OpenHealth Q&A

Get answered by medical professionals

AllPain & DiscomfortSkin & HairDigestive IssuesRespiratory ProblemsMental Health

Recent Questions

Experiencing a Manic Episode Despite Medication: Is This Typical?

Age: 38 Gender: Male Height: 6’5” Weight: 225 lbs Ethnicity: Caucasian Duration of Symptoms: I began experiencing manic symptoms in November. I have a bipolar diagnosis that dates back to when I was 16 years old. Location: Pennsylvania Pre-existing Health Conditions: Diagnosed with Bipolar 1, ADHD, anxiety, and an eating disorder. Current Medications: Currently prescribed include: Lurasidone HCl 60 mg tablets, Doxepin HCl 6 mg tablets, Lithium 300 mg, Lisdexamfetamine 70 mg, Zolpidem 12.5 mg controlled-release, Pregabalin 225 mg, Jardiance 10 mg, Lisinopril 10 mg, Naltrexone 50 mg, Mounjaro 15 mg/0.5 mL solution, and Topiramate ER 200 mg, along with Atorvastatin 20 mg. I hope I’ve followed the guidelines for this post. I’m currently enduring a manic episode. It began with symptoms such as restlessness, excessive irritability, racing thoughts, impulsive spending, and rapid speech. Now, I’m facing the aftermath with symptoms of profound depression, thoughts of self-harm, very low energy, and ongoing irritability. I'm quite disheartened as my medication regimen seems ineffective in preventing this episode. Should I reach out to my physician to discuss adjusting my medication or increasing the dosage? It feels like my lithium intake is relatively low at 300 mg taken three times daily. Is it frequent for someone to experience a manic episode while on multiple types of medication, particularly a combination like lithium, Lurasidone, and Doxepin? The Lisdexamfetamine I’m taking is aimed at managing ADHD and my eating issues. Any advice or insights would be immensely valuable. Thank you!

Bipolar DisorderPsychiatryDepression
Male • 25-34
1 minute ago

Swelling Beneath My Chin Near the Jawline

18-Year-Old Male: I'm reaching out to any medical professionals who might provide insights into my situation. I've been using marijuana since I was 14, but now, at 17, I'm making an effort to stop and have been clean for 18 days. Recently, I've discovered an unusual swelling located just beneath my chin, behind my jaw. It causes some discomfort when I move, yet it doesn’t feel painful continuously. I'm somewhat anxious that this could be indicative of a more serious issue, especially considering it's positioned near my chin's lymph nodes. Any advice or information would be greatly appreciated as it might help alleviate my worry.

ArthritisLupusInternal Medicine
Male • 25-34
1 minute ago

Challenges with Appetite and Discomfort While Eating — Difficulty in Gaining Weight

As an 18-year-old male, I find that I become satisfied after consuming rather minimal amounts of food. This situation presents a considerable challenge, particularly since I only need to have a standard breakfast, lunch, or dinner to feel completely satiated for the remainder of the day. My goal of increasing my weight has made this issue even more complicated. When I limit myself to one meal per day, I often face weight loss or an uncomfortable sensation of fullness that leaves me feeling sluggish. Opting for two meals makes me feel excessively bloated, distracting me from my daily responsibilities. Moreover, I suffer from an unusual issue with my throat, where almost any food I consume causes discomfort, as detailed in the list below. I have contemplated focusing on having just lunch while continuing my weightlifting regimen to maintain my current weight and gradually build muscle. What advice could you offer? Could there be an underlying cause for these symptoms? Lastly, would it be wise for me to consult a healthcare professional? Foods That Cause Discomfort: Bread, flour, pizza, fruits, sugary or starchy items, seed oils, chips, and essentially everything else. Foods That Are Tolerable: Rice, salads, chicken, fish, and vegetables. Overall Symptoms Include: * Quick satiety after normal meals * Challenges in gaining weight * Bloated and lethargic sensations when consuming more than one meal * Persistent throat sensitivity to a wide variety of foods

Thyroid DisordersInternal MedicineEndocrinology
Male • 25-34
10 minutes ago

Is a Burning Sensation from Mouthwash Common?

