Thanks for writing in with this interesting question. How you should respond depends on whether these comments you are hearing are real or imagined. Although there certainly are rude people in the world, I find it unusual that you are hearing these comments as often as you describe and they are always about your body image. I’d suggest that you do a test by having someone you trust, such as a close friend or family member, walk with you as often as possible and see if they also hear the comments.
Auditory hallucinations can be linked to various things and diagnoses, both medical and psychological. I think it would be a good idea to schedule both a physical and psychiatric evaluation. Be sure to be completely honest about yourself such as recent medication changes, drug and alcohol use, sleep problems, and food intake so they can help you pinpoint the problem. I hope this resolves for you soon.
All the best,
Dr. Holly Counts