Frustrations with Persistent Ringworm Infection
I am a 34-year-old woman, 5'7" tall, and weigh 10 stone 7. Recently, I underwent a blood transfusion due to low levels caused by excessive menstrual bleeding. I also have a history of aortic dissection and I'm currently on medication that includes fluoxetine and pregabalin. For this ongoing issue, I have been using antifungal medications: tablets, terbinafine cream, and clotrimazole cream, which I'm alternating between since the latter has proven ineffective on its own. Additionally, I've just started taking antihistamines. I'm a non-smoker and my primary concern is the spread of this infection across my thighs, which began as what I thought was ringworm. To clarify, this started a few weeks ago and despite my efforts, including fresh clothing and linens, the condition has only worsened over the past three weeks. I’ve been on the antifungal tablets for a mere eight days, yet the rash continues to expand, leaving me bewildered and unsure of how to proceed. If anyone has insights or advice, I would greatly appreciate your help. Thank you! Emma x
Answers (1)
7/8/2025, 5:20:47 PM
OpenHealth AI
It's understandable to feel frustrated with a persistent skin infection like ringworm, especially given your recent health challenges. It's important to tackle this condition comprehensively and with a clear plan.
Main Points
You are experiencing a worsening ringworm infection despite antifungal treatments, and your concerns about the spread are valid. This may require a revised approach to treatment.
Explanation
Ringworm is a common fungal infection that can spread easily, especially if it's not responding to initial treatments. Often, the effectiveness of antifungal medications can be affected by various factors, including the type of fungus involved, the site of infection, and skin conditions. Since you've been using antifungal medications without improvement, here's how you can move forward.
Next Steps
-
Continue Current Medications Properly: Keep using the oral antifungal tablets as prescribed. It's crucial to complete the full course, which typically lasts weeks.
-
Optimize Topical Treatment: Since clotrimazole cream has been ineffective, continue using it alongside the terbinafine cream as directed. Ensure that you're applying it to the affected areas and surrounding skin twice daily for at least two weeks after lesions have cleared.
-
Prevent Spread: To minimize the risk of spreading the infection, wash your towels and clothing frequently in hot water and avoid sharing personal items. Consider using separate towels for the infected area.
-
Monitor for Changes: Keep an eye on the rash. If it continues to spread or does not improve significantly in the next week, you might need a more comprehensive evaluation by a dermatologist.
-
Consider Other Conditions: Since you’re on immunosuppressive medications (like fluoxetine and pregabalin), it may be worth considering other underlying skin conditions or factors that could be contributing to the infection.
-
Skin Care Routine: Ensure your skin remains dry and clean. Moist environments can worsen fungal infections. After bathing, pat the area dry rather than rubbing it, and consider using antifungal powder to help keep the area dry.
In case of severe symptoms like an increase in pain, swelling, or if you develop a fever, seek more urgent care. Keep a close check on how your skin is responding to treatment over the next week, and do feel free to share more details or updates. Remember that navigating skin conditions can be challenging, and you are taking the right steps for your health. Take care, Emma!
Related Questions
Are My Symptoms Indicating an Impending Stroke?
I’m a young adult female, weighing 99 pounds and standing 5 feet 2 inches tall. I do not smoke, vape, or consume alcohol, and currently, I am undergoing tests for POTS and HEDS. For the past two weeks, I have been experiencing intermittent discomfort in the upper region of my head, particularly in the back and temples. These aren’t typical headaches, but rather sudden twinges of pain that occur sporadically throughout the day. Additionally, over this same period, I have been dealing with bouts of vertigo—probably about 4 to 5 days where it came and went. A few days back, I also encountered a tingling sensation in my arms, which I can’t tell if it was simply due to anxiety. Given that my aunt suffered a stroke in her thirties, the prospect of having a stroke terrifies me. I find that the emergency room here primarily prescribes pain medication if you mention head discomfort, which leaves me uncertain about what steps to take next. Could these symptoms signal an impending stroke? Furthermore, I've also been experiencing pain in my left leg, though I’m unsure if that’s connected to my other symptoms.
Identifying Skin Marks on My Child
My 5-year-old daughter, who has no history of allergies, has developed peculiar skin marks over the past four to five days. Each morning, I observe these blemishes, which mysteriously disappear by the next day, only to reappear in different locations. The majority of these spots are located on her lower back, buttocks, and the back of her thighs, although I've also seen some on her upper back and a single one on her cheek. As an additional note, she began exhibiting mild cold symptoms last night, including a cough, some mucus, and a slight increase in body temperature. To provide further context: she mentioned that the marks are somewhat itchy, but she hasn’t been scratching them excessively.
