OpenHealth Q&A

Get answered by medical professionals

Conflicting Opinions on My Diagnosis

8/2/2025, 12:50:41 PMMale25-34

At 44 years old, I’m navigating some perplexing health challenges. I manage polycystic ovary syndrome (PCOS) with a regimen of supplements, including inositol, curcumin, and acetyl-L-carnitine, but I do not use prescribed medications. Fifteen years ago, I began experiencing a troubling array of symptoms: persistent numbness and tingling sensations, cognitive fog, chronic tiredness, difficulties with breathing, severe gastroesophageal reflux disease (GERD), and joint discomfort. This distressing situation extended for more than two years as I sought answers from numerous specialists. It was during this chaotic period that I received a diagnosis of PCOS, yet it fell short of clarifying my other health issues. Throughout this time, my antinuclear antibody (ANA) levels were alarmingly high, hitting 1:1280 according to my rheumatologist’s tests, though screenings for other autoimmune conditions yielded negative results. The constant episodes of numbness unfortunately led to mild to moderate nerve damage across my body. Whenever a healthcare professional was unable to provide a diagnosis, they would often dismiss my symptoms as stress-related, much to my frustration. Amidst all this, my primary care physician played a pivotal role in uncovering the root of my issues: a milk allergy. This particular allergy seems to impact my immune system without triggering systemic responses. Eliminating dairy from my diet brought about significant changes—my ANA levels normalized, and most of my symptoms dissipated, although I still deal with aspects related to PCOS. However, my recent visit to an allergist raised new concerns. When I presented her with my diagnosis, she indicated that my situation didn't align with typical allergy patterns without providing substantial rationale, merely conveying her confusion. This left me feeling uneasy about potentially harboring an untreated autoimmune disorder that could worsen over time. My ANA results remain stable, and I ensure to get tested every few years, the latest being two years prior. I am seeking advice or suggestions for how to move forward from here. I am left to ponder whether her stance is a reflection of misunderstanding, negligence, or if there may be an underlying issue waiting to surface. Truly, I am at a crossroads and uncertain about the best path ahead.

Skin AllergiesAsthmaHives

Answers (1)

Cony

8/2/2025, 12:51:00 PM

OpenHealth AI

Main Points

You’ve been navigating complex health challenges, including a diagnosed milk allergy and considerable symptoms associated with PCOS, chronic fatigue, and nerve damage. Your concern about untreated autoimmune disorders in light of conflicting opinions is valid, and addressing your ongoing symptoms while ensuring you feel confident in your health management is essential.

Explanation

Your journey reflects a significant amount of medical investigation and personal resilience. The diagnosis of PCOS and the identification of a milk allergy have contributed to some symptom relief. However, persistent symptoms—especially neurological ones—coupled with high ANA levels, can understandably raise concerns about other autoimmune conditions. Your experience with healthcare professionals communicating uncertainty can add to anxiety, making it difficult to find a clear path forward.

Even though your ANA levels have normalized, ongoing puzzling symptoms warrant continued attention. It is crucial to ensure that you are not only managing your known conditions effectively but also exploring any potential underlying issues that could be contributing to your health challenges.

Next Steps

  1. Symptom Monitoring & Documentation: Keep a detailed record of your symptoms, including when they occur, their intensity, and any potential triggers. This information can provide valuable insights for your healthcare team.

  2. Consult a Specialist: Consider seeking a second opinion from a rheumatologist who specializes in autoimmune diseases or a neurologist to further investigate the neurological symptoms. Bring your symptom diary and any ANA test results to help guide the discussion.

  3. Holistic Management Strategies: Continue managing your PCOS and milk allergy through diet and supplements like inositol and curcumin, which have shown benefits for these conditions. Make sure to discuss any new symptoms, dietary changes, or supplements with a healthcare professional.

  4. Consider Allergy Testing: If you haven’t already, discuss with your primary care physician the possibility of further allergy testing or an evaluation of other food sensitivities that might be affecting your immune response.

  5. Supportive Group: Consider connecting with support groups for individuals with PCOS or autoimmune conditions. Sharing experiences with others who have faced similar challenges may provide additional coping strategies and support.

You are doing a commendable job in managing your health, and navigating the complexities of the situation is challenging. Remember, your concerns are valid, and it’s important to prioritize finding healthcare providers who listen to and validate your experiences. If you need further information or resources, feel free to ask.

