Misdiagnosed While Travelling: My Experience with a Skin Condition in Vietnam
About three weeks ago, I embarked on the Ha Giang loop in Vietnam, where I noticed a rash forming on the lower part of my buttocks, which I initially dismissed as a friction-related issue. However, two weeks later, I began to experience persistent bite marks on my feet. Disturbed by the situation, I visited a local pharmacy, where they took photographs of my rash and bites. The pharmacist then consulted with a doctor who diagnosed me with scabies. Having already taken my second dose of ivermectin, I noticed that the bite marks have evolved into strange-looking hives. My research indicates that post-scabies rashes can be common, yet these hives appear unusual. I've seen images of scabies, and what I'm experiencing doesn’t match. I'll provide pictures showing the progression from the initial bite marks to what they look like now, along with an image of the rash on my buttocks. Additionally, I've been dealing with diarrhea for the last two days, which I suspect is linked to alcohol consumption. Thankfully, I haven't exhibited a fever or other concerning symptoms; I feel relatively fine overall, but the itching has intensified considerably, leading to concerns. As a healthy 25-year-old woman from Scotland, I've never encountered any significant health or skin issues. I have no known allergies and am not taking any prescribed medications. Alongside the ivermectin, I have been instructed to use sebosan’s permethrin spray on myself twice daily. Thank you for reading my experience.
Answers (1)
12/14/2025, 7:40:41 AM
OpenHealth AI
It sounds like you're experiencing a challenging skin condition while traveling, and it's understandable to feel concerned about the evolving symptoms. Here are key points based on your situation:
- Current Skin Issues: The transition from bite marks to hives could be linked to your scabies diagnosis or may indicate an allergic reaction or another skin condition.
- Diarrhea Concerns: Your recent diarrhea could be a result of dietary changes or alcohol consumption but also warrants attention as it can lead to dehydration.
Explanation
- Rash and Hives: After treatment for scabies, it is common to experience post-scabetic pruritus (itchiness). However, since your symptoms are changing, it’s important to monitor them closely. Hives are typically associated with allergic reactions and may not be directly linked to scabies.
- Diarrhea: Even though you might suspect it’s from alcohol, diarrhea could indicate a gastrointestinal issue, especially when coupled with skin symptoms.
Next Steps
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Skin Care:
- Continue using the permethrin spray as instructed, ensuring you apply it thoroughly and follow the recommended duration.
- Apply a soothing lotion (like calamine or over-the-counter hydrocortisone) to help alleviate itching. Avoid scratching to prevent infections.
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Monitor Symptoms:
- Keep a log of your skin's progression daily, noting any changes, new lesions, or increase in symptoms like swelling or redness, which may necessitate a more urgent review.
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Hydration and Diet:
- Increase your fluid intake to prevent dehydration from diarrhea. Opt for clear fluids like water or oral rehydration solutions.
- Avoid alcohol and heavy meals until your gastrointestinal symptoms normalize. Eat bland foods (like bananas, rice, applesauce, and toast) to help with your digestive system.
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Self-Care and Rest:
- Prioritize rest to help your body recover and manage any stress related to your symptoms.
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Seek Local Medical Help if Necessary:
- If your symptoms worsen or if you develop a fever, significant swelling, or if the diarrhea continues for more than a few days, strongly consider visiting a medical facility for further evaluation.
Please keep me updated on your symptoms or if you have more questions. You're managing your health admirably and taking thoughtful steps.
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