OpenHealth Q&A

Get answered by medical professionals

Uncertainty Between True Illness and Anxiety Symptoms

7/20/2025, 7:20:19 AMMale25-34

(Please note: This is my inaugural post on Reddit, and I apologize if my explanation isn’t perfect!) I’m a 19-year-old woman, standing at 5 feet tall and weighing 110 pounds. Since January of this year, I’ve encountered a myriad of symptoms that have led me to visit the emergency room over seven times. My experiences include severe abdominal discomfort, ongoing constipation, difficulty breathing, overwhelming tiredness, dizziness, and blurred vision. I also suffer from headaches that manifest in specific areas, intense pressure surrounding my jaw and temples that can be painful to manage, a persistently blocked nose, heart palpitations, occasional sharp pains throughout my body, heartburn, and a disrupted sleep pattern due to these various issues. Additionally, I've been dealing with anemia for the past five years, my thyroid levels are currently elevated, and I have a deficiency in vitamin D. Recently, I discovered that I have polyps in my nasal passages. With all of these factors at play, I sometimes find myself overwhelmed by worry, leading to fears of having conditions like POTS or other serious health issues that might arise. To be honest, I am weary of my physicians attributing all of this solely to anxiety, especially since these symptoms can occur independently of any anxious feelings. I seek clarity on what these signs might indicate and hope to learn if there are further steps I can take to improve my health situation, beyond the typical measures like iron and vitamin D supplements or laxatives, which have shown limited effectiveness thus far.

LupusThyroid DisordersEndocrinology

Answers (1)

Cony

7/20/2025, 7:20:33 AM

OpenHealth AI

It's understandable to feel overwhelmed by your symptoms and the uncertainty surrounding them. You're dealing with a complex set of health issues, and it's important to address each one carefully to validate your concerns and find effective solutions.

Summary of Main Points:

  1. You have multiple symptoms that can be interconnected.
  2. Anxiety can exacerbate physical symptoms, but it doesn't invalidate your experience.
  3. Focus on managing symptoms and addressing any underlying health issues.

Explanation:

Your symptoms—including abdominal discomfort, shortness of breath, fatigue, and headaches—can arise from a combination of your chronic conditions (like anemia and thyroid issues), vitamin deficiencies, and possibly anxiety. While anxiety can mimic or worsen physical problems, it does not mean your symptoms are 'just in your head.' Each of your complaints deserves attention, and the feelings of worry you have are valid.

Next Steps:

  1. Symptom Tracking:

    • Keep a detailed diary of your symptoms, noting when they occur, their intensity, and any triggers. This can help identify patterns and assist healthcare providers in diagnosing conditions more accurately.
  2. Monitor Thyroid and Anemia Levels:

    • Work with a healthcare provider to ensure your thyroid levels and anemia are under control. Elevated thyroid hormones can cause symptoms like anxiety, fatigue, and palpitations.
  3. Vitamin D and Other Deficiencies:

    • Beyond supplements, consider discussing dietary changes or light therapy for vitamin D. Ensure your diet includes foods rich in iron, and consult with a nutritionist if possible.
  4. Addressing Nasal Polyps:

    • Since you have nasal polyps, they could be contributing to breathing difficulties and pressure in your head. Follow up with an ENT specialist about treatment options, such as medications or potential surgical interventions if necessary.
  5. Consider Anxiety Management:

    • Even if anxiety is not the main issue, managing it could help reduce your overall discomfort. Techniques such as mindfulness, breathing exercises, or even cognitive behavioral therapy (CBT) can provide benefits.
  6. Evaluate Lifestyle Factors:

    • Focus on adequate hydration, a balanced diet, and regular, gentle exercise if possible, as these can improve your overall well-being and help manage symptoms.

It's crucial to advocate for your health and seek answers to all your symptoms. If you feel your concerns are being overlooked, consider asking for referrals or second opinions from specialists who can provide further insight into your complex health situation. Remember, you're not alone in this journey, and taking proactive steps can empower you to manage your health more effectively.

Related Questions

Concerns About My Menstrual Cycle

Two months ago, my partner and I began our journey to conceive. During the first month, I utilized LH test strips to track my ovulation. Interestingly, I experienced symptoms that felt reminiscent of early pregnancy, such as tender breasts, vivid dreams, and headaches. However, disappointment struck when my period arrived a day sooner than expected, with the entire cycle spanning just 25 days. On day three of menstruation, I noticed a significant increase in flow and passed two clots, each measuring approximately 2 to 2.5 centimeters in size. This occurrence was alarming for me since it was unprecedented in my experience. In the following cycle, I encountered painful ovulation for the first time, accompanied by a small trace of blood. The discomfort persisted for two to three days, particularly on the left side of my abdomen. This particular cycle extended to 27 days, and once again, on the third day of my period, I experienced heavy bleeding and passed one clot. The flow eventually tapered off, yet I'm left feeling quite anxious. Interestingly, I had taken a pregnancy test about thirty minutes prior to the onset of my period, which returned a negative result. While I have an upcoming appointment with my gynecologist, I would greatly appreciate any insights or advice in the meantime. 28 years old, female.

