Uncomfortable Prickling Feeling in the Heat
Subject: Male Height: 5 feet 11 inches Weight: 155 pounds Ethnicity: Irish Duration of Symptoms: Since last month Location: Northern Virginia Relevant Medical History: Crohn’s Disease Current Medication: Simlandi (adalimumab) Symptom Overview: Whenever I step outside or begin to sweat, I experience an overwhelming prickly sensation that envelops my entire body, resembling the feeling of being poked by countless tiny needles. Interestingly, this discomfort does not result in any visible marks, rashes, or irritation. The only remedies that seem to provide relief are retreating indoors, positioning myself in front of an air conditioning unit, or dousing myself with water. Given my recent diagnosis of Crohn’s disease, I can’t help but wonder if this reaction might be linked to my medication. I’m currently on a drug called Simlandi, which is adalimumab, and I've heard it may lead to skin-related issues. I'm seeking advice, as the Virginia heat has made it increasingly challenging for me to enjoy being outside.
Answers (1)
7/3/2025, 4:30:56 PM
OpenHealth AI
It sounds like you're experiencing a prickly sensation triggered by heat and sweating, which can indeed be uncomfortable, especially given your Crohn's disease and current medication. This sensation, often referred to as "paresthesia," can occur for several reasons, including heat intolerance or a potential side effect of medications.
Explanation
In your case, given the history of Crohn's disease and the medication Simlandi (adalimumab), it's possible that your immune response is altered, which could affect how your body reacts to heat and sensations. Some individuals experience heightened sensitivity or changes in nerve sensations when exposed to high temperatures, and this might explain the prickling feeling you described, even without any visible skin changes.
Next Steps
-
Stay Cool: Continue to seek relief by staying in cooler environments. Use fans or air conditioning, and avoid peak sun hours if possible.
-
Hydrate: Ensure you're drinking plenty of fluids, especially water, to stay hydrated, which can also help with thermoregulation.
-
Monitor Symptoms: Keep a log of when these sensations occur, any accompanying symptoms (like fatigue, dizziness, or gastrointestinal symptoms), and the duration of your episodes. This can provide critical insights into your triggers.
-
Manage Medications: If you suspect your symptoms may be related to Simlandi or a side effect, discuss your medication during your next medical follow-up. Do not stop any medication without consulting your healthcare provider.
-
Skin Care: Moisturize your skin regularly, as underlying conditions like Crohn's can lead to changes in skin integrity. Consider using gentle, hypoallergenic products, especially in hot weather.
-
Consider Allergy Checks: If the issue persists despite managing the heat, consider exploring potential allergies or sensitivities with your healthcare provider.
If your symptoms worsen or you experience additional symptoms like swelling, significant discomfort, or other systemic changes, it would be critical to seek further evaluation. Remember, managing Crohn's and any associated symptoms uniquely requires tailored approaches. Take care!
