OpenHealth Q&A

Get answered by medical professionals

Concerned it's Too Late for Recovery

3/23/2025, 3:10:21 PMMale25-34

Greetings, medical professionals. I'm reaching out here since I lack health insurance and don't have access to a regular physician. The last time I visited a doctor was in elementary school. I’m 17 years old and have been using substances since I was about 12. I tried cannabis at 11, but I don’t think that really counts. My serious drug use began at 12; to give you an idea of what I’ve been involved with, it includes a wide range, but currently, it primarily revolves around intravenous heroin or cocaine. Recently, I've been experiencing intermittent fevers, and my heart feels like it’s racing uncontrollably. While I'm not certain about the exact rate, it seems to speed up, especially at night. I often find myself anxious, fearing I won’t wake up. The fevers come and go, and I can sense them because I feel both hot and cold, along with shivering and flushed cheeks. I’ve been taking some Tylenol, which provides temporary relief; however, my mom believes that if I continue using it, my illness will persist longer. She thinks I might just be dealing with a common cold. I’m also contemplating whether my persistent toothache, which worsens when I’m not under the influence, might be contributing to how I feel. I’m increasingly fearful that I could have caused irreversible damage to myself and that I might face fatal outcomes. Is it too late to redeem my health if I quit using substances? I had previously accepted the notion that my lifespan would be short due to my lifestyle, and I was okay with that. But recently, especially with how I’ve been feeling, I'm starting to panic. I desire to pursue a job and consider turning my life around—perhaps this shift in mindset is a sign of a crisis. Have I irreparably harmed myself after five years of this lifestyle? Female, 17 years old, 5’1, 82 lbs.

FibromyalgiaCOPDEndocrinology

Answers (1)

Cony

3/23/2025, 3:10:41 PM

OpenHealth AI

It's commendable that you're reaching out for help and considering a change in your life. Your current physical and emotional symptoms, such as intermittent fevers, racing heart, anxiety, and tooth pain, are concerning and could be related to your substance use. The good news is that it’s never too late to seek help and turn your health around.

Explanation

Substance use, especially intravenous opioids and stimulants, can have serious impacts on your health, both physically and mentally. Your symptoms of fever and heart palpitations could indicate an underlying issue that needs attention, potentially linked to infections, withdrawal symptoms, or even anxiety. The toothache you mentioned could also be affecting your overall health, as untreated dental problems can lead to infections that impact the entire body.

It's important to recognize that many people recover from substance use issues and improve their health significantly with the right support and lifestyle changes. Your desire to pursue a job and change your life is a positive indication that you're ready for a shift.

Next Steps

  1. Prioritize Your Health: Take note of current symptoms, especially if they worsen, and consider seeking medical attention, even if it’s through a community health clinic or harm reduction services, which may offer services at low or no cost.

  2. Hydration and Nutrition: Focus on drinking plenty of water and eating balanced meals to help your body recover from substance use and manage any withdrawal symptoms. Since you're underweight for your height, incorporating nutrient-rich foods will be especially beneficial.

  3. Reduce Substance Use: If you haven't already, aim to gradually reduce or stop substance use. Consider reaching out to support groups or services dedicated to substance use recovery. These can offer guidance and support during your transition.

  4. Manage Anxiety: Practice relaxation techniques such as deep breathing, meditation, or mindfulness to help you manage your anxiety. Engaging in physical activities, like walking, can also improve your mental well-being.

  5. Dental Care: Try to address your toothache by seeking dental care. Some clinics provide services on a sliding scale based on income, so inquire about options if cost is a hurdle.

Remember that reaching out for help, whether through a support group, local community resources, or other programs, is a vital step. You have already taken a significant step by acknowledging your situation and wanting to change. With determination and appropriate support, many have successfully turned their lives around and improved their health. Don't hesitate to take that first step towards recovery.

