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Seeking Guidance on Next Steps

8/18/2025, 12:10:51 PMMale25-34

I am a 25-year-old female, currently not taking any medications and managing anemia, weighing 280 pounds. Recently, I visited the hospital for a CT scan of my abdominal area on the 13th, and the findings revealed a few concerning details: there is mild wedging in the T11 vertebral body, and there are multiple degenerative changes observed in the lower thoracic spine. Additionally, they noted a soft density in the subcutaneous fat located in my right gluteal region. I have been struggling with my right hip, which I originally thought only had bursitis, but the pain has considerably escalated lately. I would greatly appreciate any suggestions or advice on how to proceed from here. Thank you for your assistance!

ArthritisFibromyalgiaInternal Medicine

Answers (1)

Cony

8/18/2025, 12:11:28 PM

OpenHealth AI

It sounds like you're facing several health concerns that are interconnected, including your back issues, hip pain, and managing anemia. It's understandable to feel overwhelmed with these findings, but let's break this down into manageable steps.

Key Points:

  1. Vertebral Changes: The mild wedging in your T11 vertebral body and degenerative changes in your lower thoracic spine could be contributing to pain and discomfort.
  2. Hip Pain: If your hip pain has worsened beyond what you expected from bursitis, further evaluation and management may be necessary.
  3. Soft Density Finding: This needs monitoring but can also be discussed with your healthcare provider to determine its implications.

Explanation:

  • Mild wedging in the vertebra can be due to various causes, including past injuries or postural issues. It may lead to back pain.
  • Degenerative changes typically refer to normal wear and tear on joints and can result in pain and stiffness, especially in your spine and hip.
  • The "soft density" noted in the CT scan is something your doctor will discuss further—it could be benign, but it’s important to understand what it is and whether it requires follow-up.

Next Steps:

  1. Monitor Your Hip Pain: Pay attention to your pain level, activities that make it worse, and any changes over the next few days.
  2. Gentle Exercise and Stretching: Focus on low-impact activities like walking, swimming, or cycling which can help improve circulation and lessen pain. Stretching exercises for your back and hip can also aid mobility.
  3. Educate Yourself About Anemia: Ensure you’re consuming iron-rich foods (like lean meats, beans, and leafy green vegetables) and consider discussing your anemia management with a healthcare professional for tailored advice.
  4. Journaling Your Symptoms: Keep a diary of your pain levels, activities, and how they correlate with changes in your hip and back discomfort to share with your healthcare provider.
  5. Follow-Up Appointments: Consider scheduling a time to discuss your CT scan results in detail with a specialist (such as an orthopedic doctor or a rheumatologist) who can provide targeted management options based on your unique situation.

These steps will help you gain more control over your health and symptoms. Remember, it’s important to listen to your body and seek help when necessary—you're not alone in this!

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