OpenHealth Q&A

Get answered by medical professionals

Is Chronic Meningitis a Concern for Me?

7/21/2025, 7:30:26 PMMale25-34

At 25 years old and standing 5'8", I've never smoked and am becoming increasingly curious about whether I may be dealing with meningitis. Before I make a doctor's appointment, I would appreciate any advice. For the past five to seven years, I've experienced persistent stiffness in my neck, particularly where the skull connects to the spine. While headaches are not an everyday occurrence for me, they do arise occasionally, typically manifesting as tension headaches linked to this neck stiffness. I also encounter cerebrospinal fluid leaks, which happen sporadically—perhaps once or twice monthly. A healthcare professional suggested I could have POTS, primarily due to the fatigue, dizziness, nausea, and cognitive difficulties I've been facing, symptoms that started around the same timeframe as the neck issues. Additionally, I often feel unwell, yet my temperature rarely exceeds 100 degrees. My baseline temperature usually hovers around 99 degrees, making 100 feel more manageable for me. Recently, I discovered the concept of chronic meningitis and learned that it can sometimes remain undetected for years due to its mild and intermittent symptoms. This has led me to question whether I should seek medical evaluation. However, I'm hesitant because I'm uncertain about the potential costs and whether this might be a life-threatening condition. Given that these symptoms have persisted sporadically for years without major complications, should I consider a consultation?

Crohn's DiseaseCOPDRheumatology

Answers (1)

Cony

7/21/2025, 7:30:51 PM

OpenHealth AI

It’s understandable to feel concerned about your health given your symptoms and what you’ve learned about chronic meningitis. While many of your symptoms can be linked to various causes, including tension headaches, neck stiffness, and the possibility of a condition like Postural Orthostatic Tachycardia Syndrome (POTS), chronic meningitis is one consideration among several potential explanations.

Explanation:

Chronic meningitis is an inflammation of the protective membranes covering the brain and spinal cord that can persist for weeks or longer. Symptoms can include neck stiffness, headaches, and fatigue, but they typically progress over time. In your case, while your neck stiffness and headaches could suggest some type of neurological issue, the sporadic nature of your cerebrospinal fluid leaks and other symptoms like fatigue and dizziness might also indicate other underlying conditions rather than chronic meningitis specifically.

Prioritized Next Steps:

  1. Monitor Your Symptoms: Keep a detailed record of your symptoms, noting when they occur, their severity, and any triggers. This can help healthcare professionals make a more accurate assessment.

  2. Stay Hydrated and Rest: Manage your symptoms by ensuring you’re well-hydrated and getting adequate rest, especially if you experience fatigue and dizziness.

  3. Evaluate the Urgency: Based on your symptoms persisting for years without severe complications, while chronic meningitis is a concern, it hasn’t likely caused life-threatening issues so far. Prioritize seeking medical advice if you notice any worsening of symptoms such as increased head pain, fever, confusion, or severe neck stiffness.

  4. Consult a Healthcare Professional: While you may have concerns about costs, it’s important to address your health issues with a professional. Discuss your symptoms and any findings from your symptom diary during a consultation. They may suggest imaging studies or tests to rule out chronic meningitis or other conditions.

  5. Explore Cost-Effective Options: If costs are a significant concern, consider community health centers, sliding-scale clinics, or telemedicine options that may offer more affordable consultations.

Taking these steps will help provide clarity on your symptoms and potential diagnosis. If chronic meningitis or another serious condition is present, early identification is important for effective management.

Related Questions

Unusual Heart Sensation

I’m an 18-year-old, weighing 50 kilograms and standing at 170 centimeters (and yes, I’m aware that I’m quite slender). For the past couple of years, I’ve developed a habit of smoking about half a pack of cigarettes each day. So, the other day I was lying on my left side, relaxing, when I stumbled upon an unusual sensation. It felt as though my heart was pulsating so intensely that it was almost outside my body. Out of curiosity, I pressed a bit on the area and was instantly hit with a rush; my head started to tingle, my vision momentarily blurred, and it felt as though my heart dropped. It was as if my entire system had malfunctioned. Just for context, I’ve experienced something similar before after a ketamine overdose, and it persisted for about a month afterward, occurring occasionally while trying to sleep or during random moments in bed. This current episode has me quite anxious, especially since it hasn’t happened in a while, but this time felt particularly alarming.

Multiple SclerosisCOPDInternal Medicine
Male25-34
1 hour ago

Mass on the Glottis

Patient Details: 63-year-old male, height 165 cm, weight 66 kg, Asian descent. Lifestyle Factors: No history of smoking or alcohol consumption. Medical History: Diagnosed with asthma and angina. Current Medications: Uses a Symbicort inhaler and takes Concor tablets. Main Concern: A mass was detected during a gastroendoscopy carried out a year ago. There is no report of pain, but the patient experiences mild hoarseness. What might be the diagnosis?

