Seeking Help for My Troubling Throat Condition
I am a 37-year-old female with a relatively unremarkable medical background, except for experiencing migraines and a history of obesity, from which I've recently rebounded by losing 100 pounds, bringing my weight to 190 at a height of 5'8". My current medications consist solely of hydroxyzine and Emgality. For the past two months, I have been battling an unidentified virus or infection. I've noticed a rash and broken capillaries manifesting all over my body. Despite attending five doctor appointments and undergoing numerous lab tests—all returning normal results—I am still awaiting a referral to a dermatologist. In addition to these issues, I've had persistent swelling and stiffness in my neck for several weeks. My doctor examined the area under my jaw and indicated that it felt normal, but I perceive both lymph nodes beneath my jaw to be significantly enlarged and tender. While I do not have a severe sore throat, there is a persistent scratchiness and discomfort. My tongue has also felt sore for a number of weeks. It all began with a small swollen area on my lip, which led to the development of tiny ulcers in my mouth. Now, I find myself covered in an unusual rash, accompanied by a perplexing vascular issue. Mentally, I feel off—experiencing severe brain fog and occasionally struggling to articulate my thoughts. Tonight, I examined my throat and honestly feel apprehensive about sharing photos, as it looks troubling. It's riddled with prominent veins, petechiae, lumps, and some areas appear yellow or whitish. Additionally, I've noticed vertical lines running down the sides of my tongue, which is a new development. I wonder if my throat's appearance is abnormal; my doctor has examined my throat at each visit yet has never mentioned anything alarming. This condition has persisted since the onset of my infection but seems to be worsening. He suggested that my symptoms may be predominantly linked to anxiety, which is reassuring given the many normal lab results he provided. Should I consult a doctor or a dentist for an evaluation of my mouth? I must mention that I struggle with significant dental issues stemming from years of untreated GERD, and I also smoke and use nicotine pouches. I'm curious whether the current state of my mouth could be connected to this mysterious illness I'm experiencing. I’ve been treated with steroids, antihistamines, a Z-pack, and Valtrex, yet none have alleviated my symptoms. Notably, my child and mother are exhibiting similar rashes and symptoms, including small mouth ulcers and my baby even had a low fever and cold at the beginning of this ordeal. I’m desperate for insights regarding my mouth as the situation has deteriorated over the last two months, and I feel I need assistance. My doctor seems reluctant to pursue further investigations. Thank you for your help!
Answers (1)
7/9/2025, 1:31:04 AM
OpenHealth AI
I'm really sorry to hear about the difficulties you're experiencing with your throat and skin symptoms. It sounds quite distressing, especially with your family's similar issues. Let’s break down your situation and identify some practical next steps.
Key Points
- You have a complex set of symptoms, including throat discomfort, a rash, and swollen lymph nodes, which seem to have worsened over two months.
- You also mentioned overlapping family symptoms that may indicate a contagious factor.
- Your medical history, medications, and lifestyle factors, like smoking, can indeed play a role in your symptoms.
Explanation
Your throat issues, coupled with the rash and swollen lymph nodes, may stem from an infectious process, an allergic reaction, or another underlying inflammatory condition. Given that both your mother and child have similar symptoms, there’s a possibility that the issue could be viral or another type of infection that is affecting your household. The vascular changes and petechiae can sometimes indicate more systemic concerns.
The mention of anxiety by your doctor can also impact how symptoms feel, as stress may intensify physical sensations, but your thorough description points toward a need for further investigation to rule out any underlying issues.
Next Steps
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Document Symptoms: Keep a detailed diary of your symptoms, noting any changes in your throat, rash, or overall health. This can help specialists understand the progression of your condition.
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Seek Dermatology Evaluation: Since you’re already waiting for a dermatology referral, follow up to expedite that appointment. Dermatologists can assess both the rash and potential oral health issues that may be contributing to your symptoms.
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Consider Oral Health Assessment: Given your history of GERD and current oral issues, it might be beneficial to visit a dentist, especially one familiar with the effects of GERD on oral health. Your oral hygiene, smoking, and nicotine use could all be factors in your symptoms.
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Focus on Hydration and Soothing Remedies: Continue to stay hydrated and consider using saltwater gargles or throat lozenges to soothe throat discomfort. Avoid irritants like smoking, which can worsen oral and throat sensitivities.
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Monitor for New Symptoms: Keep an eye on any new developments, such as fever, worsening throat pain, or increased rash, and document these to share with healthcare professionals.
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Consider Mental Health Support: If you feel that anxiety is significantly impacting your quality of life, exploring support options such as counseling may be beneficial.
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Educate Yourself: Research potential connections between your symptoms and conditions such as autoimmune diseases, allergic reactions, or viral syndromes. Information can empower your discussions with doctors.
It’s understandable to feel overwhelmed; continue advocating for your health, and don’t hesitate to seek medical attention whenever your symptoms feel intolerable. You are not alone in this, and there are paths to improving your situation. Keep me updated if you have more questions!
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# 7-Month-Old Child with Abernethy Malformation - Exploring Treatment Options ## [7-Month-Old] Identified with Abernethy Malformation (Congenital Portosystemic Shunt) - Treatment Methods? **Age:** 7 months **Gender:** Female **Height:** Age-appropriate **Weight:** Currently 9 kg, was 2.8 kg at birth **Ethnicity:** Asian **Duration of Symptoms:** Present since birth **Location:** Uzbekistan **Pre-existing Health Issues:** Abernethy malformation (congenital portosystemic shunt), liver hemangiomas, chronic jaundice, anemia **Current Treatments:** Supportive management --- ## INITIAL PRESENTATION (June 2025 - July 2025) Our daughter arrived on **June 27, 2025**, presenting with: - Birth weight: **2.8 kg** - Marked jaundice (yellowing of skin and sclera) - Pale or clay-colored stools - **Bilirubin level: 245 μmol/L** (typically <20) An immediate ultrasound indicated multiple liver anomalies, initially thought to be hemangiomas. --- ## FIRST COMPREHENSIVE ASSESSMENT (August 1, 2025 - 1 Month Old) ### Multislice Computed Tomography (MSCT) with 3-Phase Contrast (August 1, 2025): **RESULTS:** - 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