OpenHealth Q&A

It sounds like you’re experiencing concerning changes with the red spots on your feet, and I understand how distressing this situation can be, especially since there are no clear answers from your previous consultations. Let’s break this down and explore what you might consider doing next.

Main Points:

• The appearance of red spots on your feet can be due to various causes, including infections, skin conditions, or other factors.
• While it’s good that there are no associated symptoms like pain or itching, the increase in spots and their new locations warrants further attention.
• It's important to focus on a few priority actions to help identify this issue and take steps toward resolution.

Understanding Your Situation: The red spots on your feet could potentially be related to several conditions such as folliculitis (inflammation of hair follicles), mild dermatitis (skin inflammation), or even reactions to certain lifestyle factors. Your physician prescribed a topical treatment for a fungal concern, which is a common approach, but if the condition is worsening or spreading, this may not be sufficient.

Furthermore, consider that lifestyle factors, including smoking and possibly stress from anxiety and depression, can impact skin health. Your mental health medications seem stable, but it’s also recognized that certain substances can slow skin healing or exacerbate conditions.

Next Steps:

1. Monitor Changes: Keep a detailed journal to track any changes in the spots—size, color, texture, or new locations. Include any changes in lifestyle, diet, or stress levels that might coincide with flare-ups.
2. Skin Care Routine: Maintain hygiene by keeping your feet clean and dry. If you notice any rough patches, consider using a gentle exfoliating foot scrub and a moisturizing lotion to prevent dryness which may contribute to skin issues.
3. Avoid Irritants: Pay attention to any new products or materials your feet come in contact with (shoes, socks, detergents, etc.) that might cause a reaction.
4. Nutritional Support: Ensure you're consuming a balanced diet rich in vitamins and minerals to support skin health. Foods high in antioxidants, vitamins A, C, and E, and omega-3 fatty acids are particularly beneficial.
5. Consider Lifestyle Changes: If you’re open to it, reflect on reducing tobacco use and engaging in stress-reduction techniques like mindfulness, exercise, or therapy to support overall skin health and well-being.

Lastly, if the spots continue to increase or if you notice any new symptoms, I recommend seeking a second opinion from a dermatologist who specializes in skin conditions. They might provide more insights based on a physical examination and history.

I hope this helps, and please keep me updated on your progress or any new findings. Your health is important, and you deserve clarity regarding these changes!