OpenHealth Q&A

Get answered by medical professionals

Lingering Effects of Past Substance Use

3/26/2025, 6:50:18 PMMale25-34

Last year, I went through a brief struggle with substance abuse that lasted about four months, and I continue to face medical challenges as a result. After ceasing the use of synthetic marijuana (K2) and consuming excessive amounts of alcohol, I noticed a dramatic decline in my cognitive skills, especially in reading and writing. While I have nearly regained my capabilities in these areas, I still encounter difficulties from time to time. One issue that concerns me is that my pupils have appeared uneven in size for almost a year. Additionally, I experience near-blindness and significant eye strain. Although wearing glasses has provided some relief, the symptoms return whenever I remove them. At 16 years old, I stand at 178 centimeters and maintain a weight of 50 to 55 kilograms consistently. I am not currently on any medication nor do I have any diagnosed medical conditions.

AgingWellnessLifestyle Changes

Answers (1)

Cony

3/26/2025, 6:50:33 PM

OpenHealth AI

It’s commendable that you recognize your past struggles with substance use and are seeking clarity and help for the lingering effects. Your concerns, especially regarding cognitive skills and eye-related issues, are valid and merit attention.

Main Points:

  1. Ongoing cognitive challenges and eye symptoms may stem from prior substance use.
  2. Uneven pupil size, persistent eye strain, and vision issues need thorough assessment.

Explanation: Substance use can affect various aspects of mental and physical health, including cognitive functioning and visual health. While it's good to see improvements in your cognitive abilities, ongoing difficulties can occur, potentially linked to the previous substances used. Uneven pupil size (anisocoria) can have several causes and, in some cases, may relate to past use of substances affecting the nervous system. Your experience of near-blindness and eye strain could be linked to other issues, such as visual strain from prolonged use of screens or an underlying eye condition.

Next Steps:

  1. Keep a Symptom Journal: Record your cognitive issues and any changes in your vision or eye strain. This can help identify patterns or triggers.

  2. Limit Screen Time: If you spend a lot of time on devices, take regular breaks to reduce eye strain (the 20-20-20 rule: every 20 minutes, look at something 20 feet away for 20 seconds).

  3. Stay Hydrated and Eat Well: Proper nutrition and hydration can support recovery; an adequate intake of vitamins (like B12) may help with cognitive functions.

  4. Eye Protection: Wear sunglasses in bright light and during outdoor activities to protect your eyes, and ensure you have the correct prescription for your glasses.

  5. Monitor Changes: If your symptoms worsen or do not improve, please seek evaluation from a healthcare professional. They can help rule out serious conditions and provide further support, such as vision therapy.

While these steps can help, openness to professional advice when needed is crucial for your overall health and well-being. Let me know if you need more guidance!

Related Questions

Interpretation Request for Recent Spinal NM Bone Scan

Hello, doctors. I'm reaching out for your insights regarding a recent NM bone scan of my spine. I've previously undergone a similar scan in 2022, and I'd like to compare the two. To provide context, I am a 29-year-old female weighing 100 kg, and I've been diagnosed with conditions including endplate sclerosis, spinal stenosis, cervical bone spurs, degenerative disc disease (DDD), and mild scoliosis. My medication regimen consists of several prescriptions. Unfortunately, my next appointment with my general practitioner is still a few weeks away, so I would appreciate your assessments on how the latest scan compares to the previous one. Thank you in advance for your help!

AgingWellnessFamily Medicine
Male25-34
1 hour ago

Unexpected Eye Issues: Headache and Double Vision Concerns

A 33-year-old female, measuring 1.67 meters in height and weighing 55 kilograms, residing in the Netherlands, experienced a sudden onset of symptoms. Last evening, shortly after dinner, my partner complained of a slight headache localized at the rear of her head. Along with this discomfort, she encountered double vision and noticed her right eye deviating outward. Interestingly, when she shut either eye, the double vision resolved, enabling her to see without distortion. We rushed her to the emergency room later that night. The medical team conducted a variety of assessments, including physical examinations, neurological evaluations, visual tests, and laboratory analyses. Fortunately, all results were normal. However, the doctors found it peculiar that her right eye exhibited normal movement and accurately tracked a pen in all directions when her left eye was closed. The medical opinion suggested that it may be a migraine-related episode, a condition she has experienced previously. Nonetheless, she insists that this feels unlike any migraine she has had in the past. A teleconsultation with a neurologist is scheduled for Monday to arrange an MRI should the symptoms continue. The doctors advised that if her symptoms worsen, we should return to the hospital immediately. Fortunately, after a night's rest, her vision had returned to normal by morning, the headache had subsided, and her right eye was aligned properly. I am understandably concerned, particularly due to her assertion that this does not resemble a typical migraine. Is it possible that this is indeed a migraine, or could it be indicative of another underlying issue? Thank you for your attention to this matter.

AgingWellnessPreventive Medicine
Male25-34
1 hour ago

Unexplained Bruises on My Right Hand – Seeking Advice

I've noticed some unusual bruising on my right hand over the past month. Strangely enough, they don't hurt at all. Should I be concerned about this? It's quite puzzling to see these random marks without any apparent cause.

WellnessFamily MedicinePreventive Medicine
Male25-34
3 hours ago

Intense Pain in Left Thumb

Greetings, I’ve been experiencing a piercing pain at the tip of my left thumb intermittently. This discomfort is situated within the thumb rather than on the outer skin. It primarily affects the underside of the thumb and surrounds the base of the nail. The pain seems to extend only to the first skin fold, specifically around the distal phalanx. When applying pressure, I’ve noticed some red streaks appearing beneath the surface, alongside the white area. I trust this explanation is clear. This issue has persisted for over a year, occurring sporadically but intensifying as time has passed. Could this be a cause for concern? A bit about myself: I am a 25-year-old female with no significant medical issues in my background. I previously smoked cigarettes for three years, transitioned to vaping, and have been vaping for six years now. I maintain an active lifestyle, frequently going to the gym and participating in various sports such as indoor football and pickleball. I don’t have any known allergies.

AgingLifestyle ChangesPreventive Medicine
Male25-34
3 hours ago

Persistent Need to Stretch Legs While Seated

I experience a significant discomfort when seated, particularly when my knees are bent at about a 90-degree angle. This sensation compels me to stretch my legs straight, and if too much time passes without doing so—typically around every five to six minutes—the urge intensifies to an uncomfortable level that’s hard to manage. It’s more than just a desire to fidget; fully extending my legs tends to offer the greatest relief. Adjusting my position provides some comfort, but it doesn’t alleviate the feeling nearly as effectively as a full stretch does. This issue predominantly arises when I remain stationary in a chair. Occasionally, I notice a similar feeling when I’m lying down, but these instances are relatively rare compared to the frequent occurrences while sitting. I consulted a relative who is a medical professional about this discomfort, and they suggested that it doesn’t appear to align with Restless Leg Syndrome. However, since this isn't their specialization, I acknowledge that there may be a chance of error. * What could potentially be causing these sensations? * Does anyone else relate to this experience? * Are there methods available to help manage or diminish this feeling? I would greatly appreciate any advice or insights.

WellnessSupplementsLifestyle Changes
Male25-34
4 hours ago