OpenHealth Q&A

Unexpected Changes in Bowel Habits, Skin Irritation, and Weight Fluctuation

Hello, I’m reaching out due to some concerning shifts in my health recently, and I’m curious if I should be worried about it. I’m a female, 18 years old, residing in Poland, with a height of 5’1” (approximately 160 cm). Historically, I’ve been rather underweight, typically hovering around 90 lbs (40 kg) for the past few years. However, over the last fortnight, I’ve noticed a significant increase in weight, bringing me close to 100 lbs (46 kg). This change would be less alarming if it wasn’t paired with a decreased appetite. Lately, I’ve been experiencing a peculiar, sharp pain in my lower abdomen, which radiates toward my ovaries and pelvic region. As a result, I find it challenging to finish even a small meal; my usual limited appetite has diminished further, and I can struggle to eat more than a few bites of bread before feeling uncomfortably full and bloated. Eating seems to trigger stomach pain, and I am having considerable difficulty with bowel movements, for which I’ve resorted to over-the-counter remedies, including herbal treatments. In addition, I’ve encountered an increase in urination frequency, coupled with a strange pressure on my bladder that complicates the act of urination itself. Moreover, I’ve been enduring migraines for a long time and occasionally utilize prescription tramadol (200 mg, if I recall correctly) for relief. Recently, this medication has been ineffective, as my migraines have intensified, causing consistent pain. I am undergoing evaluation for endometriosis and currently using a combination birth control pill. Additionally, I have psoriasis on my elbows but have no current treatment for it. Overall, these existing health issues have worsened, contributing to sleepless nights. Interestingly, I've also been noticing sudden red patches appearing on my hands and upper arms, which are quite itchy but distinct from my usual psoriasis flare-ups. These spots emerge randomly but vanish within about ten minutes without leaving any lasting marks. Despite undergoing numerous allergy tests throughout my life, none have indicated any allergies. Additionally, I suffer from a type of anemia (the specific name escapes me, but it relates to denser blood) inherited from my mother, for which I take iron supplements. Furthermore, my paternal family has a concerning history of pancreatic cancer; my grandfather succumbed to it after a remission, and my father is currently battling it following recent surgery, which has left me feeling anxious. Impressively, I find myself increasingly stressed due to my approaching finals, which has made it difficult to concentrate or even remain awake due to the toll these symptoms are taking on me. I have a gynecological appointment scheduled for the 25th, but I am unsure if this issue can be adequately addressed at that time. I attempted to research my symptoms online and find similar images for the rash, but I wasn’t able to find any definitive answers. I do have stool and urine tests planned for May, but I’m beginning to feel I may need to take more proactive steps and pursue a quicker check-up. To clarify, I do not consume alcohol, smoke, or engage with any illegal substances.

Answers (1)

3/21/2025, 6:50:45 PM

OpenHealth AI

It's understandable to feel concerned given the wide range of symptoms you've described, including changes in weight, appetite, abdominal pain, changes in bowel habits, increased urination, and new skin irritations. These symptoms can be interconnected and may require careful attention.

Summary of Key Points:

• Significant weight fluctuation with decreased appetite and abdominal pain.
• Changes in bowel movements and increased urinary frequency.
• New skin rashes and worsening migraines.
• History of endometriosis, anemia, and family history of pancreatic cancer.

Explanation

Your symptoms could have various causes, and since you have multiple interconnected issues (such as abdominal pain, bowel difficulties, and skin changes), they may point toward gastrointestinal, hormonal, or even stress-related factors. Acute changes in weight, especially with decreased appetite and abdominal pain, warrant serious attention. The family history of pancreatic cancer adds another layer of concern given the gastrointestinal symptoms. Additionally, the new skin irritation could suggest either a different dermatological condition or an allergic reaction.

Next Steps

1. Immediate Monitoring:

   • Keep a detailed journal of your symptoms, including when they occur, what you ate before the symptoms began, and any other activities or stressors that might be related.
   • Note specifically when abdominal pain occurs and its intensity, as this information will be helpful for healthcare providers.

2. Manage Your Diet:

   • Try to eat small, bland meals that are easy on the stomach (like plain rice, bananas, toast, or applesauce) to minimize discomfort and provide necessary nutrients.
   • Stay well-hydrated, but consider reducing fluid intake immediately before meals to help with feelings of fullness.

3. Pain Management:

   • Consider using a heat pad to alleviate abdominal pain temporarily, if comfortable, and try relaxation techniques (such as deep breathing or mindfulness) to help manage stress.

4. Prepare for Your Gynecological Appointment:

   • Make a list of your symptoms, the timeline of their onset, and any questions you want to ask regarding endometriosis and the current symptoms affecting you. It’s important to address how these symptoms could relate to hormonal issues or digestive concerns.

5. Consider Seeking Earlier Evaluation:

   • Given the range of your symptoms, especially if the abdominal pain worsens or if you have new symptoms like fever or severe discomfort, consider reaching out to a healthcare provider sooner than your scheduled gynecological appointment.

6. Follow Through on Testing:

   • Ensure that you follow through with your scheduled stool and urine tests in May and ask your provider if additional tests (like imaging studies) may be appropriate given your symptoms.

Your health can be complex, and it's important to advocate for yourself. If your symptoms worsen or significantly affect your day-to-day activities, don’t hesitate to seek medical advice earlier. You’re not alone in dealing with this; prioritizing your health and communicating your needs is critical.