Is It a Fungus or Bacteria?
For nearly ten years, I have been dealing with a persistent open wound that occasionally flares up. Recently, I've noticed some concerning developments: I've gained weight and the wound seems to have spread to other areas of my body. Here are some details regarding my situation: - Weight increase from 80 kg to 110 kg - Blood sugar levels reaching 190 In the past, I’ve attempted to treat what I believed to be a fungal infection with over-the-counter remedies, but unfortunately, the issue remains unresolved. A visit to the doctor led to a prescription for clindamycin and mupirocin, which initially showed promise. However, I am now experiencing a lack of effectiveness from the treatment. I would greatly appreciate any insights regarding the nature of my condition. Your expertise or suggestions would be invaluable as I navigate this ongoing health challenge.
Answers (1)

7/8/2025, 1:40:43 PM
OpenHealth AI
It sounds like you're dealing with a persistent and complex health issue that has significant impacts on your life. Based on your description, the open wound, recent weight gain, and elevated blood sugar levels point to a few possible underlying issues that may need careful consideration. Let’s break this down into main points, explanations, and next steps.
Main Points:
- You are experiencing a long-term open wound that has spread.
- You’ve gained a significant amount of weight and have high blood sugar levels.
- Previous treatments have not resolved the issue.
Explanation:
Open wounds that persist and spread can be indicative of various issues, including chronic infections, fungal problems, or even complications related to diabetes. With a blood sugar level of 190 mg/dL, it’s important to consider that high blood sugar can impair healing and increase the risk of infections.
The inadequate response to previous topical treatments like clindamycin and mupirocin suggests that the wound may not be strictly bacterial or fungal, or there could be an underlying condition affecting your immune response and wound healing.
Next Steps:
-
Monitor Symptoms: Keep a close eye on the wound for any changes such as color, size, pain, or drainage. Document these observations to provide detailed information for any future consultations.
-
Blood Sugar Management: Focus on managing your blood sugar levels through dietary changes, physical activity, and possibly consulting a healthcare professional for a more structured plan. This is critical, as improved blood sugar control can help with wound healing.
-
Skin Care Routine: Continue caring for the wound by keeping it clean and covered. Use a gentle cleanser and avoid any harsh over-the-counter treatments unless advised by a professional.
-
Nutritional Support: Ensure you're eating a well-balanced diet that supports immune function and healing. Foods rich in vitamins C and E, zinc, and omega-3 fatty acids can be beneficial.
-
Follow-Up Care: Given the complexity and persistence of your symptoms, consider reaching out to a healthcare professional specializing in wounds or a diabetes educator. They can assess the wound more thoroughly, check for any signs of systemic issues, and possibly recommend alternative therapies or treatments.
It’s understandable to feel frustrated with your current situation. Remember, you don't have to navigate this alone, and there are options and support available to help you manage your condition effectively. Please let me know if you have any other questions or need further details.
Related Questions
Seeking Clarity on Ongoing Health Issues
Hello everyone. I'm a 28-year-old woman and I’ve been struggling with various painful symptoms since March of 2025. I gave birth to my baby in January 2025, initially attributing many of my health concerns to postpartum changes. However, as new symptoms have emerged, my health doesn’t seem to be improving. **Background Information:** - I was diagnosed with celiac disease in 2016 but continued to consume gluten, which I now realize was unwise. I stopped gluten intake in early April 2025 as my symptoms intensified. - My childbirth experience in January 2025 was complication-free. - Symptoms began manifesting around March 2025. **Current Symptoms Include:** - Intense upper back pain that fluctuates, present about 75% of the time, occasionally radiating to my right chest briefly. - Intermittent abdominal discomfort. - Joint aches that come and go. - Escalating anxiety levels. - Right-sided neck pain that triggers headaches at the base of my skull. - Persistent fatigue. - In March, I experienced unusual stools that were greasy and floated, resembling cow-like stools, but this has since improved. **Medical Assessments Conducted:** - Visited the emergency room two times. - First CT scan in March 2025 indicated colitis and a benign left renal cyst, followed by a course of antibiotics. - Second CT scan in June 2025 revealed the same benign left renal cyst and a 3.3 cm cyst on the right ovary, which doesn't require further monitoring. - All routine blood tests have returned normal results, except for a drop in white blood cell count in June 2025. - Additional tests, including an ANA screen, thyroid, magnesium, vitamin B, vitamin D, C-reactive protein, and lipase, all fell within the normal range. I have upcoming appointments scheduled with gastroenterology and rheumatology, although they are a few months away. I'm reaching out to see if anyone has insights or guidance on what could be happening. I've heard that pregnancy and childbirth might unveil underlying health issues, but right now, it feels as though I’m dealing with multiple health challenges simultaneously, making it tough to connect the dots. Thanks for your help, and feel free to message me if you need more details.
Could It Be Pelvic Floor Dysfunction or an IBS Episode?
