OpenHealth Q&A

Seeking Guidance on Health Concerns and Test Results Interpretation

I recognize that this situation should have been addressed much earlier, so I’m reaching out for guidance. I have a mole on my stomach that has been troubling me. Most people would likely be incredulous that I haven’t sought medical advice beforehand, but there are reasons I won’t go into at the moment. I do have a dermatologist appointment scheduled for the 17th related to acne. Should I wait for this appointment, or is it necessary for me to seek an earlier consultation? Would going to the emergency room be more appropriate? This mole has been a part of my body for as long as I can remember, though it has increased in size and raised significantly over time. Just yesterday, I discovered a hole in it, and some dry pus emerged, which is alarming. I fear the prognosis might not be favorable. My blood test results are attached for context; my endocrinologist, the only doctor who truly listens and cares, has been trying to find the root cause of various symptoms I've experienced over the years. Despite being on multiple psychiatric medications that often lead to my concerns being dismissed as either side effects or anxiety, I genuinely suspect there might be an underlying issue. Any insights or advice regarding my situation would be immensely appreciated. Here’s a brief overview of my health status: - **Age**: 33 - **Gender**: Female - **Height**: 5'0" - **Current Weight**: 185 lbs (historically around 120 lbs; previously reached a maximum of 235 lbs while on Latuda, but after discontinuation, I lost 15 lbs without effort and am now actively trying to lose more.) **Specific Health Concerns:** - **Aches and Stiffness**: I’ve been experiencing significant morning stiffness for a long time, but it's now more pronounced and lingers throughout the day. - **Toe Joint Swelling**: A few months back, the joint in my third toe swelled unexpectedly, without any prior injury or unusual activity. Initially red and tender, it now appears larger but less inflamed. - **Color Changes in Toes**: Occasionally, the tips of my toes turn a purplish hue, and they tend to ache when touched. There's also some peculiar itching that I can’t define. - **Foot Pain**: Upon waking, my feet often feel painful, almost as if I'm walking on rounded stones, making it quite uncomfortable to step on them. The joints in my big toes also hurt. - **Knee Pain**: My knees have started to cause significant discomfort, which I don’t recall experiencing even at a higher weight. I often need assistance to get out of chairs in the mornings. Although they feel slightly better as the day progresses, the pain persists even while resting. - **Itchy Legs**: For several years, I endured severe itching in my legs due to Lamictal, leading to bleeding from scratching. It was dismissed as anxiety, but after reducing my dosage from 400mg to 100mg, the itching has improved. This experience led me to avoid seeking help for the mole due to fears of being labeled a hypochondriac. - **Excessive Sweating**: Over the last couple of years, I have dealt with intense sweating that is far beyond what I'd consider normal. My doctors have acknowledged this issue, and while I suspect it might relate to Venlafaxine, the levels of discomfort are overwhelming. I was given a prescription for Glycopyrrolate to help manage this. - **Vision Problems**: When I was ill a few months ago, my vision deteriorated significantly. I found it challenging to read my phone even with glasses. Post-illness, my vision improved somewhat, but it never returned to its original clarity. Unfortunately, my insurance limits me to one eye doctor visit every two years, which complicates matters. - **New Mole**: I noticed a tiny mole on the inside of one toe a couple of years ago, and while it’s small, I mention it since it might be new. I don’t frequently check my moles and can't confirm how many are present or if others have developed. There may be additional details, but I find I need to rest now. Your help and insights would truly mean a lot to me. Thank you for your attention.

Answers (1)

7/6/2025, 8:40:56 AM

OpenHealth AI

It sounds like you’re facing a very challenging situation, particularly regarding your mole and the multiple health concerns you've outlined. Your health and wellbeing matter, and it’s important to address these issues promptly. Here are the main points to consider:

1. The Mole’s Changes: Given that the mole on your stomach has changed in size, has raised significantly, and now has a hole with dry pus, it is essential to seek medical attention sooner rather than later. Changes in moles, especially when accompanied by discharge, can indicate potential issues that deserve immediate assessment.

2. Importance of Timely Care: While you have a dermatologist appointment scheduled for the 17th, I strongly recommend contacting your dermatologist's office to see if they can address the mole sooner due to these recent changes. If they cannot accommodate you quickly, it might be justified to seek an emergency consultation, especially if the mole's appearance worsens or if you experience any other concerning symptoms.

3. Documenting Symptoms: Given the other health issues you described, it may be helpful to keep a diary of your symptoms, including the mole's changes, joint pain, and any other significant issues. This can provide valuable context for your healthcare providers.

Next Steps:

1. Contact Your Dermatologist: Reach out as soon as possible to explain the situation with the mole and urgency for an earlier appointment. They may have a cancellation they can fit you into.

2. Monitor Changes: If you see any increase in pain, bleeding, or additional discharge from the mole, consider going to an urgent care clinic or the emergency room for a thorough evaluation.

3. Consolidate Your Symptoms: Prepare for your upcoming appointments by summarizing all your health concerns (including joint pain, vision issues, and skin changes). This will help your doctors understand your overall health picture better and provide comprehensive care.

4. Follow Up on Other Symptoms: Continue to monitor your other health concerns, such as the joint swelling and skin changes. If these worsen, don't hesitate to discuss them with your endocrinologist or another healthcare provider.

5. Be Open About Your Worries: When you see any healthcare provider, express your concerns about the mole clearly and mention any fears regarding being dismissed. A good doctor will take your concerns seriously and help validate your experience.

Your health is incredibly important, and I encourage you to take decisive action. Take care of yourself, and do not hesitate to advocate for the care you need.