 am with severe upper and mid-abdominal pains. It was so bad, I thought I might need to go to the hospital. After a few hours, it mostly disappeared and I was able to go back to sleep, but I was very afraid I had pancreatic or liver failure (or something).
A similar thing happened one other time when I ate very badly one day (ate several sweets), but not to this degree. (Since that original occurrence, I seldom eat sweets.) I had never had an issue prior.
Does anyone have any ideas or information about this kind of thing? What happened to me? Why? What should I check for? (I'll stay away from the dark chocolate from now on.) Could this mean my dosage is too high?
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Avatar universal
This abdominal pain which mostly occurs after eating is most likely to be gastritis or hyperacidity. Hence it would be best to avoid such kind of foods that cause it. Gastritis causing nausea and vomiting and abdominal pain is also a side effect of metformin. Antacids can be taken to reduce the symptoms. You can also consider reducing the dose of metformin.
The answer is based on information provided. Exact advice is not possible without a proper examination and investigations. You are requested to consult your Doctor. Take care and keep us posted.
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Avatar universal
Dr. Wanjari, thank you for your response. I was alarmed as the pain was right under my ribs (my front and back), right around where the liver and pancreas are located. I will be calling my doctor tomorrow and asking about this.
In the meantime, I will not be eating chocolate any longer and am trying to avoid sugar and breads.
I will respond again with what my doctor says.
Thanks again!
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