OpenHealth Q&A

Get answered by medical professionals

Concerns About Possible Melanoma

9/13/2025, 6:01:02 AMMale25-34

I had an appointment with my primary care physician today, and she expressed that while she believes it’s probably nothing to worry about, a referral to a dermatologist would be prudent for further evaluation. Initially, I felt okay about it, but now anxiety has kicked in, and I can’t seem to get any rest. Upon reviewing past photographs, I noticed that a similar spot appeared over two years ago and hasn't changed significantly in size. To address common queries and prevent any automatic moderation of my post, I should mention that I am a 24-year-old male, 6 feet 2 inches tall, weighing 380 pounds. I do not smoke, although I use Zyn. The lesion is situated on the upper part of my ear, and I have a history of Hashimoto’s disease for which I take levothyroxine.

LupusThyroid DisordersEndocrinology

Answers (1)

Cony

9/13/2025, 6:01:34 AM

OpenHealth AI

It's completely understandable to feel anxious after a doctor's recommendation for further evaluation, especially regarding skin changes. The good news is that your doctor believes it's likely nothing serious, but taking a proactive approach is always wise.

Explanation:

Melanoma is a type of skin cancer that can develop from existing moles or skin lesions, but early detection is key, and most lesions are benign. Given that the spot on your ear has not changed much over two years, this could indicate stability, which is a good sign. However, your doctor’s referral to a dermatologist suggests they want to ensure the lesion is thoroughly evaluated.

Next Steps:

  1. Follow Through with the Dermatologist Referral: Schedule an appointment with the dermatologist as soon as possible. They can perform a thorough examination and possibly a biopsy if there are concerns. Early evaluation is essential for peace of mind and health.

  2. Monitor the Lesion: Keep an eye on the lesion for any new changes. Noticing changes in color, size, or shape can be important.

  3. Practice Self-Care for Anxiety: It’s normal to feel anxious, so consider techniques to manage stress. Focus on activities like deep-breathing exercises, meditation, or gentle physical activity.

  4. Stay Informed: While waiting for your dermatologist appointment, educate yourself about melanoma. Understanding the condition can help alleviate fears based on myths or misinformation.

  5. Discuss Any Other Health Concerns: Since you have Hashimoto’s disease, it’s important to keep your healthcare team informed about all your health issues. Make a list of questions or concerns before your dermatologist visit.

By focusing on these structured steps, you can address both your health and anxiety concerns constructively. Remember, you are taking action to ensure your health, which is commendable. Let me know if you have more questions!

Related Questions

Managing Severe Reactions to Black Henna: Steps to Heal Your Skin

On January 25, I decided to get a dragon design in black henna while in Boracay. Initially, I felt a slight tingling sensation on my skin, which later intensified to a burning feeling especially when exposed to sunlight. Upon returning home, my instinct was to scrub the henna off with soap. Unfortunately, this led to my skin becoming swollen, reddened, itchy, and even blistered. To soothe the irritation, I used a gentle cleanser like Cetaphil to cleanse the area thoroughly, ensuring it was completely dry afterward. Once dried, I applied a thin layer of petroleum jelly. I also began taking antihistamines such as Cetirizine or Loratadine, which provided some relief from the itching. Additionally, I tried to shield the affected area from sun exposure as much as I could. A few days into this routine, I introduced 1% hydrocortisone cream, layering it with petroleum jelly afterward. During my time in the city, I shifted to using Benadryl cream and continued taking antihistamines to diminish the itchiness, but I didn’t have any hydrocortisone cream available. Although the henna stain has nearly faded, the design has left a noticeable imprint on my skin. Once back home, I restarted my treatment by applying 1% hydrocortisone cream followed by a layer of Cetaphil PRO AD Derma Skin Restoring Moisturizer. I’m concerned about potential discoloration on my skin from this reaction. Currently, the skin looks flat and somewhat darker with slight bumps. I would greatly appreciate any advice on how to minimize hyperpigmentation and what treatments I can undertake to support healing. Age: 19 Sex: Female Height: 5’4" Weight: 56 kg Duration of complaint: 2 weeks Location: Shoulder