Impact of Tegretol Overdose at Age 7
As a woman now in her late thirties, I reflect back on a significant event from my childhood. At just seven years old, I accidentally ingested a large quantity of Tegretol, a medication prescribed to my brother for his epilepsy. Without realizing the danger, I swallowed a handful of those pills and fell asleep on the couch next to my mother. To my surprise, I regained consciousness a week later in a hospital bed. My mother recounted that I had suffered a seizure, at which point she found herself unable to awaken me, leading to a state of coma. Once I awoke, the emotional shift was profound; I transitioned from sadness to experiencing a tumultuous range of feelings. I am now curious about how such an overdose could have impacted my brain function. I attempted to search online for insights but came up empty-handed. Any information or shared experiences related to brain effects from similar situations would be greatly appreciated. Thank you in advance!
Unexplained Symptoms Over the Past Few Years
Greetings, Around three years ago, I started to experience a variety of symptoms that appeared quite abruptly. They seemed to improve briefly, only to return later. This initial onset threw me into a panic, leading me to suspect something severe, like cancer. After consulting my physician, I underwent tests through a neurologist and had multiple lab analyses, yet no definitive diagnosis emerged. Frustrated by the ongoing uncertainty, I ceased my attempts to find answers and have not revisited the doctor for these issues in years. This situation dates back to approximately 2021, coinciding with my time as a nursing student. While I can't be sure if there's a connection, it was around this period that I contracted COVID-19 for the first time and also received my annual flu shot as part of my nursing curriculum. Additionally, I was treated for melanoma during this time, undergoing a Mohs procedure to eliminate it, which was part of the initial anxiety surrounding my symptoms. Below are the symptoms I’ve documented: The first change I noticed was an unrelenting muscle fatigue. Simple tasks such as carrying groceries or working outdoors left me feeling immensely winded. I began to realize that the muscles in my neck felt excessively weak, and my arms and legs, although still functional, felt distinctly weaker than before. Although I could still perform my usual activities, I often felt unsteady, especially when descending stairs. Shortly thereafter, I began suffering from frequent muscle cramps at night and persistent twitching in my muscles during the day, particularly in my legs. I also observed involuntary movements in the inner arches of my feet, which, while somewhat common, were consistently present and unusual for me. Another concerning symptom was the onset of intermittent blurred vision. This issue varies in intensity, making it particularly troublesome during episodes that seem to flare up, often exacerbated by bright lighting, like that from screens or sunlight streaming through open windows. I found myself increasing the font size on screens and printed material because reading became quite challenging. While I haven’t seen an eye care professional yet, the suddenness of these vision problems caught me off guard. Additionally, I observed a significant size disparity between the muscles in my arms; my left arm appeared noticeably bulkier than my right. As a left-handed individual, I had never paid much attention to this before, though it’s possible it’s been like this for some time. The most perplexing symptom, one that’s been difficult to research, involves my right shoulder area. The deltoid region developed an odd squishy sensation. This prompts me to mention the flu and COVID-19 vaccinations. I’ve found no information on this symptom, and inquiries yield little guidance. Initially, it felt as if a lump had developed beneath my deltoid. Gradually, the entire area became squishy, resembling fibrous, lumpy tissue rather than muscle. In contrast, when I flex my left arm, it feels muscular and firm, whereas the right arm feels substantially softer. This strange condition raises questions—could a flaw in the vaccine administration by classmate healthcare students have contributed to this issue, or is it related to my other unexplained symptoms? As for medical evaluations, my Basic Metabolic Panel and Magnesium levels were unremarkable, as was my Complete Blood Count. Further inflammatory markers including CRP, CK, and ESR all returned normal results. My hemoglobin A1c was towards the high end of normal but did not classify as pre-diabetic. Autoimmune tests yielded no significant findings, and a nerve conduction study did not reveal any abnormal results either. The results from an EMG suggested mild increased insertional activity in several tested muscles, though it was deemed possibly normal, yet it might indicate an EMG disease. Unfortunately, I was unable to undergo MRI imaging due to insurance challenges at that time. I am a 42-year-old male with no significant past medical history beyond the prior melanoma and not currently using medication, aside from over-the-counter Benadryl for sleep issues. Apologies for the detailed narrative, but I felt this could be a valuable forum for seeking perspectives. I appreciate your time. It’s important to clarify that I am not prone to hypochondria; prior to these developments, I rarely sought medical care and, oddly enough, didn’t even have a primary care provider when these symptoms began.
Young Plumber with Herniated Discs Seeks Guidance
Greetings, medical professionals. I am a 17-year-old plumber who has dedicated the past two years to this trade, beginning when I was just 15. About two years ago, I was involved in a car accident that led to the discovery of three herniated discs: one located in my upper back, while the other two are situated in the mid to lower back region. While it's possible that these injuries stemmed from the accident, I suspect they might not be entirely related. Interestingly, disc problems seem to be common in my family. I'm concerned about my prospects moving forward. What can I expect in terms of health as I age, especially regarding these injuries? Moreover, how can I prevent a situation where I may struggle with mobility in my 50s or 60s? For some time, my pain subsided, but recently, I've started to experience discomfort again in the mid to lower back area, reminiscent of what I felt initially. Any advice or insights would be greatly appreciated!