Concerning Skin Changes on My Abdomen
I am a 22-year-old male, standing at 5'8" and weighing 160 pounds. I am Caucasian and currently taking Duloxetine. Recently, I've observed the development of dark, uneven patches moving up the right side of my abdomen. These areas are firm to the touch and are devoid of hair growth. The texture is smooth, but they alter the appearance of my skin. Over the course of the last year, these patches have progressively worsened. In addition, I have been experiencing ongoing abdominal discomfort. It’s worth noting that these skin changes first emerged while I was on Duloxetine. Should I consider scheduling a doctor’s appointment soon?
Answers (1)

7/3/2025, 12:40:53 AM
OpenHealth AI
It's understandable to be concerned about changes in your skin, especially when accompanied by discomfort. The dark, uneven patches on your abdomen that are firm to the touch and devoid of hair growth could indicate several possible skin conditions, especially considering their progression and the fact that they coincided with your use of Duloxetine.
Explanation
The skin changes you're describing could be related to various factors, such as:
- Medication effects: Some medications can lead to skin reactions. Duloxetine is typically used for depression or anxiety and has side effects, but specific skin reactions are less common.
- Dermatological conditions: Conditions like eczema, psoriasis, or other forms of dermatitis can cause similar skin changes and discomfort.
- Underlying conditions: Since you mentioned a history of chronic pain or gastrointestinal issues (potentially alluding to conditions like Crohn’s), there could be a systemic issue.
Next Steps
-
Monitor Symptoms: Keep an eye on changes in the size, color, or sensation of the patches over the next few days. Take note of any new symptoms like increased discomfort or fever.
-
Gentle Skin Care: Avoid using heavy creams or irritants on the affected area. Use a gentle cleanser and moisturizer to prevent further irritation.
-
Document Changes: Take photographs of the patches for your records. This can help your healthcare provider assess progress during a visit.
-
Consider Timing for a Doctor’s Appointment: Given that these changes have been worsening over the year and are accompanied by discomfort, I would prioritize scheduling a doctor's appointment soon for a proper evaluation. This will help determine the underlying cause and appropriate treatment.
In the meantime, try to maintain a healthy lifestyle, including proper hydration and stress management, as these can also influence skin health. If you experience significant worsening of symptoms, such as severe pain, bleeding, or fever, consider seeking medical attention sooner rather than later.
Related Questions
Experiencing Itching and Discomfort in My Extremities
Hello everyone, I’m a 26-year-old female, standing at 5 feet 3 inches and weighing 156 pounds. Recently, I've been experiencing random pain in my fingers and toes, accompanied by a tingling feeling. This isn’t the first time it has occurred; I had a similar episode a few months back, which eventually subsided but has now returned. The discomfort eases when I submerge my hands in warm to hot water. Additionally, I've noticed an abrupt onset of itching all over my body, including my scalp. I tried using a dandruff shampoo, but it failed to relieve the itchiness. Earlier, I applied a prescribed retinol cream for my acne, but I discontinued its use due to a burning sensation. Aside from that, there haven't been any major changes in my life recently. I’m uncertain about the sudden onset of these symptoms and would appreciate any guidance. Furthermore, I feel it’s important to mention that I suffer from anemia and a vitamin B12 deficiency, though I’m currently not taking any medications or supplements.
Seeking Travel Advice Amid Health Concerns
Hello everyone, I’m a 24-year-old female recently diagnosed with osteoporosis (T<-3.0) following a prolonged period of malnutrition. I’m reaching out for guidance as I find myself in a bit of a dilemma. I have an eagerly anticipated trip to Europe scheduled for next week, but my diagnosis has left me feeling anxious about the journey ahead. The trip involves significant walking and navigating numerous steps, and I’m fearful of losing my balance and injuring myself further. I’m already dealing with a fractured tailbone and pelvis, which poses an additional challenge, especially considering the discomfort I’ll face during an eight-hour flight. Although the fracture is deemed small and stable, it remains quite painful, even with the aid of a donut cushion. It’s frustrating to grapple with such concerns at my age. On one side, I feel compelled to go since I’m still young and eager to make the most of my time. This trip may be my final chance to travel for a while due to the demands of an upcoming graduate program that begins in a few weeks. Conversely, the thought of potentially exacerbating my injury and enduring chronic pain is daunting. I genuinely appreciate your candid advice on two key questions: 1. Is it safe for me to fly given my pelvic fracture, or might it worsen my condition? 2. If you were in my situation, would you proceed with the trip or decide to cancel it? Thank you for your support!
