OpenHealth Q&A

Get answered by medical professionals

A Challenging Time in My Life

12/16/2025, 3:01:01 PMMale25-34

As I write this, I'm a 23-year-old woman grappling with an intense amount of discomfort while seated in a restroom. Throughout my life, my menstrual cycles have predominantly been irregular, likely due to my weight; however, the level of pain I’m experiencing now is unprecedented. There's an overwhelming pressure in my pelvic region, and with each drop of blood, I feel a searing sensation coursing through my entire body—a chilling burn that takes me by surprise. It’s almost as if there is a significant mass I need to expel, but no relief comes. For months, I’ve been contending with urinary tract infection-like symptoms that fluctuate; I constantly have the urge to urinate, though my trips yield minimal results, accompanied by terrifying bouts of flank pain that ebb and flow. Recently, during an active episode, I sought medical attention, but tests revealed no urinary tract infection or signs of blood in my urine. I’ve been referred for a retroperitoneal ultrasound, yet I’m still waiting for a call to set up the appointment while my condition worsens and new symptoms emerge. What steps should I take? What could possibly be going on with my health? Should I head to the emergency room, or is it better to endure the discomfort? I feel guilty about the thought of troubling others, yet this experience is overwhelmingly distressing.

ArthritisLupusCrohn's Disease

Answers (1)

Cony

12/16/2025, 3:01:26 PM

OpenHealth AI

I'm truly sorry to hear that you're experiencing such intense discomfort and distress. The symptoms you're describing – severe pelvic pain, pressure, and urinary issues – are concerning, especially given their persistence and intensity. It’s important to acknowledge your pain as valid, and seeking relief is essential.

Key Points:

  1. Severe Pain and Symptoms: Your pain and discomfort can be indicative of several underlying issues, and it’s important to address them promptly.
  2. Timing for Medical Care: If your symptoms worsen, particularly with severe flank pain, or if you experience fever, inability to urinate, or significant changes in your condition, seeking emergency care may be necessary.
  3. Managing Symptoms While You Wait: You can take certain steps to alleviate some discomfort and prepare for your upcoming ultrasound.

Explanation:

Your symptoms could be related to multiple factors, including possible pelvic organ issues, menstrual disorders, or complications related to weight and hormone regulation. Chronic urinary symptoms and pain may also suggest conditions that require thorough investigation. It's understandable to feel overwhelmed, especially with the anxiety of waiting for further tests while your symptoms worsen.

Actionable Steps:

  1. Seek Immediate Care if Necessary:

    • Go to the Emergency Room if: Your pelvic pain becomes unbearable, you develop a fever, have difficulty urinating, or experience significant changes in your symptoms (like severe nausea or vomiting).
  2. Monitor Your Symptoms:

    • Keep a diary of your symptoms, including pain levels, urinary frequency, and any other notable changes. This information can help healthcare providers assess your condition effectively.
  3. Self-Care for Pain Relief:

    • Hydration: Drink plenty of fluids to help soothe any urinary discomfort and maintain bladder health.
    • Heat Therapy: Use a heating pad on your lower abdomen to help relieve pelvic pain.
    • Pain Relief Medication: Over-the-counter pain relievers like ibuprofen or acetaminophen may help manage your discomfort (ensure you are not allergic and consult on the right dosage).
  4. Stay in Touch with Your Healthcare Provider:

    • Call your provider's office to express your worsening symptoms and request an expedited ultrasound appointment or advice on further steps.
  5. Emotional Support:

    • Don’t hesitate to lean on friends, family, or support groups. Sharing your experience can alleviate some of the burdens and help you feel less isolated.

Your health is a priority, and you deserve to find answers and relief. Please remember that it's okay to seek help and to put your well-being first.

Related Questions

Worsening Memory Problems Over Time

Age: 25 Weight: 175 lbs Current Medications: Modafinil (200mg); Lexapro (10 mg); Lamotrigine (100mg in the morning + 100 mg in the evening); Cyproheptadine (4 mg); Vraylar (1.5 mg) Supplements: Iron; Vitamin B12; Vitamin D; Salt tablets Health Background: Long-standing, stubborn migraines (resolved as of May 2025, originally began in April 2016); Depression (currently very stable); Attention Deficit Disorder (ADD) (experimented with various stimulants with no improvement in memory); Chronic fatigue syndrome (developed a few years after memory problems began). I possess a documented medical history concerning my memory challenges. Around 2012, I underwent neurological evaluations that included an IQ assessment. The clinician indicated that my memory performance was particularly low, affecting my overall IQ representation, while I scored at or above average in most other areas. In approximately 2017, a neurologist referred me for a neuropsychological evaluation. Unfortunately, the results were deemed "inconclusive" due to inconsistent findings, with the provider stating my memory levels mirrored the previously reported low scores. Fast forward to 2023, when I underwent another neuropsych evaluation, which indicated my working memory was significantly below the average range. The clinician expressed uncertainty regarding effective treatment options for my memory issues, suggesting avenues such as ADHD medications, stress management, enhancing sleep quality, and mental health support—areas which I have pursued or tried to improve. Here is a summary of the strategies and treatments I've explored: - **Sleep Study**: Diagnosed with mild sleep apnea when lying on my back, although I typically sleep in other positions. - **Antidepressants**: Tried various types repeatedly, yet without noticing any significant changes. - **Occupational Therapy**: Participated but found it more stressful than beneficial. - **Speech Therapy**: Benefitted somewhat, yet it didn't meet my expectations, though I continue to use some of the techniques learned. - **Digital Notes**: Attempted to record important information on my phone, but due to many lists, vital entries often get lost. - **Memantine**: Prescribed by my neurologist as a last resort, based on its reported effectiveness in elderly patients for pain management; however, I did not observe any memory improvements while on this medication. - **Nutritional Supplements**: Regularly take Vitamin B complex, fish oil, flaxseed oil, and various other potential memory enhancers. Additionally, family history reveals that my brother, sister, and paternal grandmother have also faced memory-related issues throughout their lives. Unfortunately, several neurologists have declined to treat me, citing my youth and existing diagnoses of depression and ADD as indicators of instability rather than addressing my memory concerns. Moreover, I am anxious that my past struggles with chronic pain could have exacerbated my memory problems. Any insights or suggestions to tackle these ongoing challenges would be greatly appreciated.