Related Questions
Concerns Surrounding Septal Perforation for a 25-Year-Old Woman
**25-Year-Old Female - 5’0, 165 lbs - Questioning Septal Perforation Concerns** I recognize that this topic has been explored by others previously, and while responses might seem straightforward, I’m seeking some clarity to help alleviate my ongoing health-related anxiety. Currently, I perform Neil-med sinus rinses three times a day, and I maintain nasal moisture with products like Aquaphor, coconut oil, and nasal gel. This routine isn’t intended as a permanent solution, and I do plan to reduce these practices eventually, but I'm not quite ready for that yet. **Background Information:** - For over a decade, I have battled sinus complications. - I was born with a deviated septum, which has become increasingly noticeable with age. - After a CT scan in September, I was diagnosed with sinusitis, showing mucosal thickening but an intact septum. - Pain began in September and was initially thought to be a severe sinus infection. - In December, a swab test was conducted for Staph during this ongoing issue. - A course of Doxy was prescribed in January but I found little benefit. - In May, I was given a 21-day prescription of Amoxicillin-Clav with minimal improvement. - A 10-day course of monofloxacin in June effectively cleared the infection. During my doctor visit in **May**, she noted that my nasal passages appeared normal, prescribing treatment for chronic sinusitis. In my **June** follow-up, she expressed concern after examining the left side and contacted an ENT on call, initially suspecting an abscess. However, the specialist indicated that it was likely a localized infection resulting from the deviated septum. The monofloxacin treatment was effective up to that point, though no remarks were made about the right side, which she said looked fine. After a follow-up in **July**, my doctor informed me that although the infection cleared, there was still a noticeable bulging due to persistent inflammation. She conveyed no worries regarding this issue. When examining the right side, however—the previously declared healthy side—she observed significant scarring on the septum, claiming it is severely deviated. Given my overwhelming health anxiety, I’ve invested a lot of time trying to pinpoint the original cause of my symptoms. Now, after finally feeling better, I fear the possibility of a perforation without any awareness of it. Nevertheless, the ENT does not seem alarmed, and I have a long wait for my appointment—around six months. I do not exhibit any signs typically associated with perforation, such as bleeding or excessive pain. I use nasal plugs, but beyond that, the discomfort has resolved, with no crusting or nosebleeds noted. Recently, I’ve merely observed a thin layer of white tissue or mucus on both sides since completing the monofloxacin treatment. Could this indicate healing processes or the presence of immune cells? To date, I haven't experienced any symptoms that suggest cartilage has been damaged or that I’m at risk of perforation. Although I have occasionally burst a blood vessel due to forceful blowing, those instances resolve quickly with no other alarming symptoms suggesting an impending issue. When I inspect my nasal passages, I don’t see a hole and no light penetrates through. There is an indentation on the right side, but given my significant septum deviation, could this be considered normal? **In summary**: Since my health has improved, I have noticed increased congestion, mucus, and additional sneezing, alongside that thin layer of white tissue. It looks almost like peeling skin, very bright white in color. **My inquiries are as follows:** - Has anyone experienced anything similar? - Am I safe, or is there something I should be cautious about? - Do my symptoms indicate that a perforation is forthcoming, or am I overanalyzing? - Could this white tissue be a sign of healing or an immune response? Is it concerning? - What should I expect to see if I had actual scar tissue within my nose? - Would I be experiencing pain if that were the case? I acknowledge that I'm in charge of my health decisions and I'm not aiming to downplay any risks; I merely seek to understand the reality of my situation. With my ENT appointment at least six months away, the uncertainty drives me to distraction. While the alleviation of my original symptoms fills me with hope, my doctor's comments have left me feeling anxious. Thank you for any advice or personal stories you can share; it truly helps ease my mind.
Can a 67-Year-Old Woman with an Inflamed Appendix Manage Without Surgery?
A 67-year-old woman, weighing 135 pounds and standing 5 feet tall, is not on any medications, nor does she smoke or consume alcohol. Recent imaging revealed her appendix to measure 11 mm in diameter. Following her CT scan, medical professionals recommended consulting a surgeon. The surgeon suggests performing a colonoscopy and endoscopy while postponing any surgical intervention. Is it possible for her condition to improve on its own? She has noticed that certain carbohydrates seem to trigger mild and intermittent discomfort, although the pain remains quite manageable.
Understanding My Osteoporosis Diagnosis at 26
At 26 years old, standing at 172 cm tall and weighing 52.5 kg, I am currently managing treatment-resistant depression with a regimen that includes quetiapine, aurorix, and lamictal. Additionally, I take B12 and folate supplements, along with Vitamin D. Previously, I was receiving Prostap injections every three months, complemented by daily tibolone tablets as part of my treatment plan, but those medications are set to be adjusted soon. I have recently been diagnosed with osteoporosis in my spine and osteopenia in my hips. Although I have been directed to an osteoporosis clinic, my referral was denied due to my age. I’m eager for information regarding my condition. Is it a significant health concern? Is the osteoporosis confined to just my spine and hips, or can it affect other bones in my body? Should I steer clear of high-impact activities like skydiving or skiing? Besides the lifestyle adjustments suggested—like gaining weight to reach 60 kgs and incorporating more weight-bearing exercises into my routine—I’m unsure about what steps I should take moving forward, especially as I’m scheduled for another DXA scan in six months. It feels like, at my age, this might not be overly serious now, but I have a nagging fear that it could have severe consequences later in life. Am I on the right track with that thought process? I find myself somewhat confused about the implications of this diagnosis, and it’s frustrating not to have a doctor available to consult for another month and a half.