I've recently been using a mint-flavored mouthwash, specifically Crest's teeth whitening formula. However, it caused significant discomfort, stinging my lips and tongue to the point where I felt compelled to switch to Therabreath. Additionally, I had come across information suggesting that teeth whitening mouthwashes might harm your enamel. Therabreath also contains fluoride and mint, and while it still causes some burning, it's noticeably more tolerable than the previous brand. For a long time, I assumed this burning sensation was simply a normal part of using mouthwash, as I have experienced similar discomfort during dental visits throughout my life. To manage the sting from Therabreath, I've found that spitting it out before the pain becomes too intense has been a helpful strategy since it's not quite as severe. At this point, I am uncertain if my reaction is specific to mint or another ingredient present in the mouthwash. I have always disliked using mouthwash due to the discomfort it brings, but Therabreath is just tolerable enough that I keep using it. I'm turning to Reddit for advice first, as I would prefer not to visit my doctor only to be told that this sensation is typical and thus wasting her time. Being autistic, I sometimes find certain sensory experiences overwhelming, and it’s possible that I could just be particularly sensitive in this case.

Sleep WalkingFatigueSleep Medicine
Male • 25-34
41 minutes ago

Seeking Insights: My Journey with Undiagnosed Neurological Symptoms

Hello everyone, I'm a 34-year-old female grappling with neurological symptoms that first appeared in October, and I’m eager to hear from anyone who might have faced similar challenges. My journey began with unexpected migraines, blurred vision, and an ongoing sensation of being off-balance or intoxicated. Gradually, I began experiencing mainly sensory-related symptoms, such as tingling and burning sensations, feelings of extreme heat and cold, sharp pains radiating in my arms and back, as well as discomfort in my hands and toes, alongside intermittent numbness. I also endure varying degrees of weakness and heaviness in my right side, specifically my arm and leg, although I haven’t suffered complete functional loss. The nature of my symptoms is erratic; they fluctuate rather than consistently deteriorate. An MRI revealed mild, scattered lesions in the white matter, which were deemed nonspecific. Further tests from a lumbar puncture returned normal results, showing no markers of inflammation, and the oligoclonal bands were not present. A thorough range of lab tests yielded no significant findings. After evaluating my case, the neurology team suggested a possible diagnosis of MS and administered a three-day course of intravenous steroids. While I noticed a slight improvement in some sensory pain, my symptoms persist and continue to vary day by day. I still experience headaches and pressure in my head along with episodes of blurred vision, but there have been no new deficits since treatment. I am reaching out to connect with others who have had similar experiences. I would like to learn about the insights or diagnoses you encountered and what treatments proved beneficial (such as those related to migraine disorders, dysautonomia, or sensory neuropathy, for example). If you have navigated a similar path, I would greatly appreciate your sharing your story. Thank you!

Multiple SclerosisLupusEndocrinology
Male • 25-34
51 minutes ago

Understanding Symptoms of Salmonella: What to Do Next

My boyfriend, who is 26, experienced a fever that peaked at approximately 99.5°F yesterday morning. Thankfully, after resting and taking NyQuil, his fever subsided by this morning. However, he has been dealing with severe abdominal pain and persistent diarrhea since last evening, which has not shown much improvement. He has been making frequent trips to the restroom, nearly every hour throughout the night and again today. While I initially thought he might be improving since the fever has decreased, I became alarmed upon noticing bright red blood in his stool and on the toilet paper after he wipes. It has been around 40 hours since the fever began, and my concern has heightened now that blood has appeared. I’ve come across some online information suggesting these symptoms might be typical for salmonella infections, and I’m uncertain whether we should seek medical attention immediately or if it’s advisable to wait another day or two to see if his condition improves. I realize that consulting a doctor as soon as possible would be the best course of action. However, he currently lacks insurance, which makes him hesitant to get checked right away. Any guidance on this matter would be greatly appreciated, thank you.

Drug AllergiesHivesAllergy & Immunology
Male • 25-34
51 minutes ago

Should I Seek Medical Attention for Left Ear Pulsatile Tinnitus?

A 31-year-old woman reports an ongoing issue with pulsatile tinnitus, which she is currently experiencing solely in her left ear. Although she's noticed this condition intermittently before, she hadn’t paid it much mind due to the absence of pain. Recently, however, her curiosity piqued her interest in researching the condition, where she stumbled upon information suggesting it could be serious. Usually, she avoids searching online for health worries, but now she is contemplating whether a visit to the doctor might be warranted. Can anyone advise on the need for a medical evaluation in this case?

