OpenHealth Q&A

Get answered by medical professionals

Emotional Turmoil Over Anal Discomfort: Seeking Support

4/1/2025, 5:20:36 PMMale25-34

Hello everyone. I’m reaching out to share my overwhelming feelings of anxiety that have persisted for weeks and have led me to a state of confusion. I’m in a state of fear, worrying that I might have herpes, though medical professionals don’t seem to share this concern. Any advice or shared experiences would be greatly appreciated. This situation began about three weeks ago in early March. I noticed a tingling sensation around my anal region, but there were no visible sores, just discomfort. Having a history of anal fissures, I initially thought that might be the culprit. I tried using Preparation H, which provided some relief, but not completely. During my first visit to the doctor, she suggested that it might be an irritation or possibly a yeast infection and recommended using Monistat for a three-day treatment. Unfortunately, the Monistat caused more burning and irritation. On top of that, she prescribed a topical cream that I later discovered can be linked to various skin conditions, including herpes, which added to my anxiety. However, the cream did not alleviate my symptoms either. As the days progressed, I continued to feel a persistent burning sensation—though it wasn’t painful, it was certainly unusual. Some mild itching and irritation in my vaginal area occurred but dissipated quickly. No sores were present, yet I felt a general sense of discomfort and something being “off”. Then, I began experiencing random tingling in my anal and genital areas, as well as throughout my body—legs, arms, hands, feet, and face. This new symptom heightened my anxiety further. Since then, I’ve been trapped in a cycle of health-related worries. I have consulted four different doctors, including a neurologist, and none of them believe my symptoms align with herpes. I underwent thorough STD testing (including urine, swabs, and blood tests), which returned negative results, although herpes wasn’t specifically tested. They assured me that there were no indications of herpes and saw no justification for additional testing. The physicians indicated that my condition could result from: - A possible reaction to Monistat or other products I've been using, such as PFB Vanish or a brightening cream. - Potential irritation from a fissure that might have been reactivated. - Symptoms related to anxiety—something I’ve battled previously. They explained how anxiety can lead to nerve hypersensitivity, resulting in sensations like tingling and heightened awareness of bodily sensations, which could explain why I perceive everything so acutely. But despite this information, I can’t shake my worries. - My anal area still feels somewhat uncomfortable and slightly irritated. When I check, I notice some redness and slight unevenness, leaving me unsure if this is typical anatomy. - Additionally, I’ve experienced a nagging shooting pain in my right inner buttocks, intensifying my fear. - An MRI is scheduled, but every doctor I’ve seen seems unconcerned. - I haven’t engaged in sexual activity since October or November, and all relevant STD tests from that period proved negative. - I did provide oral sex to an individual recently who displayed no visible herpes symptoms, yet I worry about the possibility of transmission or infection. What troubles me the most occurred just yesterday. I had a fairly good day—minimal tingling and I even went to the gym feeling mentally balanced. However, after spending hours on Reddit late into the night reading about herpes and health topics, the tingling returned with a vengeance, and my anal discomfort surged dramatically. Just moments ago, I experienced a sharp, alarming pain on my right inner buttock, which further escalated my anxiety. I understand that anxiety can significantly impact one’s perception and physical sensations. I’m striving to maintain my composure, but the fear that I might have herpes looms large, and I worry I might inadvertently miss early indicators or be in denial. I have no desire to unknowingly transmit anything to loved ones. If anyone has faced similar troubles—anal or genital burning, no visible sores, tingling sensations, or vague responses from doctors—please share. Does this align with herpes? Can these symptoms truly stem from anxiety and irritation? Thank you for taking the time to read my post. Your insights would mean a lot to me. This ongoing situation has significantly affected my routine; I’ve dropped six pounds and have been less consistent with my workouts, even missing classes due to the return of my symptoms. Additionally, I should mention that I’ve been experiencing a peculiar clicking sensation in my back for the last two months. While it's not painful, it remains quite noticeable.

Multiple SclerosisInternal MedicineRheumatology

Answers (1)

Cony

4/1/2025, 5:20:55 PM

OpenHealth AI

It sounds like you are going through a very difficult and anxiety-inducing time, and I want to acknowledge how overwhelming this experience must be for you. The symptoms you've described — tingling, discomfort in the anal area, and concerns about herpes — are understandably distressing, especially when compounded by your anxiety.

Key Points

  1. Your symptoms may not be linked to herpes, as supported by your multiple consultations with healthcare professionals who did not see enough evidence for this diagnosis.
  2. Anxiety can significantly heighten sensitivity to bodily sensations, potentially exacerbating feelings of discomfort.
  3. Managing anxiety, monitoring symptoms, and taking care of your physical well-being are crucial next steps.

Explanation

You mentioned that doctors have evaluated your situation extensively and concluded that your symptoms might stem from irritation, a reactivated fissure, or anxiety rather than an STD like herpes. Even though you are experiencing discomfort, the absence of visible sores and the negative test results offer reassurance.

It is important to understand that anxiety can lead to physical symptoms, such as tingling or hypersensitivity, which can feel very real. Additionally, factors like your previous history of anal fissures could contribute to sensations of discomfort.

Actionable Next Steps

  1. Focus on Relaxation Techniques: Since anxiety seems to play a big role in how you're feeling, engaging in relaxation strategies could help. Consider mindfulness exercises, deep breathing, or gentle yoga to help ground you and reduce anxiety.

  2. Monitor Symptoms: Keep a journal to track your symptoms, focusing on any patterns or triggers, particularly how anxiety influences your physical sensations. This might help in identifying manageable moments and reduce the overall sense of discomfort.

  3. Limit Exposure to Stressful Information: Since reading about health topics tends to escalate your anxiety, it might be beneficial to limit your time on platforms like Reddit. Instead, consider allocating that time to activities that you enjoy or find relaxing.

  4. Stay Engaged in Self-Care: Continue exercising if it brings you joy, as regular physical activity can boost your mood. Pay attention to diet and ensure you stay hydrated; these basic self-care strategies can make a substantial difference.

  5. Communicate with Your Doctors: Since you have an MRI scheduled, continue to communicate openly with your healthcare providers. If you are still feeling high levels of discomfort or anxiety, consider discussing referral options for counseling or therapy, which could provide additional support.

Remember, it's essential to be gentle with yourself during this time. Your symptoms and concerns are valid, and taking proactive steps toward managing both your physical and emotional health can lead to improvement.

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
38 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
58 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
1 hour 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
2 hours 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