OpenHealth Q&A

Get answered by medical professionals

Rash on Inner Elbow Area

6/17/2025, 2:10:21 AMMale25-34

I am a 24-year-old female and approximately two weeks ago, I noticed a rash developing on the inside of my elbows. My medical history includes diagnoses of endometriosis and high blood pressure. In the past, particularly during my college years, I experienced similar rashes; at that time, I believed they were simply heat rashes, likely due to my active lifestyle. However, this occurrence felt unusual because I hadn’t engaged in much outdoor activity lately, nor had I experienced any friction around that area. Initially, the rash seemed to be fading away. However, following my surgery last Thursday, it intensified. I underwent an abdominal laparoscopy to address my endometriosis and had my fallopian tubes removed. Since the IV was placed in my hand, I thought I had avoided any contact with my inner elbows. Yet, by Friday, the rash reappeared with greater severity and hasn’t shown signs of improvement. I've attempted to treat the rash with hydrocortisone cream and an assortment of antifungal ointments, but nothing seems to alleviate it. My regular medications include Zyrtec and Losartan, and post-surgery, I was prescribed Oxycodone and Amoxicillin. Additionally, I’ve taken Simethicone, Ondansetron, and stool softeners as needed. Since my surgery, I’ve mostly been resting in bed, either sleeping, working on my crochet projects, or using my phone while being comfortably cooled by air conditioning in my home.

HypertensionLupusInternal Medicine

Answers (1)

Cony

6/17/2025, 2:10:36 AM

OpenHealth AI

It sounds like you're experiencing an unusual and persistent rash on your inner elbows, especially following your recent surgery, which is understandably concerning. The fact that treatments like hydrocortisone and antifungal ointments haven't helped indicates that this may be something more than a simple rash.

Explanation

Rashes can have numerous causes, including allergies, irritants, infections, or conditions such as eczema or psoriasis. Given your surgical history and recent medications, there may also be factors like a potential allergic reaction to medications, changes in your immune response post-surgery, or a result of friction, even if it didn’t seem obvious.

Next Steps

  1. Keep Monitoring: Observe the rash for any changes in size, color, or pain. Take note of any additional symptoms like itching, weeping, or blistering, as well as any improvement or worsening over a few days.

  2. Discontinue Irritants: If you've recently changed any skincare products, detergents, or fabric materials that come into contact with your skin, consider stopping them to see if it improves the rash. Stick to gentle, hypoallergenic soap, and avoid perfumes or scented products.

  3. Re-evaluate Post-Surgery Medications: Since you are on several medications post-surgery, it may be worthwhile to consider if any of these might be reacting with your body in a way that contributes to the rash.

  4. Consider a Moisturizer: Apply a gentle, fragrance-free moisturizer regularly to keep the skin hydrated, which might help soothe the rash.

  5. Seek Further Evaluation: If there's no improvement in a few days or if the rash worsens, consider reaching out to a healthcare provider. They may recommend a more potent topical treatment, a different approach, or a skin evaluation to rule out allergic reactions or infections.

Your situation does warrant attention, especially after surgery and with these persistent symptoms. Taking these steps may help you find some relief while keeping an eye on your condition. Please feel free to update me on your progress or if any changes occur!

Related Questions

Concerns Regarding Carotid Artery Dissection

A 48-year-old woman, who does not smoke and seldom consumes alcohol, experienced a carotid artery dissection incident nearly two years ago. Following an unfortunate episode where she was strangled, she has been dealing with the aftermath of this condition. During the past 9 months, she was restricted to light duties and placed on blood thinners. Recently, a CT scan revealed the need for a stent due to additional abnormal growth in the affected area. She has a consultation scheduled with her surgeon in August and is understandably anxious about the upcoming procedure. She has also noticed occasional palpitations around the dissection site, particularly after exerting herself physically, which adds to her concerns. Is it normal to feel this way? Should she be worried about the implications of her condition?

