OpenHealth Q&A

Get answered by medical professionals

Circular Rash and Bug Bite Concerns

9/16/2025, 1:50:41 AMMale25-34

Greetings everyone! I'm a 46-year-old female dealing with Multiple Sclerosis, Type 2 Diabetes, Bipolar II Disorder, PCOS, and ADHD. My current regimen includes Prozac, Abilify, Vyvanse, magnesium supplements, and a multivitamin. I truly appreciate you all taking the time to lend an ear! I've been making the most of the lovely late spring by camping on the East End of Long Island. It’s been quite the season for ticks, but I'm diligent about checking for them. I went camping from September 5th to 7th and again from the 12th to the 14th. While I certainly encountered my share of mosquito bites and dealt with some chiggers, I’ve recently noticed a peculiar bug bite that has developed into a small ring. This bite measures about 1.5 cm, with a center that appears pink or red and is accompanied by a slight raised bump. Surrounding it is an emerging ring of dark red to purple. Thankfully, I feel normal overall—no sore throat, fatigue, or flu-like signs. I suppose that monitoring the situation will be my best approach. However, I’m curious: when should I seek medical advice? It seems a bit trivial to visit a doctor for a small bite without any other symptoms. I might share a photo, although it doesn’t do justice to the vivid colors; the actual contrast between the pink center and the red-blue ring is striking. Thanks once more! Wishing all the best from your fellow outdoor enthusiast who plans to hit the trails again this weekend!

DiabetesArthritisMultiple Sclerosis

Answers (1)

Cony

9/16/2025, 1:51:00 AM

OpenHealth AI

It's great to hear that you're enjoying the late spring outdoors! Based on your description, the ring around the bug bite could potentially be a sign of an infection or a skin condition like Lyme disease, especially since you’ve been camping in an area where ticks are prevalent.

Explanation

A bug bite that evolves into a circular rash, particularly with a distinct ring like the one you described, warrants attention. While it's encouraging that you feel well and lack flu-like symptoms, it’s essential to monitor such skin changes. The dark red-purple ring could be a sign of localized irritation, but it’s important to rule out more serious concerns such as Lyme disease, which can present as a characteristic "bull's-eye" rash.

Next Steps

  1. Monitor the Rash: Keep an eye on the size, shape, or color of the rash over the next few days. If it spreads, becomes increasingly painful, or shows signs of fluid drainage, these would be reasons to seek medical advice sooner.

  2. Document Symptoms: Even if you feel well, track any potential symptoms like fever, fatigue, or joint pain over the next week. This record can be helpful for a healthcare provider if needed later.

  3. Apply a Topical Treatment: You may consider applying an over-the-counter hydrocortisone cream to help reduce inflammation and itching. If you notice any increase in irritation or if the rash does not improve, this would be another point to consult a healthcare professional.

  4. Seek Medical Attention If:

    • The rash continues to enlarge or develop new symptoms like severe pain or swelling.
    • You experience flu-like symptoms such as fever, chills, or fatigue despite the absence of the initial concerns.

It's understandable to feel hesitant about seeking care for a seemingly trivial issue, but your health is a priority, especially with your underlying conditions. Enjoy your outdoor activities, and stay safe! If you have any further questions or concerns, please don't hesitate to ask.