Experiencing Dizziness After EKG
I am a 23-year-old individual assigned female at birth, living with conditions such as ASD, ADHD, Tourette Syndrome, and Ehlers-Danlos Syndrome. Currently, I'm on a regimen that includes 60 mg of Cymbalta and 60 mg of Vyvanse, alongside magnesium and iron supplements as recommended by my doctor. For approximately a year, I have been grappling with episodes of lightheadedness, dizziness, and heart palpitations. As a result, my doctor suggested that I undergo an EKG. Prior to and during the test, I felt perfectly fine; however, once the procedure concluded, I suddenly felt unwell. As I made my way to the reception area, I became extremely dizzy and fatigued. I found it necessary to sit and recuperate for a few moments because my legs felt weak, as if I might collapse at any moment. I had intended to complete additional tasks after the appointment, but I didn’t feel it would be safe for me to drive. Therefore, I rested in my vehicle for 15 to 20 minutes until I began to feel somewhat more stable. I felt as though my energy had been completely sapped, almost like I had just run a mile, despite having done no physical activity at all. Has anyone out there experienced something similar or has any insights to share?
Persistent Discomfort in My Throat and Dismissive Diagnosis from ENT
Hello, I’m aware this may sound trivial to some, but I’m a 24-year-old male who’s been seeking answers for several months, only to encounter skepticism. I firmly believe my situation is more complex than what my ENT suggests, so I ask you to hear my story. (Summary at the end) Approximately two months ago, I woke up convinced that I had inhaled and possibly lodged a piece of rice from dinner the previous night in my throat or nasal passage. Initially, I thought I had developed a cold due to a mild sore throat. However, I soon realized that the discomfort wasn’t typical of a cold and wasn’t affecting my voice either, which is usually a telltale sign for me. That’s when I surmised that the sensation might be linked to the rice incident. I attempted numerous nasal rinses and tried every method of coughing and sneezing I could think of, even using nasal sprays, yet nothing provided relief. The situation became increasingly perplexing as I felt as though I might be able to dislodge whatever was bothering me under certain conditions. Concerned about potential nasal infections, I consulted my doctor and secured an appointment with an ENT specialist. Just a couple of days prior to my ENT visit, I genuinely experienced a blockage in my nasal passage, which I promptly cleared. This incident further clarified that what I’m feeling is not in my nasal area; it’s actually located deeper within my throat. During the appointment, the ENT examined my nasal passages with a camera upon my insistence that the issue lay elsewhere. He diagnosed me with allergies, attributing the sensation to irritation and accumulation. When I inquired if something could be lodged further back in my throat, he assured me that it couldn't be. Consequently, he prescribed me allergy medication and a nasal spray. Having dealt with allergies all my life, I’m convinced this isn’t an allergic reaction—there’s something lodged within me, persistently reminding me of its presence. Why would I suddenly start having these allergy-like symptoms right after I suspected I inhaled that rice? Now, post-ENT visit, I find myself unsure of the next steps to take. The feeling is constant, and I feel foolish for voicing my concerns. My girlfriend and my father don’t believe there’s anything unusual going on at all. Additionally, I can’t take the allergy medication prescribed because they make me drowsy, and that’s a particular issue for me due to my sleep apnea that I’m currently receiving treatment for. Is there anyone who might have insight into what this sensation could be? Summary: I believe there’s an obstruction in my throat, near my nasal area, which might be mistaken for allergies, but it’s definitely past my uvula and not in my tonsils. Although it occasionally causes me to cough, my ENT insists it’s allergies; I am certain that's not accurate.