Multiple SclerosisInternal Medicine
Male25-34
28 minutes ago

Navigating Carotid Artery Dissection

Title: Navigating Carotid Artery Dissection Nearly two years ago, I experienced a traumatic incident that resulted in a dissection of my carotid artery. For the past nine months, I’ve been on restricted activity while taking blood thinners to manage the condition. Following a recent CT scan, I received news that necessitates the placement of a stent due to some concerning developments. I have a consultation scheduled with the surgeon in August, and I can't help but feel anxious about what lies ahead. Occasionally, I notice sensations of palpitations in the area affected by the dissection, particularly after I exert myself physically. At 49 years old, I generally lead a healthy lifestyle, although I do indulge in cannabis and drink alcohol now and then. I also tend to push myself quite hard with my work. Given these circumstances, should I be alarmed about my condition?

COPDInternal MedicineEndocrinology
Male25-34
28 minutes ago

Severe Neck Pain After Hearing a Crack

I’m an 18-year-old female, standing at 160 cm and weighing 50 kg. Currently, I’m not on any medications and I don’t smoke. This morning, I turned my head to the right and suddenly heard a cracking sound. It was painful, but I brushed it off and continued with my day. However, after sitting on the sofa, the discomfort escalated rapidly. Now, I'm lying down with my head tilted to the left. Any attempt to move causes excruciating pain, rating it a solid 10 out of 10 on the pain scale, particularly on the right side of my neck. I find it nearly impossible to sit up; any pressure on my head leads to intense agony. Living where I do makes accessing emergency services quite difficult. My parents suspect it might just be a neck strain, but I’m not so sure. The real problem is how I’m supposed to reach a hospital when I can barely turn my head?! I’m reaching out for any advice or guidance on what to do next, please help!

ArthritisCOPDInternal Medicine
Male25-34
58 minutes ago

Seeking Specialist Insights on Persistent Health Issues

**I am reaching out for expert guidance regarding potential infections or parasitic infections.** For more than two and a half years, my family and I have been on a quest to identify the source of a troubling health condition characterized by significant weight loss and a variety of vague symptoms. Initially, due to heightened anxiety, medical professionals were concerned about cancer, which possibly misdirected focus away from a potential infectious—particularly parasitic—origin. During this time, I have been assessed by a multitude of specialists, yet a definitive diagnosis remains elusive. My primary care physician has indicated that there are no further tests to conduct, compelling me to investigate on my own through medical literature and AI resources. Presently, I am increasingly alarmed as it appears we are confronting a progressive and possibly infectious condition that has persisted for over two years and is now impacting nearly our entire household. Symptoms are present in five out of six family members, including two children aged two and six, with the sixth member also under consideration. Let me outline the developments and emerging concerns. **Symptom Progression:** Initially, I exhibited symptoms, which later manifested in our younger son (after his birth, just a few months later) as he experienced weight loss, lack of growth, pallor, thin skin, and recurrent diarrhea or undigested food. He is currently under the care of a pediatric gastroenterologist who has only conducted celiac disease testing without pursuing further investigations—for instance, parasitological assessments. Despite being on Nestlé Resource nutrition for over a year, there has been no improvement in his condition. Our older son (6) has shown signs of lethargy, fluctuating appetite (first low, then higher, mirroring my experiences), and changes to his stool—these are now yellow, mushy, oily, and more frequent. While physical transformations in him are less apparent, perhaps only noticeable through dry skin and persistent tiredness, his situation concerns me. My wife has begun to show symptoms as well, including mild weight reduction, ongoing fatigue, headaches, and aches in her muscles and joints. Although her weight change is subtle due to her naturally slender physique, she reports experiences akin to my own, including episodes of hunger soon after meals, sometimes even at night. It is worth mentioning that our dietary habits are varied—we consume both meat and vegetables, as we live in a rural area and maintain a garden with fruits and vegetables, avoiding any restrictive diets. What troubles me most is my father’s rapid weight loss of 6 kg within a brief span of 2 to 3 weeks, which he has been unable to regain. Even after undergoing gastroscopy, colonoscopy, and MRI, no underlying issue was identified, and the weight loss is notably striking, exacerbated by age-related skin changes since he is 64 years old. **Considerations and Hypotheses:** Given the symptoms and the familial spread of this condition, I have a strong suspicion of chronic giardiasis (*Giardia lamblia*), though I also consider the possibility of other parasites such as *Cryptosporidium*, *Blastocystis hominis*, *Toxocara*, and *Strongyloides stercoralis*, not to mention diseases like brucellosis. My background includes rural life in Europe, working on a farm with various animals like chickens, donkeys, and cats. Though I didn’t work directly with the animals, the potential for zoonotic transmission exists, especially since we have a dog that roams both inside and outside the house, coupled with my prior exposure to soil from areas with animals, suggesting a possible intestinal parasite or an intracellular bacterial infection. One test for *Giardia* in a stool sample returned negative, though I am aware of the intermittent shedding of cysts that can lead to false negatives. **Symptoms Across Family Members:** - **Chronic gastrointestinal issues**: bloating, oily or mushy stools (Bristol types 5–6), diarrhea - **Unexplained weight loss and growth failure in children** - **Skin changes**: dryness, thinning, and wrinkling; hair and body hair loss - **Hyperhidrosis**, particularly noticeable in armpits and feet - **Malabsorption of fat-soluble vitamins** (A, D, E, K), leading to nutrient deficiency manifestations: fatigue, brittle nails, dental deterioration despite maintaining oral hygiene, and skin that is dry, pale, and wrinkled - **Elevated cholesterol and triglycerides** despite malnutrition, potentially indicating altered metabolism of lipids - **Joint discomfort**: crepitus and sensations of instability, likely related to compromised collagen synthesis - **Children** exhibit inconsistent appetites, developmental delays, paleness, and fatigue - **Temperature regulation shifts**: episodes of chills without fever or sudden sensations of heat **Epidemiological Observations:** - Symptoms have manifested in all household members over the past 2.5 years, though not simultaneously - Our dog may serve as a potential vector for disease - There have been no travels to high-risk locations - Life in rural settings with animal interactions - Other systemic conditions have been ruled out (such as HIV, hepatitis, celiac disease, Crohn’s, etc.) **Further Diagnostic Avenues to Explore:** - Protozoal infections: *Giardia lamblia*, *Blastocystis hominis*, *Cryptosporidium spp.* - Zoonotic diseases: *Toxocara canis*, *Brucella spp.*, *Leishmania infantum* - Bacterial infections - Helminthic infections: *Strongyloides stercoralis*? - Tuberculosis if clinically indicated - Given the household-wide involvement and clinical presentation, could there be a case for initiating empirical treatment with antiprotozoals like metronidazole or nitazoxanide, despite *Giardia* not being confirmed through stool assays? Or is it imperative to conduct PCR-based diagnostics on the stool? I would greatly appreciate your insights regarding this summary, along with any diagnostic or therapeutic strategies you might recommend for this intricate, prolonged predicament. Thank you for your consideration and assistance in advance.

