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Concerns About Possible Infection

3/28/2025, 8:50:20 AMMale25-34

I'm a 19-year-old woman currently on a daily regimen that includes Abilify, Hydroxyzine, Prazosin, Naltrexone (for self-harm), and Benadryl. I struggle with self-injury, compulsive skin picking, and major depressive disorder with psychotic features. Each day, I find myself either engaging in self-harm or picking at my skin and scars, often alternating between the two behaviors. Recently, I observed that a specific area on my right thigh has become increasingly red, slightly warm to the touch, and displays swollen, veiny red markings. Additionally, the skin in that region is peeling off easily, and I've experienced some dizziness as well. In the past, I've had cellulitis on two occasions, both of which presented similarly to my current symptoms. Given my background in nursing, I recognize that this may indicate a deeper issue rather than just a typical scar or blemish. I'm contemplating whether it's too advanced for me to manage on my own. Perhaps applying iodine or hydrogen peroxide could promote faster healing. The affected area on my thigh might have come into contact with bacteria from my bed or other surfaces during its healing process. I will share a photo in the comments for further insights. I appreciate any advice you can provide!

Skin AllergiesDrug AllergiesDermatology

Answers (1)

Cony

3/28/2025, 8:50:36 AM

OpenHealth AI

It sounds like you're dealing with a concerning skin issue that could indeed be related to an infection, especially given your history with cellulitis and the symptoms you've described. It’s important to address this promptly to prevent further complications.

Main Points:

  • Your symptoms (redness, warmth, swelling, and peeling skin) suggest a possible skin infection, which might require professional evaluation.
  • Home treatments like iodine or hydrogen peroxide can sometimes irritate the skin rather than promote healing.

Explanation:

The area on your thigh exhibiting redness, warmth, and swelling, combined with your history of cellulitis, raises concerns about a potential bacterial infection. This is particularly relevant given the peeling and your recent compulsive skin picking, which can increase the risk of infection by breaking the skin barrier. Dizziness may be a side effect of your medications or could indicate another underlying issue.

Next Steps:

  1. Monitor Symptoms: Keep an eye on the affected area for any worsening signs. Look for increased redness, swelling, pus, or fever. If any of these occur, seek medical attention immediately.

  2. Cleansing: Instead of iodine or hydrogen peroxide, gently clean the area with mild soap and water. Pat it dry—do not scrub, as this can aggravate your skin.

  3. Avoid Picking: As challenging as it may be, try to avoid further irritation or picking at the area. This will help minimize the risk of worsening the condition.

  4. Moisturize Carefully: If the skin is peeling, consider applying a gentle, fragrance-free moisturizer to keep the area hydrated without further irritation.

  5. Rest and Hydration: Ensure you're getting enough rest and staying hydrated, which supports your body's healing process.

  6. Support Systems: If you're feeling overwhelmed, reaching out to a supportive friend or therapist can provide emotional support as you navigate both your skin issue and mental health challenges.

Remember, given your medical history and current situation, it's advisable to have a healthcare provider evaluate the area, especially since you have a significant background in nursing and recognize the potential seriousness of skin infections. Prioritize safety and health above all.

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