Related Questions

Experiencing Multiple Swollen Lymph Nodes

Hello everyone. I created this account to discuss some health concerns without disclosing too many personal details on my other profile, hope that's okay. I'm a 30-year-old woman, standing at 5 feet 2 inches and weighing 110 pounds. I live with lupus and what doctors suspect is primary hypertension, as they haven't identified an identifiable cause for it. Over the past two years, I experienced two spontaneous vertebral dissections; one occurred on the right side, and the other on the left, with the latter happening this past June. Additionally, I manage ADHD and depression, both of which are currently stable. My medication regimen includes losartan, metoprolol, spironolactone, Adderall, bupropion, azathioprine, hydroxychloroquine, and baby aspirin. As I was preparing for bed this evening, I discovered approximately a dozen swollen lymph nodes located in different parts of my body. Specifically, I have one under my left jaw, three in a chain formation in my right armpit (leaning toward the outer side), two more in the center, and four in my left armpit. Additionally, there's a swollen lymph node on my left collarbone meeting point—at the center of my neck—and two more on the right side of my neck near my head. I am unsure if there are additional swollen areas, as the only regions I know to check are my head, neck, and armpits. I could upload some images if needed for clarification. Initially, I assumed that this swelling indicated the onset of an illness, which has raised some concerns. About a week ago, I had several cavities filled on the left side of my mouth, and just yesterday I started experiencing pain in my left ear. Although my teeth are still somewhat sensitive, I thought the ear discomfort might be referred pain related to my dental work. However, my ear continues to throb this evening, and now I've begun feeling discomfort in my jaw on the left side as well. I worry that this could indicate an issue with my dental fillings. Currently, I do not have a fever or any signs of facial swelling. My only symptoms consist of moderate ear pain, slight tooth sensitivity, mild jaw ache, and numerous swollen lymph nodes. Do you think this could be connected to my dental procedure, or is it more likely that I'm coming down with something? I've never encountered so many swollen lymph nodes before, and I'm uncertain whether these symptoms are related or merely coincidental.

HypertensionArthritisLupus
Male25-34
29 minutes ago

Concerns About Armpit Lumps

Age 22, 5'8", weighing 85 kg (currently trying to reduce this), not on any medication, do not smoke, and have no significant health history. It has been one month since I first noticed these issues under my armpits. I'm feeling anxious about my situation as I've recently relocated to a different country, and I currently lack a healthcare provider. After shaving my armpits with a new razor, I discovered two small lumps in that area. I initially anticipated that they would disappear with time, but here I am a month later, and I’ve noticed an emergence of additional, larger hard lumps beneath my skin. Though these bumps can’t be seen externally, they are firm and irritate me when I bring my arms close together. I also experience mild pain when I extend my arms. To address this, I've been applying antibiotic ointments to the affected regions and taking oral antibiotics, but I'm at a loss for what steps to take next. Seeking advice is crucial since online searches tend to raise anxiety by suggesting cancer diagnoses, which I find overwhelming.

ArthritisLupusInternal Medicine
Male25-34
40 minutes ago

Chronic Diarrhea: Is Long-Term E. Coli the Culprit?

For the past four years, I, a 22-year-old woman, have been grappling with persistent digestive troubles. Initially, it presented as intermittent diarrhea accompanied by cramps, but over the last year, the situation has escalated. Now, I experience diarrhea at least twice a week, and monthly episodes so severe that they disrupt my plans and compel me to take time off from work. To identify potential food allergens, I began meticulously tracking my diet and underwent various laboratory tests for inflammation, Celiac disease, and lactose intolerance, all of which returned negative results. Currently, I’m under the care of a gastroenterologist, and we’ve recently conducted both a colonoscopy and endoscopy. Contrary to the terrifying tales I had heard about the preparation for these procedures, it was considerably easier than the symptoms I endure regularly. The examination revealed minor gastritis, ruling out Crohn’s disease and ulcerative colitis. The latest fecal tests showed I am positive for Shiga Toxin E. coli. This discovery leaves me pondering whether this infection is a recent occurrence or if it has been an ongoing issue contributing to my chronic symptoms. I’ve read that most individuals can clear such infections relatively quickly, but given my immunocompromised state, I wonder how long it can persist untreated. To elaborate, I have a thyroid condition that intermittently compromises my immune function. I often fall ill, and when I do, my illnesses can escalate, requiring antibiotics even for standard colds that become complicated. My health issues began four years ago with mono, and I later experienced two additional flare-ups within a two-year span. Medically, I was deemed inactive after each of these episodes, but my doctors had initially doubted this outcome. As a result of my health history, I have regular lab tests, commonly focusing on hormone levels and frequently assessing my red and white blood cells along with other immune markers, and sometimes liver and kidney function. I genuinely believe that if severe complications due to E. coli, such as kidney damage, were present, they would have been identified earlier. Moreover, for added context, I spent over a year working as a zookeeper, routinely interacting with exotic animals and their waste. I resigned from that position in May, so if that was indeed the source of my E. coli infection, I would likely have been dealing with it for a minimum of four months, potentially up to a year and a half. As I await a call from my doctor to go over my test results, I find myself questioning: is it conceivable to harbor E. coli for four months or even longer? Am I entering uncharted territory for my healthcare providers to consider?