ArthritisLupusCrohn's Disease
Male25-34
1 hour ago

Simultaneous Diagnosis of PE and CVT

Hello everyone, I am curious about the frequency of simultaneously experiencing a pulmonary embolism (PE) and cerebral venous thrombosis (CVT) when both conditions manifest their symptoms concurrently. I’m a 27-year-old female, standing at 5'2" and weighing 110 pounds. Three weeks ago, I received my PE diagnosis after an episode that led me to seek medical attention. The catalyst for my visit was an excruciating migraine, which was the most severe I have ever encountered, accompanied by an elevated heart rate and difficulty breathing. A CT scan of my brain revealed no abnormalities, but the lung CT confirmed the presence of a PE. Fast forward two weeks post-hospital discharge, and my migraine returned, exacerbating particularly when I reclined. I revisited the emergency room, and it turned out I had CVT all along, with the CT scan detecting a clot. What are the odds of this happening? How could the clot have been overlooked in the initial scan? My physician indicated that the oversight was likely due to the lack of sufficient contrast during the first imaging. I am left questioning whether my birth control could have played a role in this, or if it is possibly linked to a hereditary issue. I've undergone multiple genetic tests, all of which returned negative, but did have extremely low protein S levels. My doctor inquired about any history of miscarriages in my family, but there are none. Fortunately, I have not experienced any complications, though I am quite unsettled by this entire situation. It’s noteworthy that my PE presented atypically, as I lacked the classic symptoms, with no evidence of deep vein thrombosis (DVT). I am no longer taking birth control and am currently prescribed Xarelto, 15mg taken twice daily. I am not on any other medications and do not have chronic health issues, but I will be readmitted to the hospital soon.

Thyroid DisordersCOPDInternal Medicine
Male25-34
1 hour ago