Unusual Rash on Lower Abdomen
Essential Information: I’m a 22-year-old assigned female at birth, standing at 5 feet 2 inches tall. My precise weight is uncertain, but I do classify as overweight, and the rash I’m experiencing is primarily located on my lower abdomen. Currently, I’m on Slynd for birth control, Trintellix for mental health support, and Xyzal to manage allergies. I have a significant history of eczema, which has been severe at times but is currently managed, as well as allergies that frequently result in skin irritations. Additionally, I suffer from Hidradenitis suppurativa, visible in past images, yet it is not actively being treated at this time. Although I am somewhat accustomed to rashes, this particular one is unfamiliar to me. I began experiencing symptoms of COVID-19 on Sunday, and by Monday night, I noticed this rash developing. It has been intermittently painful over the past few days and is worsening, even though most of my COVID-related symptoms have mostly subsided apart from slight fatigue, head fog, and mild nasal congestion. Tonight, it became increasingly painful, marking the first time I saw it in a couple of days, and it appears to have deteriorated, though I unfortunately did not keep a photo of it for reference. Since the onset of the rash, I’ve showered nightly, except for Thursday, and have been applying Triamcinolone Acetonide Cream USP, which I typically use for eczema flare-ups, alongside Eucerin Original Healing Cream designed for very dry and compromised skin. Could anyone provide guidance on this issue? I intend to schedule an appointment with my primary healthcare provider at the beginning of next week, although their office is currently closed. I do not have a dermatologist at the moment. Should I consider visiting urgent care for this situation? Currently, it feels okay, but the pain fluctuates, and it has been particularly uncomfortable during showers and when touched.
Answers (1)
9/6/2025, 4:20:30 AM
OpenHealth AI
It's understandable to be concerned about a new rash, especially given your medical history and current symptoms. Based on what you've shared, the rash on your lower abdomen may be related to several factors, including your existing eczema, allergies, or even a response to illness, such as your recent COVID-19 symptoms. Here’s a breakdown of key points and next steps:
Explanation
-
Potential Causes: Considering your history of eczema and Hidradenitis suppurativa, the rash could be an exacerbation of these conditions or a new skin issue, possibly linked to your recent COVID-19 symptoms. Pain in the area may indicate inflammation or irritation.
-
Current Management: You are using Triamcinolone Acetonide Cream, which may help with inflammation, but if the rash is worsening and causing significant discomfort, it may require a different approach.
Next Steps
-
Monitor Symptoms: Continue to keep an eye on the rash. Take note of any changes in size, color, or texture, as well as any additional symptoms like fever or swelling. If it begins to spread rapidly or shows signs of infection (like increased warmth, pus, or redness), it’s important to seek medical attention sooner.
-
Skin Care Routine: Maintain a gentle skin care routine. Continue using Eucerin Original Healing Cream, as keeping the skin moisturized is critical. Be careful with the Triamcinolone cream; avoid overuse, as it may lead to skin thinning or further irritation.
-
Consider Urgent Care: Given that the pain is fluctuating and has become notably uncomfortable, visiting an urgent care center might be a good idea, especially if you have concerns about infection or severe irritation. Explain your medical history, including eczema and Hidradenitis suppurativa, for a comprehensive evaluation.
-
Document Changes: As the rash evolves, if you can, take photos to track its progression. This can be helpful during your appointment with your primary care provider when their office reopens.
-
Pain Management: If the pain is significant, consider over-the-counter pain relief options like acetaminophen or ibuprofen, as long as you do not have any contraindications for these medications.
Your proactive approach to scheduling an appointment with your primary care provider is excellent. Until that appointment, watching the rash closely and using gentle care will be beneficial. Remember, you're not alone in this, and help is available. If you have further concerns or questions, feel free to reach out.
Related Questions
Exploring Inositol and CoQ10 for Managing PCOS Symptoms
As a 28-year-old female, I have faced the challenges of polycystic ovary syndrome (PCOS) since my teenage years. Starting from the age of 16, I have dealt with highly irregular menstrual cycles, occurring anywhere from three to eight months apart. My diagnosis has been substantiated through two ultrasounds and blood tests revealing elevated androgen levels. Despite maintaining a healthy diet and leading an active lifestyle—balancing my work as an environmental biologist with gym sessions alongside my husband—I continue to wrestle with weight management. Other symptoms impacting my daily life include significant hair loss, unwanted facial hair, and persistent fatigue. In my journey to manage PCOS, I previously sought counsel from a gynaecologist, who primarily suggested hormonal birth control as the main approach to alleviate my symptoms. Although I adhered to this recommendation for several years, the hormonal changes negatively impacted my mood, leading me to discontinue its use. Another alternative proposed by my gynaecologist involved androgen blockers, but these are not suitable for me since my husband and I plan to start a family in the next two to three years. Recently, my research led me to discover that supplements like Inositol and CoQ10 might effectively combat insulin resistance and lower androgen levels. They are purported to improve various symptoms associated with PCOS, including the regulation of ovulation, all while boasting minimal adverse effects. I am curious about the viability of these supplements as alternatives to hormonal birth control or androgen blockers in managing my PCOS symptoms.