AsthmaCOPDInternal Medicine
Male25-34
1 hour ago

Experiencing Heart Palpitations Following Chest Impact

I'm a 17-year-old female who has struggled with tachycardia for several years, having been diagnosed with postural tachycardia syndrome (POTS) about five years ago, although I haven't pursued further testing because I haven't completely lost consciousness. Recently, over the past month or two, I've started to experience sensations of my heart skipping beats, accompanied by difficulty in breathing during these episodes. These occurrences have become significantly more frequent, even when I'm at rest. Five years ago, I underwent a Holter monitor test, which indicated primarily tachycardia with occasional premature ventricular contractions (PVCs), but nothing alarming was found. In early December, I was struck hard in the chest by an elbow while in a mosh pit, which resulted in some pain when taking deep breaths for a few days. My sternum became bruised and slightly swollen, and it remained tender to touch for about two weeks, but this discomfort was manageable. I still feel some soreness when stretching, although it’s not severe. Additionally, I have diagnoses of Crohn’s disease and hypermobile Ehlers-Danlos syndrome (HEDS), and I am currently on immunosuppressants. Given these circumstances, would it be advisable for me to seek medical evaluation, or could these symptoms be considered typical?

Crohn's DiseaseThyroid DisordersRheumatology
Male25-34
2 hours ago

Understanding My Experiences with Dissociation and Physical Symptoms

Hello everyone! I'm 15 years old and I’ve been grappling with intense feelings of dissociation recently. About two years back, I experienced what I now refer to as a "silent seizure" for the first time. It happened around 2 PM while I was at school in the band hall. Suddenly, I found myself zoning out completely; I was just sitting there, disassociated from reality, until it dawned on me that I couldn’t seem to reconnect with my surroundings. Feeling lost, I turned to a friend and anxiously asked, "Where am I?" She chuckled, unaware of the seriousness of my situation, but I stood up and wandered out of the classroom, aimlessly walking towards the bathrooms. The sensation was akin to being in a dream—you know you’re somewhere, yet you can’t fully engage with the moment for what felt like 5 to 10 minutes. Strangely, I even had the feeling of observing myself from above as I moved through the halls, like a scene from a dream. In a state of panic, I contacted my mom. By the time I managed to leave school, my mind was clearing. She took me to her workplace where a colleague checked my blood sugar levels, revealing it was low. I had eaten that day, so this was unexpected (especially since my mother also faces issues with low blood sugar). This occurrence was unprecedented for me; thankfully, I haven’t faced such low levels since then. In the following weeks, I experienced intermittent dissociative episodes, prompting me to visit a doctor. I underwent blood tests, an electrocardiogram (EKG), and a routine examination. Everything appeared normal, except I was diagnosed with anemia—something my mother and sister also deal with. I walked away from that appointment without any real explanations, and after a while, the episodes subsided—thankfully, a relief. FAST FORWARD TO NOW: (15 years old) (Potentially relevant context) Recently, I’ve been enduring severe heart and chest discomfort. I’ve been noticing irregular heartbeats, sporadic strong pulsations, and sharp pain localized in my heart region and upper right chest. Lying on my side can be quite painful, and sometimes I struggle to take deep breaths. I make it a priority to get a full eight hours of sleep each night, I take daily vitamins, and I’m actively involved in competitive cheerleading, maintaining a healthy fitness level for my height and weight. We sought medical advice again, underwent numerous tests, and, once more, everything checked out fine. My heart was deemed healthy, and all other measurements were satisfactory. Initially, we suspected anxiety might be a factor, but my mom is hesitant to consider antidepressants, believing that my age may limit treatment options. She has recommended that I hydrate more and practice breathing exercises (which is somewhat ironic since I struggle to breathe when these pains occur, yet I don’t argue). UPDATE: During practice today, I unexpectedly experienced my first "silent seizure" episode in two years. It was more disconcerting than I recalled. I lost track of my location again and couldn’t re-engage with reality. It felt as if I was observing those around me from a dream-like vantage point. This realization frightened me, thinking that I had moved past these episodes. It took about ten minutes for me to regain my awareness of my environment. Additionally, this week, I noticed moments of dissociation, albeit not as intense as previous episodes. I found myself vacantly staring, and my vision felt oddly lazy, frequently. It's worth noting that I do not have a lazy eye. I plan to document these occurrences meticulously, and if they persist, I will consult my doctor again. Meanwhile, if anyone has suggestions about what might be happening to me, I would greatly appreciate it. Is this potentially linked to anxiety? I’m genuinely confused about my condition!

LupusCrohn's DiseaseThyroid Disorders
Male25-34
2 hours ago

Should I Seek Medical Attention for a Possible Spinal Injury?

Greetings! I’m a 20-year-old male, and while I’m not overly anxious about my situation, I've been experiencing enough discomfort to consider it. Three days prior, I went snowboarding and attempted to navigate a box, which is essentially a flat metal structure with a slight ramp at the end. Unfortunately, I lost my balance close to the end of the box and landed squarely on my backside. This caused my back and head to make hard contact with the ground. At first, I didn’t perceive much pain in my back or head; instead, the primary source of pain seemed to be my rear, which felt as if it had developed a noticeable lump. However, I dismissed it at the time. The following day, the soreness persisted, alongside generalized discomfort throughout my upper body. Every time I coughed, I felt pain that radiated from my neck down to my abdomen, which was tender to the touch. I asked my girlfriend to check for any visible injuries, and although my butt showed no bruising, I did notice around five bruises along my spine. I’m questioning whether I should consult a physician. I usually avoid going to the doctor unless absolutely necessary, having only visited twice in the last four years (excluding vaccinations during my teenage years). I tend to prefer toughing things out to save on medical expenses, but if the situation warrants it, I wouldn’t hesitate to seek help as I did last year for an ear infection. What do you think – should I consider getting checked out?

COPDInternal MedicineRheumatology
Male25-34
2 hours ago