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
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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.
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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
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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.
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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.
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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.
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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.
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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.
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