Related Questions

Persistent Pain in Right Shoulder and Arm After Lifting

Hello, everyone! I’m a 23-year-old male and have been engaged in weightlifting for several years now. Recently, I’ve been struggling with ongoing discomfort in my right shoulder and arm, which I haven’t been able to accurately identify. The pain manifests during particular movements, especially with lateral raises or when my arm is raised to shoulder level while rotating my wrist. Certain pressing and pulling activities can also provoke this discomfort. Rather than feeling sharp, it’s a deep, nagging sensation that sometimes seems localized in the front area of the shoulder or at the biceps tendon, and at other times it feels more like it’s situated between the shoulder and upper arm. Fortunately, there’s no numbness or tingling involved. This issue began while I was working out. I decided to take a break for around two months, but when I returned, the pain persisted. After consulting a physician, I was diagnosed with bicipital tendinitis. Since then, I’ve reduced my upper-body workouts, completely steering clear of shoulder exercises and heavy lifting, and have begun a gentle rehabilitation regimen focusing on external rotations, pendulum movements, and scapular exercises. Despite adhering to this routine for about a week, I haven’t experienced any noticeable improvement. Is it typical for this type of tendon injury to require an extended period for recovery? At what point should I consider diagnostic imaging, such as an ultrasound or MRI? Additionally, are there frequent rehabilitation errors that might impede the healing process? I appreciate your insights in advance!

ArthritisFibromyalgiaInternal Medicine
Male25-34
29 minutes ago

Understanding EEG Results for My 22-Month-Old Son: Insights Needed

Could someone help clarify this for me? My son, who is just 22 months old, hasn’t started walking yet, becomes tired easily, and has been experiencing behavioral outbursts. He had a febrile seizure in February 2025, followed by another unexplained seizure in April 2025, which led us to consult a neurologist. Since he was 3 months old, he has been receiving therapy from a physical therapist for torticollis. At birth, he spent five days in the NICU due to issues with meconium aspiration. A recent MRI showed normal results, and he also had a follow-up EEG after one conducted in July 2025. The results from this recent EEG were abnormal for a pediatric patient in awake, drowsy, and sleeping states. Notably, there were brief episodes of left frontotemporal delta slowing, which occurred mainly when he was awake and drowsy. There were no signs of epileptiform activity detected. In contrast, the EEG performed back on July 3, 2025, was deemed normal for both awake and drowsy states, again with no evidence of epileptiform irregularities, although it did not capture any sleep data. This examination was prompted by the child's existing history of febrile seizures. Importantly, he is not currently on any anti-seizure medications. The EEG procedure used standard electrode placements per the 10-20 system, conducted a single-lead EKG, and included continuous video monitoring. During the analysis, the background activity was symmetric, indicating some anterior-posterior (AP) organization, with a dominant rhythm of 50-80 microvolts at 7 Hz. His drowsy state was marked by a reduced amount of eye blink activity, less breathing motion interference, and a generalized slowing in theta/delta frequencies. Stage II sleep exhibited spindles and vertex waves patterns. Additionally, there were intermittent bursts of 250-300 microvolts in the left frontotemporal region with semi-rhythmic activity of 2-4 Hz, mostly observed during wakefulness and drowsiness. No definitive epileptiform discharge was noted. Photic stimulation during the test did not elicit a strong response, and hyperventilation was not conducted during this session.

Multiple SclerosisCrohn's DiseaseEndocrinology
Male25-34
48 minutes ago

INTENSE Spine Discomfort, Breathing Difficulties, Muscle Twitches, and Sweating

To elaborate on the situation mentioned in the title, I’ve been experiencing unusual muscle twitches and spasms for the past few days, along with some discomfort in my back. However, today, I felt an unexpected sharp pain shoot through my spine, which has left my legs feeling numb and made it impossible for me to sit up straight. Additionally, I’ve been dealing with cold sweats for the last hour and struggling to breathe properly. Perhaps I’m just overanalyzing things and it’s a common occurrence, but the intensity of the pain is overwhelming—it's truly unbearable. I’m shaking quite a bit, and unfortunately, my parents aren’t responding to my attempts to reach them for help. I have a history of a chronic heart condition and arthritis, yet I’ve never experienced pain this severe, especially in my spine. For context, I am nearly 15 years old and female. My current medications include pain relievers, anxiety medication, beta blockers, and some vitamins, though those specifics may not be particularly relevant. I don’t smoke; however, I have tried vaping a few times, which might not matter much, but I thought it was worth mentioning as it was requested.