LupusFibromyalgiaInternal Medicine
Male25-34
39 minutes ago

Seeking Clarity on Persistent Symptoms and Possible Conditions

Greetings, medical professionals, I am a 19-year-old female struggling with ongoing physical discomfort and emotional challenges, and I am in need of your insights. Back in December last year, I underwent a thyroid ultrasound which detected five TI-RADS 5 nodules, each under 1 cm in size. Two of these nodules were located in the right lobe (measuring 0.2 × 0.1 cm and 0.9 × 0.1 cm) while the left lobe housed three smaller ones, the largest being 0.2 × 0.2 cm. Due to their diminutive dimensions, a repeat ultrasound was suggested for six months later instead of a biopsy. My thyroid hormone levels came back normal during this assessment. The imaging also indicated the presence of a submental lymph node, which has persisted for close to three years and initially prompted me to seek out imaging. It is both visible and can be felt. The report characterized it as unchanged, with a fatty hilum and an irregular shape, measuring 1.1 × 0.6 cm, and indicated that it seemed to be reactive in nature. Prior to discovering the nodules, I started experiencing back issues in May 2025. Initially, the discomfort was mild and localized to the left side, considered to be mechanical. However, the pain progressively worsened, spreading to both sides with the upper back predominantly affected on the left side, occasionally radiating to my neck. I also suffer from constant shoulder discomfort and my arms become sore easily, even from light activities. In subsequent months, I began to develop rashes, which I have documented in previous posts. The skin issues were initially misdiagnosed as scabies, but they worsened post-treatment. Although vasculitis was contemplated, my laboratory tests yielded normal results. A biopsy of the skin revealed psoriasiform spongiotic dermatitis and psoriasiform/nummular dermatitis. While the initial rashes responded to topical steroids, new ones are appearing on my legs, which I perceive as resembling petechiae—flat, tiny red spots that do not fade when pressed. In December of last year, I also became aware of swollen lymph nodes and widespread pain. The lymph nodes in question include: - Two nodes near the left lower back by the hip — these are painful and remain palpable after several weeks. - A node in the right groin/lower abdomen — initially painful, it has shrunk but still causes discomfort in the area. - A painless node in the left parotid area (cheek). - A painless node in the left axilla (armpit), which was first identified approximately eight months ago through a breast ultrasound, measuring 1.3 × 0.7 cm as a solid nodule, though the breast ultrasound returned negative results, and the lymph node size has remained stable. Additional symptoms include: - Radiating shoulder pain into the collarbone, - Intermittent pain in the calves and upper legs, - Unpredictable soreness and pain throughout my limbs (similar to post-exercise discomfort), - Random aches in my forearms, - Tingling sensations in my fingers, - An area in my left thigh that feels firmer than surrounding muscle, slightly elevated and noticeable to the touch. Pressing on it yields normal muscle sensation. My right thigh does not have this issue, leaving me uncertain if this is typical or concerning. My growing concerns revolve around potential serious conditions such as lymphoma or thyroid cancer due to the nodules observed. This situation has been incredibly taxing—I am lost on what symptoms should take priority or which specialists to approach. Additionally, I often feel brushed off by medical practitioners; whenever my symptoms are brought up, it appears they deem them insignificant and seem rushed. I am worried that there could be a significant underlying issue developing, especially as I've been experiencing increasing symptoms and a decline in my overall well-being in recent months. I understand that no diagnosis can be rendered over the internet, but I would greatly value your advice regarding: - The seriousness of my symptoms, - Potential tests or evaluations I should pursue, - The appropriateness of waiting six months for follow-up imaging. I appreciate your consideration and look forward to your guidance.

LupusThyroid DisordersRheumatology
Male25-34
1 hour ago

Throbbing Sound in One Ear

A 31-year-old woman, standing 5 feet 4 inches tall and weighing 112 pounds, has been experiencing a noticeable pulsing sound in her right ear for the past month. This persistent noise, which resembles her heartbeat, has become quite bothersome. She reports that there are no accompanying symptoms, such as ear pain or any other discomfort. What could be the cause of this condition?