Hello everyone, I will strive to provide a clear and succinct account of my situation. **Background Information:** - I'm a 51-year-old male. - I've been living with IBS since the age of five. - In my childhood, I experienced a few bladder infections. - There is a partially duplicated structure associated with my left kidney. - Throughout various CT scans conducted over the years, there have been indications of bowel wall thickening and occasionally a misty mesentery. I underwent my initial colonoscopy at 32, which showed no signs of inflammatory bowel disease (IBD). - I have dealt with two inguinal hernias for over 15 years. - In 2018, routine urinalysis revealed microscopic hematuria after expressing frequent urination tendencies. - Digital rectal exam (DRE) results were normal. - The CT urogram presented normal findings except for the previously mentioned duplication and a tiny punctate abnormality in my left kidney along with scattered diverticula. - In 2019, while lifting a couch alone, I experienced a sudden popping sensation. Shortly after, I noticed an increased urgency to urinate along with a weak urine stream and discomfort in both left and right testicles, akin to sitting on an object. This sensation alleviated after a few weeks. - Excluding the couch incident, I encountered similar symptoms a few more times. Upon visiting a urologist and my family doctor, both found no peculiarities. The hematuria appears sporadically, with 7 years passing since first being documented. - Additionally, I do not typically consume coffee, as it triggers various digestive problems for me. However, there are periods when I crave it. Notably, in May and early June this year, I experienced such cravings but decided to stop on June 11th due to a resurgence of my usual stomach complaints. - On June 10th, I played pickleball for six hours during a tournament and a cross-club league. In the fifth hour, while stretching, I felt a pop in my pelvis, near the quadriceps attachment. It was painful momentarily but subsided allowing me to continue. - I visited the beach with my family on June 14 and returned to competitive pickleball on June 15 for three hours. During this time, I felt quite dehydrated. - I had coffee and consumed alcohol on June 16 and 17. - The very next day, June 18, I began experiencing urinary difficulties, such as a weak stream and a frequent urge to urinate, particularly at the end, accompanied by a stinging sensation in the shaft and tip, which made it feel as though the urge was originating from somewhere other than my bladder. At this point, I also experienced significant abdominal bloating, symptoms consistent with gastritis, persistent stomach issues, lower left abdomen discomfort, and upper pelvic pain in the mornings that subsided after urination. - By June 25, most symptoms had improved, except for the lingering stinging and weak stream. - On July 5, after a four-hour pickleball session, I noted a recurrence of the weak urinary stream, increased urgency to urinate, and aching in the same area I injured during the June 10 game. - Finally, I have a notably high ANA titration of 1:2560, but without a concrete diagnosis yet. Autoimmune diseases run rampant in my family history. What do you think could be the issue? Is it a pelvic floor concern, IBS-related, or possibly inflammation stemming from an autoimmune condition? This situation has become quite vexing! Thank you for your insights!
Experiencing Two Weeks of Ear Discomfort and Body Pain?
As a 26-year-old transgender man, I have frequently dealt with ear infections. Recently, however, I've endured persistent pain in my right ear for the past two weeks. It’s exceptionally sensitive to touch, feels swollen, and has left me with diminished hearing in that ear. The discomfort resembles the typical ear infections I’ve encountered throughout my life—occurring roughly once a year or every few years—but this time it’s been accompanied by constant body aches and headaches. Despite undergoing multiple tests, I have tested negative for both flu and COVID-19. I also visited a CVS Minute Clinic to have my ear evaluated. The healthcare provider noted inflammation in my eardrum and prescribed amoxicillin; I’m currently on my third day of a seven-day course. While I’ve found some relief from the pain, I still experience a persistent sensation of fullness in my ear, especially noticeable at night. As bedtime approaches, the irritation escalates to the point where even closing my jaw causes discomfort on that side of my face. Additionally, my headaches and body aches have not subsided, prompting me to take Tylenol on a daily basis to manage the pain. I’m concerned about whether there might be underlying issues at play, as this cluster of symptoms is unlike anything I’ve previously faced. I’m uncertain whether what I’m experiencing is a typical ear infection or if there might be something further to investigate.
Duration of Elevated Fecal Calprotectin Post-Infectious Colitis
Subject: 28-Year-Old Male Profile: 181 cm tall, weighing 64 kg, non-smoker. I experienced a viral infectious colitis outbreak in late February to early March, during which I endured two weeks of bloody diarrhea without any accompanying pain. The condition ceased abruptly once I altered my diet to focus on healing, utilizing the BRAT diet (bananas, rice, applesauce, toast) along with Pedialyte for hydration. As of today, July 8th, I have remained symptom-free for the past four months. There haven't been any episodes of blood or diarrhea. However, I've noticed that my digestive system is more vocal than before, particularly when I feel the urge to use the restroom or upon waking up. My stool consistency has mostly returned to normal, exhibiting type 4 on some days and occasionally type 5, but I haven’t experienced any liquid stools like type 7. During the peak of my symptoms, I underwent a calprotectin test on March 8, which yielded a result of 2200. I followed up with another test 6.5 weeks later on April 24, showing a reduction to 229. Now, here's where things become complex: I had a third calprotectin test on July 2, with the sample collected on the same day, resulting in a level of 261. This test was processed at a different lab which employs a different reference range than the previous two tests. Should I be concerned about this latest measurement? I've read conflicting information on the internet indicating that calprotectin levels can remain elevated for a time even after symptoms have subsided. How long can elevated levels persist before returning to normal? Could this duration extend to several months or possibly a year? Additionally, I want to add that three weeks before my July 2 test, I experienced mild food poisoning from June 8 to June 10, which included vomiting and diarrhea after consuming contaminated food while traveling abroad. Is it possible that this incident has contributed to the 261 calprotectin reading? I’m eager to move past this episode without the need for further stool testing, so I would greatly appreciate any reassurance or insight, especially since I am no longer under medical supervision (I’m in Canada, where accessing care can become complicated).
Understanding the Cause of These Blisters
I am reaching out on behalf of my four-year-old daughter. About two weeks ago, she first experienced an itchy spot on the bottom of her foot. A week later, some small bumps appeared, and a pharmacist suggested it could be hand, foot, and mouth disease. Today, the situation has escalated significantly. The small bumps have developed into painful blisters, and she's expressing discomfort when they are touched and they also continue to itch. Thankfully, the rash has not spread to any other areas of her body. We recently visited a general practitioner regarding some Molluscum contagiosum lesions and were advised to leave those untreated. We plan to consult a GP as soon as possible, but I would appreciate any insights into whether this condition could be contagious and if there are any immediate home remedies we might try in the meantime.