ArthritisCOPDRheumatology
Male25-34
59 minutes ago

Understanding Atrial Fibrillation and Thyroid Issues: Variability in Cardioversion Decisions

Hello everyone, I’m reaching out for guidance regarding my mother’s current health situation, and I’d greatly appreciate any shared experiences or thoughts. **My mother's background:** - **Age**: 55 years - **Weight**: Recently dropped to 116 kg from 118 kg in just two days, likely due to diuretics. - **Health history**: Previously an underactive thyroid, undiagnosed and untreated, now presenting as overactive. - **Medications**: Currently taking thyroid medication and a beta-blocker (Rapiblock). **Current health status:** My mother has been hospitalized since Tuesday, experiencing **atrial fibrillation with heart rates exceeding 200** beats per minute due to her thyroid's hyperactivity. - The plan for cardioversion was initially settled on Tuesday. However, the following day, the medical team advised postponing it until her thyroid levels could be stabilized, believing that her heart rate would return to normal once her thyroid condition was managed. - Her **obesity** precludes her from undergoing a transthoracic echocardiogram, and due to her thyroid concerns, she cannot handle contrast dye (this has been a consistent issue for over four years). Therefore, the only feasible option was a **transesophageal echocardiogram (TEE)**, which has yet to be performed. - She has been prescribed various medications including beta-blockers and thyroid treatments in the past. - On Friday, a doctor proposed proceeding with cardioversion; however, the attending senior physician objected. - Today (Saturday), another clinician has expressed a desire to move forward with cardioversion, having initiated a new medication, as the senior physician is unavailable. - **Communication has been unclear**, as we were notified of developments by a nurse rather than the physician in charge, causing confusion and anxiety. - Currently, only a **chest X-ray** is scheduled, and the TEE remains unaddressed. **My inquiries are as follows:** 1. Is it common for medical professionals to have varying opinions and frequently revise medication or treatment plans like cardioversion? 2. Is it safe to conduct cardioversion in the absence of a TEE? I presumed that this was a standard procedure to exclude the presence of blood clots. 3. Is it usual practice to have only a chest X-ray prior to moving ahead with cardioversion? 4. How typical is it for patients or their families to not be directly informed about treatment changes and learn about them through nursing staff instead? I recognize that this cannot substitute for professional medical advice. I’m simply trying to discern whether these circumstances are typical or if we should express our concerns more assertively with the healthcare facility. Thank you for your insights!

Thyroid DisordersEndocrinologyRheumatology
Male25-34
1 hour ago

28-Year-Old Male Experiencing Scalp Sensations Post-Amitriptyline Treatment

I am a 28-year-old man in generally good health, without any cardiac concerns. Approximately a month ago, I encountered intense pain localized to one side of my head, which was unresponsive to paracetamol. However, a single dose of a migraine treatment provided substantial relief. Following that, I began a regimen of amitriptyline, starting at a nightly dose of 10 to 25 mg. While my head pain has diminished significantly—by about 90 to 95%—I now experience occasional uncomfortable sensations on my scalp. These feelings include pins and needles, a cooling sensation, and some crawling feelings near my hairline and ears. There are fleeting moments where I feel brief throbs lasting a second, but I do not have any persistent headaches. To clarify, I do not experience any of the following: - Nausea - Weakness in my limbs - Numbness - Changes in my vision - Coordination difficulties - Seizures The symptoms I have are transient, shifting around and often intensifying when I become conscious of them or as the day progresses. I would like to know: Is it common to experience these sensations during the recovery stage following episodes of neuralgia or migraine-like discomfort? Additionally, could the amitriptyline potentially be causing these temporary paresthetic sensations? I am seeking some reassurance or advice on what is typically observed during this healing process. Thank you.

Multiple SclerosisCrohn's DiseaseEndocrinology
Male25-34
3 hours ago