Seeking Answers for Nipple Discharge
Hello everyone, I’m a 22-year-old woman, standing at 5'6" and weighing 157 pounds. I find myself in a somewhat awkward situation as I’ve been experiencing a green discharge from one of my milk ducts for about two years now. More recently, within the last year, I’ve noticed that two additional ducts have started to leak, although the fluid from those is clear. To clarify, I’m not actively trying to express this fluid; I discovered it during sporadic self-examinations. Initially, I consulted a physician when the issue was limited to just the one duct. They performed tests on the fluid and conducted an ultrasound, but everything came back normal, with no cause for concern, and I was reassured that it shouldn’t pose any health risks. Despite that, my anxiety has grown due to the recent developments. The discharge is only occurring in one breast, and with a family history of breast cancer—three of my relatives have unfortunately passed away from it—plus my grandmother's recent diagnosis, I feel increasingly alarmed. I also want to point out that I have never been pregnant, and I do not experience pain or notice any lumps. I’m reaching out to see if any of you have insights on what this condition might be. Should I seek a second opinion from another doctor or a specialist, or is this a common occurrence? For context, I don’t smoke, I occasionally enjoy alcohol, and I'm currently prescribed Strattera, but that’s a more recent addition to my routine.
Experiencing Constant Heat at 40: Seeking Insights
I have always had a tendency to feel excessively warm for as long as I can remember. I stand at 6 feet 1 inch tall and weigh around 250 pounds. I lead a highly active lifestyle, participating in yoga weekly, taking brisk walks every day, and ensuring I consume a minimum of three liters of water daily. Currently, I’m not on any medication, and my hormone tests indicate normal levels. I’ve also had my thyroid evaluated, and it showed no irregularities. Living in Edmonton, Alberta, my heat tolerance is quite remarkable. For instance: 1) I’m comfortable wearing shorts all year round at home, and I venture outside in shorts even in temperatures as low as -10 C (14 F). 2) During -40 C (-40 F) weather, I can walk for 30 minutes dressed in sneakers, sweatpants, shorts beneath, a t-shirt, and a winter jacket, along with gloves and a hat, feeling perfectly fine. 3) At nighttime, I need three fans directed at me while I sleep, and I often leave the window open, even in winter. 4) I rely on air conditioning in my vehicle as soon as temperatures reach 15 C (59 F). 5) In spring, summer, and fall, I use those three fans as well as a large frozen gel pack (approximately 2 feet by 1 foot) placed under a lightweight blanket to help cool down enough to sleep comfortably. 6) When I go to work, I opt for dress shorts and a dress shirt, and I require a fan at my workstation. I frequently retreat to the chilly server room, which is part of a data center, to cool down. 7) There are instances when I’m putting my child to bed; they have commented on the warmth radiating from me and have requested that I stop because it’s too hot. My optimal sleeping temperature is around 15 C (59 F). Is there anyone else, especially men, who can relate to this experience or provide insight into what could be causing these symptoms? I often feel lightheaded and sweaty when I can’t cool down adequately!
Enlarged Lymph Nodes in Neck and Armpits
I am a 24-year-old male with no notable family medical history, and I abstain from smoking and drinking. Beginning around May 10th, I began experiencing discomfort in my right armpit, which subsequently spread to both armpits. The discomfort was accompanied by nerve pain radiating down to my elbows and fingertips. I sought treatment from a Family Nurse Practitioner on May 29th, receiving a steroid injection, but there was no noticeable improvement. About a week later, on approximately June 8th, we identified swollen lymph nodes in my neck and armpits, all roughly the size of peas, tender (especially in the armpits), and mobile. My provider prescribed azithromycin, suspecting cat scratch fever, yet this medication did not yield any changes. Now, having completed the course, I’ve noticed additional lymph nodes in my neck and one located above my collarbone; these are soft, a bit larger than a pea, mobile, and sore to the touch. I underwent a CT scan with contrast, but I'm still awaiting the results. Over the past month, my symptoms have mostly included mild fatigue (similar to a cold), muscle discomfort, a sore throat (which appears slightly irritated), bilateral deep ear pain, and minor jaw pain on the right side. There have been no occurrences of night sweats, weight loss, or notable fatigue. Update: My lab results are satisfactory, with my white blood cell count showing an upward trend within a week, now sitting at 7.8, though still within normal limits from an initial 5.1. What could this indicate? Should I take any particular steps moving forward?