Skin Concerns and Home Tattooing: What Should I Do?
Summary: I am currently experiencing skin issues linked to self-harm and dermatillomania, with recent attempts at DIY stick and poke tattoos that seem to have led to one potentially infected area. Should I seek professional help? Trigger Warning: Self-Harm Background: 22-year-old female with the following conditions: - Physical/Non-Psychiatric: Suspected hypermobile Ehlers-Danlos syndrome (awaiting vascular type confirmation), Mast Cell Activation Syndrome (MCAS), Postural Orthostatic Tachycardia Syndrome (POTS), Raynaud's phenomenon, Fibromyalgia, Bicuspid Aortic Valve Disease (BAVD), intermittent eczema, and exercise-induced asthma. Medical History: Recovered from COVID-19 seven times over the past two years and treated for a staph infection eight years ago with topical antibiotics that quickly resolved a facial outbreak. As a child, I was frequently ill, especially with UTIs. Recently, I've been undergoing treatment for anorexia nervosa for about five months; my weight is stable at 110 lbs (height: 5'3"), though I typically weigh around 128 lbs. Neuro-Psych Conditions: Diagnosed with Autism Spectrum Disorder (Level 1), ADHD, multiple anxiety disorders, OCD, excoriation disorder (skin picking), and non-suicidal self-injury (cutting). Current Situation: - After staying clean for a month, I relapsed on March 17th and began cutting with metal scissors intended for yarn. I later switched to blood glucose lancets, using them around one to two times daily until March 21st, causing cuts on my left arm, both legs, and my chest. - Concurrently, my skin picking continued, particularly on my legs, where I dealt with folliculitis, and I also picked at my chest. - On March 18th, during a self-harm episode, I ineptly attempted a stick and poke tattoo of a semicolon on my wrist using a lancet. Although the drawing was poor, it hadn’t bled or hurt at that time. Reflecting now, I realize that this action may lead to complications. - On March 19th, using a new lancet, I made two additional tattoos—a heart on one hand and a smiley face on my finger. Assuming my methods were incorrect due to a lack of pain or bleeding, I repeatedly went over the designs, even over the semicolon, pressing in too deeply with various inks, including a waterproof mascara. - I have documented my self-harm and the tattoos from day one in case of infection. Concerns: - I observed a small, circular, red bump on my left hand that was painful, resembling staph infection symptoms, but has since improved and no longer hurts. - The semicolon has formed a hard scab with yellow and white spots, and although any ink seems to be pushing out from the skin, there's been no pus or oozing from any injuries. - The heart and smiley face tattoos appear to be healing without complications—no redness, discoloration, or signs of infection. However, some self-harm areas might have an infection. - I have been diligently applying over-the-counter topical ointment, washing the areas with gentle soap, and keeping them uncovered except for loose sleeves. With a past staph infection, I’m concerned because online resources advise immediate medical attention in similar circumstances. My financial situation currently makes me hesitant to visit urgent care, especially as I'm worried about the possibility of being placed on a psychiatric hold. I’m actively participating in treatment for my eating disorder and recently transitioned from a residential program just a month ago, which makes me feel that a hold might be unnecessary. I appreciate your patience with this lengthy post; I aimed to provide comprehensive information. Despite my understanding of medical care being more extensive than average, I know that what I did was reckless. At the time of these actions, I wasn’t in a good mental state. Previously, I had successfully and safely pierced my own ears using professional supplies, following proper sanitary methods, which highlights how poorly I approached this situation. I recognize my errors and assure you that I will refrain from repeating them. My primary concern is whether it's safe to wait it out with at-home care or if a doctor’s evaluation is warranted. I will share photographs as soon as I can figure out how to do so.
Answers (1)
3/23/2025, 8:10:54 PM
OpenHealth AI
Thank you for sharing your situation. It’s clear you’re dealing with a lot, and I appreciate your willingness to provide detailed information. Based on what you've shared, your skin concerns and recent attempts at DIY tattoos indeed require careful consideration.
Main Points:
- Signs of Potential Infection: You noted symptoms that could indicate infection, particularly the painful red bump and the hard scab with yellow/white spots.
- Importance of Monitoring: You are currently managing the situation with good hygiene practices, but specific symptoms merit further evaluation.
- Seeking Professional Help: Given your history and concerns, a professional evaluation may be necessary to ensure your health and safety.
Explanation:
You mentioned a red bump on your hand along with scab formation and symptoms that could suggest infection. While it's commendable that you're applying topical ointments and keeping the areas clean, some infections, especially after skin breaks, can escalate quickly. Your background of recurrent staph infections, combined with the recent attempts at tattooing, raises the importance of monitoring for any changes.
Actionable Steps:
- Continue Good Hygiene: Maintain your current practice of washing the area gently with soap and water, and apply topical antibiotic ointments if not already done.
- Monitor Symptoms Closely: Look out for signs of infection, including:
- Increasing redness or swelling
- Increased pain or tenderness in the area
- Pus or discharge developing
- Fever or malaise If these symptoms arise, it would be important to seek care promptly.
- Be Cautious About DIY Methods: While your intentions in tattooing were creative, it's crucial to avoid these methods for the time being. Moving forward, consider safer alternatives for self-expression once you're feeling better.
- Consider Financial Assistance for Healthcare: If you feel it's necessary to see a doctor but are worried about the costs, research local clinics that offer sliding scale fees based on income, community health centers, or telemedicine options. It's worth discussing your concerns with a healthcare professional who can provide compassionate care without placing you in a program you don't feel is necessary.
- Reach Out for Support: Given the mental health aspect and the impact of self-harm urges, it might be beneficial to engage with your current support system, whether it be a therapist, a support group, or trusted individuals in your life.
Ultimately, your health and well-being are most important. If anything about your symptoms worsens, don’t hesitate to reach out for professional help despite your concerns. You’re taking important steps by recognizing the situation and actively managing it, and that's commendable. Please take care of yourself, and know that there are people out there who can help you through this. Feel free to share updates or ask further questions.
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