DiabetesThyroid DisordersRheumatology
Male25-34
40 minutes ago

Addressing Leg Posture-Related Challenges

I'm a 29-year-old male dealing with significant foot issues, including a 50% collapsed arch and plantar fasciitis, which causes sharp heel pain while walking. Additionally, I’ve got relatively thin legs that don't seem to match my overall physique. Recently, I embarked on a trip where I ended up walking around 15,000 steps a day for an entire week, a drastic increase from my usual daily average of 6,000 steps. This excessive walking has resulted in discomfort above and below my inner ankle, and after some research, it appears to align with symptoms of posterior tibial tendonitis. To manage the pain, I've been wrapping my ankle with a crepe bandage, which offers some relief, but now I'm starting to experience shin splints both while walking and when driving a stick shift vehicle. Interestingly, my wife pointed out that my posture while standing seems off. She mentioned that my knees and ankles are too close together and that I tend to rest my weight on my ankles rather than distributing it properly across my thighs, knees, and the front of my feet. She believes that this compromised posture might be contributing to the issues I'm experiencing in my legs. I would greatly appreciate any insights or advice on how to improve my posture and alleviate these ongoing problems. Thank you!

ArthritisFibromyalgiaCOPD
Male25-34
50 minutes ago

Understanding My Health Concerns: Is a Brain Tumor Possible?

Profile Information: 24 years old, female, weighing 210 lbs, standing at 5’5”, not on any medication, no illicit drug use, uses nicotine vape for the last five years, consumes alcohol occasionally; based in Georgia, USA. Symptoms Experienced: I have been dealing with stiffness and weakness in my muscles, persistent joint pain, and unusual visual disturbances—such as the sensation that walls and floors are moving while I remain still. Additionally, I experience dizziness, poor coordination, difficulty with basic math that previously came easily to me, mental fog, memory lapses, and fatigue. A few years back, I underwent a CT scan after seeking help because I felt intense burning on the entire right side of my body, leading to a suspicion of stroke. After the scan, the ER doctor informed me that the cause of my symptoms was unclear. The radiologist had mentioned a concern on the left side of my brain, yet I was experiencing issues on the right. When I pointed this out, the doctor seemed dismissive and simply handed me my discharge paperwork. My primary care physician reviewed my medical records and referred me to a neurologist; however, the expected out-of-pocket cost of $3,000 was beyond my means, resulting in me postponing further consultations for several years. Fast forward about three years, I returned to my primary care provider, who recommended an MRI due to concerns about multiple sclerosis. The notes from the doctor stated, "No signs of demyelination or intracranial masses." Recently, I changed primary care physicians, and she conducted blood work. I received the results not long ago: - ANA Screen, IFA: Positive - ANA Titer: 1:40 - ANA Pattern: Nuclear, speckled This morning, I was contacted by a nurse who mentioned that my new primary physician had noticed a lesion on the left hemisphere of my brain from my earlier CT scan, potentially explaining my symptoms. They are in the process of scheduling me for a more detailed CT scan. I'm feeling perplexed. The positive ANA screen along with the specific pattern suggests the possibility of an autoimmune condition. It could also hint at a tumor, but wouldn’t such an issue have been evident in the MRI? Naturally, I’m feeling anxious and worrying about the worst scenarios. I would appreciate any insights or opinions regarding my situation and what I might be facing.

Multiple SclerosisLupusThyroid Disorders
Male25-34
1 hour ago