FibromyalgiaThyroid DisordersInternal Medicine
Male25-34
1 hour ago

Experiencing Unexplained Skin Sensitivity in Social Situations

At 17 years old and standing at 182 centimeters, I've been facing an unusual and troubling condition. My skin feels an intense stinging sensation all over whenever I'm in close proximity to my parents or other people. The discomfort is so overwhelming that it's almost impossible for me to remain seated. Interestingly, there’s no physical manifestation—my skin appears entirely normal without any signs of dryness, rashes, or itchiness. Yet, I endure this sharp, burning pain that seems to be beyond my control. This issue has been intensifying, leading me to isolate myself more, which, in turn, exacerbates my feelings of loneliness. I'm curious if anyone else has encountered a similar experience. Could this potentially relate to a nerve or nervous system issue? I would also like to know what type of healthcare professional or specialist I should consult for further evaluation.

Multiple SclerosisLupusFibromyalgia
Male25-34
2 hours ago

Inability to Sneeze: Potential Neural Communication Issues

Hello. I’m seeking assistance to comprehend my situation and explore possible remedies. I’m a 25-year-old male working as a software engineer and currently not taking any medications. For the last two years, I have experienced an inability to sneeze. This issue first arose following two significant incidents involving exposure to neurotoxic substances, which led to a variety of neurological symptoms. 1) **Vitamin B6 Toxicity**: Over a span of 4-6 weeks, I received seven intramuscular injections of a B-complex vitamin, each containing 100mg of Vitamin B6 in the pyridoxine form. Shortly after beginning these injections, my health rapidly declined, and numerous symptoms emerged. Research has identified pyridoxine as potentially neurotoxic, with recent documentaries and studies — particularly from the Australian community — raising awareness about this condition. In response, Australia’s Therapeutic Goods Administration (TGA) has taken steps to restrict the sale of B6 supplements and to lower their permissible amounts. For more insight into the seriousness of this issue, you can find several informative short documentaries on the ABC News YouTube channel. 2) **Insecticide Exposure**: While undergoing the B6 treatment, I also encountered a concerning situation where I inhaled toxic insecticide fumes. Not realizing the danger due to nasal congestion from a minor illness, I sprayed a considerable amount of insecticide in my room. It was only after I started coughing that I realized I had been breathing in these harmful fumes. It occurred late at night when I was already feeling unwell, and I opted to go to sleep shortly afterward. Both incidents occurred in September to October of 2021, after which I began to experience an alarming array of around twenty symptoms affecting my sensory, motor, and autonomic nervous systems. I developed severe numbness and tingling in various parts of my body, involuntary muscle movements, ataxia, facial numbness accompanied by a loss of muscle volume in my face due to nerve damage, and symptoms that resembled diabetes such as excessive thirst and fatigue post-meals. Other issues included rapid heart rate, skin lesions, an inability to sweat, extreme muscle weakness, and significant psychological symptoms, including emotional numbness and anhedonia. Virtually every area involving nerves seemed to be impacted. Now, 18 months later, I’ve made considerable progress, with most of the symptoms easing, but I still struggle with the inability to sneeze. Recently, after experiencing a flu, I noticed that my body failed to sneeze about 90% of the time. I feel the urge to sneeze starting deep in my lungs, traveling to the tip of my nose, yet it rarely culminates in an actual sneeze. Instead, I feel pressure released in alternative ways, sometimes sensed as pressure in my head, and occasionally, I experience tears running from my eyes and nose when the sneezing sensation arises, yet no sneeze follows. Despite waiting a year and a half for recovery and seeing improvements in my larger nerves, these specific bodily functions remain unresolved. A recent electromyography (EMG) and nerve conduction study (NCS) conducted two weeks ago returned normal results, which aligned with my awareness of the recovery in my larger nerves and muscles during this period. Through my research, I’ve discovered that the trigeminal and cranial nerves play a crucial role in initiating a sneeze, suggesting the presence of a signaling issue. I would greatly appreciate guidance on this matter.

Multiple SclerosisLupusThyroid Disorders
Male25-34
2 hours ago