Thyroid DisordersInternal MedicineRheumatology
Male25-34
18 minutes ago

Concerns About Granuloma Formation Following SPF Cream Use After Microneedling

Hello! Five weeks ago, I underwent microneedling with a Dermapen, targeting acne scars on my cheeks, using a needle depth of 1.5 to 1.75 mm. This procedure was performed by a nurse at a dermatology clinic. Right after the microneedling, she applied a cream that I believe was intended for post-treatment care and contained SPF. I had confirmed with her beforehand that she would be using SPF on me. The cream had a heavy, greasy texture on my face. She also provided me with Avene Cicalfate cream for ongoing use. However, I now feel that her guidance was misguided since I've read that only hyaluronic acid serums should be applied to the skin within the first 24 hours post-procedure. I refrained from touching my skin for the next 28 hours, before cleansing it with water and applying the Cicalfate. My primary concern now revolves around the possibility of developing granulomas in the future. I'm worried that the cream she used on my newly microneedled skin may have included mineral oil or silicones among other ingredients. My fear is that if these substances penetrated the microchannels created by the treatment, could they remain trapped in my skin indefinitely since they are not natural materials? I've seen alarming instances of individuals who injected mineral oil or silicone fillers and faced severe consequences, such as disfiguring granulomas (like the cases of Lyn May and Hang Mioku). Might I be at risk for similar outcomes? The thought that my face could be permanently damaged is really distressing. It's challenging to find information on granulomatous reactions post-microneedling, aside from a few case studies that often mention vitamin C used during the process. Initially, my skin was red and tender after the microneedling treatment, but it appeared to be healing well during the first week afterward. However, on day eight, I experienced a delayed reaction where my skin became increasingly flushed, hot, and sensitive, which lasted for about four days. Since that episode, my skin seems to be in decent condition. I've noticed some minor acne and a few small flesh-colored bumps, but I'm uncertain about their nature.

ArthritisInternal MedicineEndocrinology
Male25-34
57 minutes ago

Questions About Skene's Gland Cysts After Recent Diagnosis

Greetings! I've noticed a lack of discussions regarding a specific health concern, so I wanted to reach out and inquire. I am currently facing a significant medical issue involving vascularized retained products of conception (RPOC) and a potential arteriovenous malformation (AVM). Due to the risk of bleeding, I'm scheduled for a necessary surgery soon, likely within the upcoming week. In my latest ultrasound examination, I was informed of the presence of two cysts in the Skene’s glands. However, these were not the primary focus of the ultrasound, so my physician hasn’t provided much information about them thus far. The cysts measure 1.2 cm and 1.3 cm, respectively. I plan to discuss this with my doctor during our next appointment, but in the meantime, I’ve been researching this condition, and they appear to be quite uncommon. I'm curious if it would be possible to address these cysts during my upcoming surgery. Have they likely existed unnoticed for a long time, or could they be a recent development? Furthermore, is there a chance they might be connected to my pregnancy loss and the current issues with RPOC? I had numerous ultrasounds throughout my pregnancy, which has left me puzzled as to why these were not identified earlier—perhaps they developed just recently. This entire experience has been one of the toughest challenges I’ve faced, but I’ve grown quite resilient to receiving unfavorable news at this point. I appreciate any insights you might have on this matter! Just to clarify, I am in touch with my doctor regarding these concerns, but I'm eager to learn more. Thank you! :)

Multiple SclerosisLupusThyroid Disorders
Male25-34
1 hour ago

Seeking Guidance: My Father's Health is Deteriorating

Initially, my father seemed to be doing alright, though he had a mild fever. After conducting some tests, we discovered that his blood count was low. This led to his hospitalization where he received blood transfusions, antibiotics, medication to manage his blood sugar levels, and omega fatty acid supplements. Following this treatment, he was discharged and sent home with additional prescriptions. However, since starting these medications, his condition has progressively worsened. He now experiences frequent urination, and just yesterday, he nearly fainted after using the restroom. Out of concern, we've paused all his medications because we fear they might be contributing to his decline. Has anyone experienced a similar situation? Could this be a side effect of the medications he was given? Should we consider resuming the medications, or would it be better for him to return to the hospital? Any insights or suggestions would be greatly appreciated.

DiabetesThyroid DisordersEndocrinology
Male25-34
2 hours ago

Seeking Guidance on Self-Advocacy for My Symptoms

Location: England | Age: 24 | Height: 5’11 | Weight: 268 lb | Current Medications: Sertraline, Fexofenadine Since 2019, I've been struggling with consistently swollen lymph nodes in my left armpit. Despite undergoing scans that confirmed the swelling, the medical professionals informed me that no intervention was necessary. Over time, my condition has deteriorated, and I’ve returned for further assessment. While they acknowledged the worsening of my symptoms, again, I was told that no action was required. At this point, I am overwhelmed by the pain I’m experiencing. Recently, a 14mm lesion was discovered on my spleen, and once more, I received the response that no action would be taken. If I had a pound for every time I've heard "no action needed," I would have a substantial amount of money by now. I have an appointment tomorrow, and I find myself questioning whether the issue lies with me, not advocating for myself effectively. Here are the symptoms I've been experiencing, which have noticeably intensified over the past week: - Upper left abdominal pain that has begun to spread - Painful swollen lymph nodes in left armpit - Painful swollen lymph nodes in the neck - A sensation of a lump in my throat - Swollen and painful right breast - Painful lump in the middle of my left chest - Pain in the left side of my head - Internal swelling and pain in the left shoulder - Increasing pain in my right armpit - Generalized itching - Significant fatigue - A loss of appetite - Feeling both empty yet bloated, leading to reluctance in eating - Issues with constipation - A painful itchy lump on my right arm - Tingling sensations down my left arm, particularly in the bicep and fingers, described like a tickling itch, reminiscent of pins and needles after hitting something hard - A pervasive sense that something is off with my body - Episodes of shaking - The emergence of a small, itchy, red rash on my left bicep that has not responded to moisturizing creams I plan to provide this list to my doctor; however, past experiences have shown that they are often reluctant to address more than one minor issue at a time, possibly missing the larger picture. What inquiries should I make during my appointment? What can I realistically expect to hear if they genuinely listen to my concerns? I would appreciate your insights.

ArthritisMultiple SclerosisLupus
Male25-34
2 hours ago