Seeking Clarity on My Spinal Tap Results: A Bit Anxious
I am a 31-year-old woman experiencing a continuous headache for the past four months, accompanied by feelings of nausea and exhaustion. I take Lexapro each day to manage my mental health. I have a history of migraines and headaches, but this recent episode doesn't align with my previous experiences. Here are the findings from my spinal tap: - **Opening Pressure of Cerebrospinal Fluid (CSF)**: 9 cm H₂O - **Presence of Red Blood Cells (RBCs) in CSF**: 2,570 - **Total Protein Level in CSF**: 107 mg/dL - **ACE Level in CSF**: 4.4 - **Other Tests on CSF**: Results were normal. - **Brain MRI and MR Venography**: Both tests yielded normal results. - **Blood Test Results**: Normal results were obtained. Given these results, I'm feeling a bit uneasy and I’m hoping to better understand what they might indicate about my health.
Navigating Ear Infections While Traveling in Thailand
**Age:** 23 **Height:** 6'3" **Weight:** 88 kg **Medication Taken:** 1000mg Bactoclav - Amoxicillin with Potassium Clavulanate, along with pain relief and antihistamines. **Summary:** I’m hesitant to consult a doctor overseas only to receive a prescription for the same antibiotics available at a local pharmacy for a fraction of the price. What strategies can I employ to effectively manage this persistent ear infection? Am I being too hasty in my expectations? I have a long history of ear infections, often triggered by exposure to water or any activity impacting my ears. I regularly use a specialized oil before showering to prevent water from entering my ears. While backpacking in Thailand, I've developed a particularly severe ear infection over the last several days. Initially, a course of 500mg amoxicillin seemed effective, but significantly, just yesterday my condition took a downturn, shifting from nearly healed to painfully inflamed. Now, my ear is not only swollen but also incredibly sore. In an attempt to combat this, I’ve been taking 1000mg Bactoclav - Amoxicillin and Potassium Clavulanate, having consumed seven tablets in the last two days; unfortunately, there's been no noticeable improvement. I’m reluctant to seek medical attention, fearing I would be prescribed the same medication I could acquire from a pharmacy, albeit at a much higher cost. Yet, I’m also starting to question the efficacy of the pharmacy’s medication. I’ve only recently begun the stronger treatment since my symptoms returned. Any advice would be greatly valued! In addition, I’d like to share that just a week into my four-month journey, I feel as though my ongoing ear issues are gradually dominating my life. I am incredibly grateful for this travel opportunity, and while my health isn’t at risk in a serious way, these ear complications are becoming quite overwhelming. Could there be surgical options available? Might there be an underlying health concern that I’m unaware of? It doesn’t seem normal to be plagued by constant ringing, popping sounds, and wax buildup in my ears. Moreover, it feels excessive to have to apply products in my ears every time I shower.
Injury to the Sciatic Nerve
At 25 years old and weighing 135 pounds, I am currently taking naproxen and Lyrica to manage my sciatic nerve injury. The pain in my right leg has made it incredibly difficult for me to remain upright. It’s been two weeks since I first sought treatment; I consulted a physician who advised medication and attended a physiotherapy session. Initially, I experienced some relief after the appointment, but unfortunately, the pain returned the following day—even the prescribed home exercises exacerbated my discomfort. Just yesterday, I attempted the cobra pose, along with the flossing technique, which only heightened my pain. I find it nearly impossible to stand for more than a few seconds before the discomfort becomes intolerable. Additionally, I have an appointment with an osteopath on Tuesday, but I can't shake off my worries— is it normal to still struggle with walking after two weeks? Although I am experiencing some numbness in my toes, I haven’t encountered any loss of bladder or bowel control, worsening numbness, or weakness in my legs, so I feel stable in that regard. Nonetheless, I fear the possibility of never fully recovering and being left with a lasting disability. The pain is overwhelming, adding to my anxiety about the future.
Inquiry Regarding Metronidazole Use for Recurrent Bacterial Vaginosis
I am a 32-year-old female, measuring 5 feet 5 inches tall and weighing 248 pounds. My current medications include Vyvanse at a dosage of 40mg, a medication for asthma, vitamin D, a 325mg iron supplement, and as of now, I am also taking amoxicillin to treat strep throat. I am about to begin using Metronidazole 0.75% Vaginal Gel, with a total of 70 grams available. The instructions indicate that I should administer 5 grams vaginally twice a day for seven days, followed by twice a week for a period of two months. During the initial treatment phase when I will apply the gel twice daily, I anticipate abstaining from sexual activity. However, once I transition to the twice-weekly application, is it permissible to engage in sexual intercourse? I would normally consult my physician about this matter, but she is currently unavailable, and the nurse is also out of the office, which is quite frustrating.