Related Questions

Unexplained Urticaria Episodes

A 28-year-old woman, measuring 158 cm and weighing 72 kg, has been experiencing episodes of urticaria for the past month without any obvious cause. The issue began following a localized reaction to her migraine treatment, particularly the medication erenumab. Generally, she has minor reactions to this injection; however, the last two doses have led to significant flare-ups. Subsequently, she began to notice hives appearing sporadically, primarily without identifiable triggers. These episodes tend to intensify during the night but usually subside after taking cetirizine, an antihistamine. Additionally, she has known drug allergies to ciprofloxacin and penicillin. Recently, after taking cefpodoxime, she developed a rash within a few hours, although cefixime did not provoke any adverse reactions.

Drug AllergiesHivesAllergy & Immunology
Male25-34
9 minutes ago

Rash on the Dorsal Side of My Hands

A 24-year-old male, standing 5'3" and weighing 125 pounds, is not currently taking any medications. While I do not smoke, I am often exposed to secondhand smoke from those around me, and I have recently spent time in an environment where a significant amount of unpleasant smoke is produced due to casting activities. For approximately three weeks, I have been experiencing a rash on the backs of both my hands. I initially became aware of it after working on my car's engine. The rash has led to dryness and itching, and I took a photo after my shower today, highlighting the redness that has become particularly noticeable. What are some effective treatments for this condition?

Skin AllergiesAllergy & ImmunologyDermatology
Male25-34
6 hours ago

Understanding Foam in Urine: When is it a Concern?

Age 24, I've observed a notable increase in the amount of foam in my urine over the past couple of years, compared to what I remember from before. About a year ago, I mentioned this to my primary care physician, who seemed somewhat dismissive of my concerns. Nonetheless, they proceeded to conduct a urinalysis, which returned normal results, indicating no elevated protein levels. I frequently undergo blood tests, and both my eGFR and creatinine levels typically fall within the normal range, although I did experience some fluctuations linked to a bout of mononucleosis a couple of years back, where my eGFR dipped near 70; it currently remains above 100. I suspect that changes in my urological function, likely from aging, are contributing to a stronger urine stream now than in my youth. The foam generally settles down after a few minutes, although occasionally it lingers longer than expected. I make a concerted effort to stay hydrated, even though I don’t always succeed, so I wonder if mild dehydration could partially account for the foaming. This concern is particularly relevant as I'm resuming strength training and planning to increase my protein consumption. I want to ensure that my kidneys are not overtaxed due to any potential underlying issues. Additionally, I have a history of taking 5 grams of creatine daily, paired with plenty of water, which makes me cautious about this, too. Is there a point at which foaming in urine is considered excessive, or does a specific threshold exist that I should be aware of?

HivesAllergy & ImmunologyDermatology
Male25-34
7 hours ago

Understanding Symptoms of Salmonella: What to Do Next

My boyfriend, who is 26, experienced a fever that peaked at approximately 99.5°F yesterday morning. Thankfully, after resting and taking NyQuil, his fever subsided by this morning. However, he has been dealing with severe abdominal pain and persistent diarrhea since last evening, which has not shown much improvement. He has been making frequent trips to the restroom, nearly every hour throughout the night and again today. While I initially thought he might be improving since the fever has decreased, I became alarmed upon noticing bright red blood in his stool and on the toilet paper after he wipes. It has been around 40 hours since the fever began, and my concern has heightened now that blood has appeared. I’ve come across some online information suggesting these symptoms might be typical for salmonella infections, and I’m uncertain whether we should seek medical attention immediately or if it’s advisable to wait another day or two to see if his condition improves. I realize that consulting a doctor as soon as possible would be the best course of action. However, he currently lacks insurance, which makes him hesitant to get checked right away. Any guidance on this matter would be greatly appreciated, thank you.

Drug AllergiesHivesAllergy & Immunology
Male25-34
9 hours ago

Navigating Alcohol Challenges

My partner has recently developed issues with alcohol. Over the past year, he has been consuming significant amounts—roughly two bottles of distilled spirits each week, in addition to beer. A decade ago, he struggled with inhalants and even faced near-fatal consequences, but he had maintained sobriety until he turned to drinking. He believes he has plenty of time before the effects of alcohol will manifest. How long can he continue this way before it becomes a serious problem? He is a 53-year-old male, weighing 325 pounds, standing at 5 feet 11 inches, and he is currently on medication for hypertension. Although we plan to separate later this year, it’s clear that this situation will have an impact on our three children.

Drug AllergiesAsthmaAllergy & Immunology
Male25-34
10 hours ago