LupusThyroid DisordersInternal Medicine
Male • 25-34
51 minutes ago

Concerns About Angular Cheilitis

I’m a 23-year-old woman with no history of smoking, and I’m seeking assistance regarding a health issue. Back in January, I experienced angular cheilitis three times, each episode involving a minor crack at the corner of my mouth that healed within a few days. Following the last occurrence, I became quite anxious due to saliva accumulation in that area. I found myself frequently brushing my finger along that spot. After a few days, I observed a small area forming that appeared white and had a rough texture. Eventually, I realized it was not just a coincidence, and I started taking action, but only after it became noticeably larger. To address it, I cleaned the area with a mix of alcohol and apple cider vinegar. I’m uncertain about what this issue could be, but I’ve recently begun using over-the-counter Clotrimazole cream while also keeping the area moisturized with either lanolin or petroleum jelly. Unfortunately, I haven’t noticed any improvement, and I’m concerned as it seems to be expanding. The patch continues to be rough and excessively dry. Although I can open my mouth wide without any cracks forming, I do feel tension in the skin, similar to having a bandage over that location. At times, I experience a burning sensation after thorough washing, and I’ve noticed tiny red spots appearing on the outer edges of the patch sporadically.

LupusInternal MedicineEndocrinology
Male • 25-34
1 hour ago

Chronic Foot Pain: Seeking Insights on Possible Causes

I'm reaching out to gather thoughts on a perplexing issue I'm facing. Since my first pregnancy back in 2020, I've been dealing with intense foot pain that appears unpredictably. It all started when I was about seven months along while working long shifts in a busy kitchen, four days a week, for eight hours each day. At the time, I dismissed the discomfort as something typical for pregnancy, but it fortunately subsided about six months after giving birth to my first child. Fast forward to late 2024, when I became pregnant with my second child. By now, I had transitioned to being a stay-at-home mother, with none of the rigorous demands of my previous job. However, around three months into this new pregnancy, the foot pain reemerged and has persisted ever since. My youngest is turning two this month, which helps frame this timeline. The pain has oscillated between being severe and manageable, but the previous six months have marked a significant decline into debilitating territory. When I am at rest, I feel sharp pains in my metatarsals that radiate up to my knees. To alleviate some discomfort, I’ve been altering my walking style to shift weight more onto my heels instead of the balls of my feet. However, this adjustment has introduced a new level of discomfort in my heels. Ironically, the only relief I find is while walking. Nonetheless, excessive walking—even something as simple as taking my oldest to school for a brief ten-minute journey—leaves me nearly immobilized the following day. Currently, I’m on a regimen of 50 mg of APO-Diclofenac DR, taken twice daily, yet I’ve found no relief. Previously, I also tried 500 mg of naproxen twice a day without any positive outcomes. I've experimented with various footwear, but none have alleviated the pain. My primary care physician has arranged for bilateral x-rays and blood tests to check for conditions like gout and markers for osteoarthritis and rheumatoid arthritis, among other things. So far, all tests have returned normal. There have been occasions where I’ve had to keep my oldest child at home from school simply because I’m unable to walk even a short distance, such as the fifty steps from my bedroom to the kitchen. Standing causes distress, and even elevating my feet while resting feels unbearable. Additionally, any gentle touch to my feet triggers intense pain that shoots up my shins. The only feedback I’ve received from my doctor so far is that it likely stems from inflammation, along with a recommendation to expedite weight loss. I had a chiropractor assess my condition, and they noted that I am hypermobile, but I’m unsure how significant that could be to my situation. If you have any questions for clarification, I’d be more than willing to respond. I’m enduring considerable pain and would greatly appreciate any suggestions on possible avenues for finding relief.

Back PainJoint PainChronic Pain
Male • 25-34
1 hour ago

Concerns About Telemedicine during a Drive

Hello everyone, I'm a 28-year-old woman with a background of thyroid cancer, necessitating routine check-ups every six months. Recently, a question came to my mind regarding the professional conduct of my primary care physician. I was taken aback to learn that she participated in my telemedicine appointment while driving. I've noticed her appearing somewhat distracted during our in-person visits and at times, she forgets the medications we discuss during our reviews, but this situation felt even more inappropriate. It’s challenging for me to comprehend why I’m spending $450 post-insurance for what feels like a casual video call when it’s clear she is multitasking. Although I've been under her care for about two years, I'm eager to find a practitioner who will genuinely take the time to understand my health history and build a long-term relationship. I appreciate any insights you can offer!

Lifestyle ChangesFamily MedicinePreventive Medicine
Male • 25-34
1 hour ago
Ask a Question