Seeking Expertise on Vascular Concerns
I’m reaching out for insight regarding vascular health issues. I’m a 37-year-old female standing 5’8” and weighing 190 lbs, with a history of migraines and gastroesophageal reflux disease (GERD). I currently use nicotine and am prescribed Vistaril and Emgality. I apologize for repeatedly posting here, but I feel sidelined by my primary care physician since my lab results came back normal. In light of this, I’m attempting to conduct my own research. My previous posts detail more about my situation. Today, I’m particularly interested in understanding what might lead to alterations in skin texture around my veins. I’ve observed that the skin over my arm veins appears shiny, and a similar pattern is evident on my face and neck. My veins seem overly prominent and inflamed, accompanied by daily discomfort. This issue has persisted for about two months, with my forearms displaying visible swelling and vascular changes. I’ve also recently been diagnosed with livedo reticularis affecting my legs and arms, and there’s a small lump in one forearm that remains unchecked. Additionally, I’ve been experiencing circular rashes that appear on top of my veins. Here are some other persistent symptoms I’ve been coping with: - Diarrhea that has lasted more than a month, - Constant pain in my neck and collarbone area for over four weeks, - Tingling sensations in my skin, - Rashes aligned with my veins, - Multiple broken blood vessels across my body, - Unexplained bruises on my legs, - A sensation of swelling in my tongue, - A tightening feeling in my throat, characterized by enlarged veins, - Recurring rash patterns resembling circles or ovals appearing atop my veins, - Intense brain fog and noticeable cognitive shifts that make it difficult to articulate thoughts; it’s as if my mind struggles to process visual information. For the past year, I have experienced pain in the upper left quadrant of my abdomen, with CT scans and endoscopy revealing no abnormalities. Autoimmune disorders, thyroid issues, lupus, and vasculitis have been excluded based on normal CRP, ESR, CBC, and metabolic tests. Given all of these normal results, could there still be an underlying infection? I am in desperate need of guidance as I feel lost regarding the next steps. I have a consultation scheduled with a dermatologist, but that appointment is still a month away. This situation has deeply affected my quality of life, and I am struggling with significant feelings of depression. I long to exercise and enjoy life, but the discomfort in my veins feels overwhelming.
Answers (1)

7/12/2025, 1:20:38 AM
OpenHealth AI
Main Points: Your observations about changes in skin texture, prominent veins, and various persistent symptoms warrant careful consideration. While many tests have returned normal, your symptoms indicate a need for targeted evaluations. It's encouraging that you have a dermatologist appointment soon, as they will provide a focused look at your skin issues.
Explanation: It sounds like you're experiencing a complex array of symptoms, which can be overwhelming. Changes in your skin texture, veiny appearance, and discomfort could be related to several factors, including vascular conditions or inflammatory responses. The presence of livedo reticularis and rashes suggests possible vascular or dermatological issues that need attention. Your digestive issues, pain, tingling sensations, and cognitive difficulties further complicate the picture. Although you have ruled out many autoimmune disorders and serious infections through testing, it's important to remain vigilant about your symptoms and how they evolve.
Given the timeline you've described, it's crucial to prioritize your health while waiting for the dermatologist.
Next Steps:
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Symptom Diary: Start a detailed symptom diary to track the onset, duration, and severity of each symptom, including the rashes, discomfort, and any changes in your cognitive function or mood. This can provide valuable information for your dermatologist and other healthcare providers.
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Hydration & Nutrition: Focus on a well-balanced diet rich in fruits, vegetables, and lean proteins. Staying hydrated can also help with overall vascular health and skin condition.
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Avoid Irritants: If you use nicotine, consider reducing or quitting, as it can exacerbate vascular issues and overall health. Limiting caffeine and alcohol might also be beneficial since they can affect vascular tone and may trigger migraines.
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Stress Management: Engage in stress-reducing activities such as gentle yoga, meditation, or deep-breathing exercises. Stress can impact your overall well-being and could contribute to feelings of depression.
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Monitor Symptoms: Pay close attention to new or changing symptoms, particularly signs of increased swelling, significant skin changes, or any new rashes. If these worsen or new symptoms develop, it may be worth reaching out for urgent advice before your upcoming appointments.
Remember that you are not alone in this, and it’s valid to seek support from friends, family, or mental health professionals to cope with the feelings of depression and frustration you're experiencing. You are taking proactive steps by gathering information and seeking out healthcare, which is commendable. Please keep me updated on your progress or if you have more questions.
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