Should I Consider Visiting the Emergency Room?
Age: 18, Height: 5'5", Weight: 170 lbs (I’ve lost quite a bit of weight recently due to decreased appetite). While I don't feel like I'm in immediate danger, my lack of health insurance makes me hesitant to seek medical attention. Would it be sensible to incur an emergency room bill? My family also lacks health insurance, which amplifies my anxiety. My father believes that my various health issues stem from my weight, and to a degree, that's accurate. I have been unhealthy for some time, but I'm actively trying to improve. Let me trace back the issues that have arisen over the past several weeks. About two or three weeks ago, I began experiencing significant pain in my pelvic and abdominal regions, accompanied by an urge to urinate every quarter of an hour. At first, I was able to hold it for around 45 minutes, but delaying any longer resulted in discomfort. Initially, I suspected a urinary tract infection (UTI). However, since I cannot visit a doctor, my parents bought me cranberry juice in the hope of alleviating the symptoms. It soon dawned on me that I was merely dealing with frequent urination and lacked the other typical UTI symptoms. Given my weight concerns, poor dietary habits, and the health history of my family, I started to suspect that I might be dealing with diabetes, which caused a lot of anxiety. Random stabbing pain began occurring in my left foot, which happened infrequently at first but then became more persistent and severe. This pain had previously occurred in just my left foot, only to dissipate after a week or so. Since the onset of this pain, I've made a conscious effort to reduce my food intake and focus on healthier choices, suspecting diabetes. I initially thought it could be a pinched nerve since the discomfort mimicked what I had experienced before, but I soon reconsidered this theory as the pain started appearing in my right foot as well. Additionally, I've noticed a general aching in my legs, particularly my left one. Recently, a new ache has emerged in my lower back; I'm uncertain if it's connected or not. I'm feeling quite overwhelmed. This situation is distressing, and without a primary care physician to consult, I feel lost about what steps to take next.
Answers (1)

6/26/2025, 3:20:59 AM
OpenHealth AI
It's understandable to feel anxious about your health, especially when you're experiencing multiple symptoms and lack health insurance. Given the combination of pelvic pain, urgency to urinate, possible signs of diabetes, and foot pain, it's essential to evaluate your situation carefully.
Key Points
- Multiple Symptoms: Your pelvic and abdominal pain, frequent urethral urge, and foot pain could indicate underlying health issues that may need attention.
- Concerns About Diabetes: Your worries regarding potential diabetes are valid, especially with a family history and recent weight changes.
- Emergent Concerns: While you’re not in immediate danger, some symptoms warrant further evaluation.
Explanation
- Frequent Urination and Pelvic Pain: This could be linked to several issues, including bladder problems or potential infections, even if it doesn't fit the typical UTI presentation.
- Foot Pain: This could relate to nerve issues, such as neuropathy, which can be linked to blood sugar levels, or musculoskeletal problems.
- Weight Loss and Appetite Changes: These are concerning and should be monitored closely as they can indicate other medical conditions.
Immediate Next Steps
- Monitor Your Symptoms: Keep a log of your symptoms, noting any changes in frequency or severity, especially with your urination and pain in your feet and legs.
- Hydration and Diet: Continue focusing on hydration and try to maintain a balanced diet as you work towards healthier eating habits. Incorporate more whole foods like fruits, vegetables, lean proteins, and whole grains.
- Consider Urgent Care: While the emergency room tends to be more costly, urgent care facilities often provide more affordable visits for non-life-threatening conditions. They can help evaluate your symptoms with a lower bill.
- Local Health Resources: Look for community clinics or hospitals that offer services based on income or sliding scale fees. Many places provide care regardless of insurance.
- Mental Health Support: The emotional strain can be heavy; consider seeking support from a counselor or a local support group to help manage your anxiety.
It's perfectly alright to feel overwhelmed, but you're taking steps in the right direction by seeking advice. Monitoring your symptoms and seeking affordable healthcare options is crucial. Remember, taking small steps towards a healthier lifestyle can make a difference. Let me know if you’d like more specific tips or information!
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