Multiple SclerosisLupusCrohn's Disease
Male25-34
9 minutes ago

Factors Influencing Rapid Advancement of Leprosy

I'm an 18-year-old assigned female at birth, standing at 5'11" and weighing 150 pounds. I've ceased taking any antibiotics or other prescribed medications, with the exception of haloperidol. I smoke and drink, but I don't engage in drug use. My ethnicity is Caucasian. Additionally, I have several other health issues, including anemia, scoliosis, endometriosis, and ovarian complications. I find myself unwilling to endure this condition for the next two decades. Currently, my health feels precarious. My wounds take an excruciatingly long time to heal or sometimes don't heal at all. I experience numbness or a tingling sensation in my hands, where the skin resembles that of a reptile, likely due to my fingers being either broken or oddly bent, possibly infected as well. My arms, legs, and face are covered in lesions, primarily due to these unhealed wounds. Furthermore, I deal with mild muscle weakness, a condition that began during my time playing football as a lineman, accompanied by numerous injuries that still haven’t fully recovered. I find myself wishing for a more rapid progression of this disease so that I can reach a point of resolution, as I feel irreparably damaged and have turned down treatment out of deep-seated self-loathing. Is there any way to accelerate this? I should mention, though it may not be directly related: my scars have a purplish hue, and I've noticed small visible 'holes' near these scars on my left arm—at least four that I've identified—while my left hand seems to be in the worst condition. Thank you for listening. Goodbye.

ArthritisLupusEndocrinology
Male25-34
9 minutes ago

Seeking Clarity on Brain MRI Results

I’m a 36-year-old man experiencing occasional headaches, and I have no additional health concerns. I take Lexapro for anxiety and Ativan as needed. Earlier this week, I underwent a non-contrast MRI scan of my brain, and I have received the following report: **REASON FOR EXAMINATION:** Periodic headaches described as dull in nature. **COMPARISON:** None available. **TECHNIQUE USED:** The imaging included sagittal T1, axial FLAIR, axial T2-weighted, diffusion-weighted, and coronal gradient-echo sequences of the brain. **RESULTS:** The size of the ventricles and sulci appears to be normal. The position of the cerebellar tonsils is also within normal limits. Notably, a bilobed, septated lesion measuring 18 x 10 mm is located in the right parietal cortex, associated with some underlying edema or gliotic changes and cortical expansion. The pituitary gland size is normal. There are no signs of intracranial bleeding or any indications of recent infarcts in the cerebral regions, brainstem, or cerebellum. No abnormalities were detected on diffusion-weighted imaging. Additionally, there are no signal changes that would imply a demyelinating condition, such as multiple sclerosis. There are no fluid collections outside of the brain or subdural hematomas noted. Major blood vessels are patent, as indicated by the flow voids. The paranasal sinuses and mastoid air cells appear clear, although there is mild mucosal thickening in the left anterior ethmoidal air cells. **SUMMARY:** The findings suggest an 18 x 10 mm intra-axial cystic lesion in the right parietal lobe, accompanied by mild underlying edema or gliotic changes. This could possibly be an atypical manifestation of enlarged perivascular spaces or a benign cystic structure. Further evaluation with postcontrast imaging is advised. The overall conclusion of the MRI is otherwise normal. I’m feeling really anxious about these findings. Can anyone help me understand what this might mean?

Multiple SclerosisLupusThyroid Disorders
Male25-34
19 minutes ago

Understanding Prednisone Usage and Withdrawal

A 38-year-old woman, measuring 5’10 and weighing 125 pounds, with no smoking or drinking habits and a background of autoimmune disease, encountered a viral infection in December. In response to her condition, a specialist recommended a tapering regimen starting with a 40mg dose of prednisone for five days, followed by a gradual reduction through 30mg, 20mg, and 10mg over a total period of 20 days. After completing the course and halting the medication, she experienced severe symptoms approximately 36 hours later, including intense vomiting, debilitating headaches, and widespread pain throughout her body. Any physical contact provoked discomfort, leaving her in distress. Unable to reach her original provider, she consulted another physician who prescribed a lower dosage of 4mg of prednisone, instructing her to decrease the amount by 1mg every three days. Remarkably, she felt relief upon returning to the 4mg dose. However, she expressed concern regarding the potential effects when she ultimately weans off the medication entirely. She is seeking guidance on whether this method of tapering is typical and which specialist might be best suited to manage her prednisone treatment moving forward.

ArthritisLupusEndocrinology
Male25-34
39 minutes ago

Recurring Mysterious Rash Every Year, All Tests Negative

Hello everyone! I'm an 18-year-old female, and I don't consume alcohol, smoke, or engage in any recreational drug use. Around the middle of January last year, I noticed a gradual appearance of a rash across my body that escalated into a severe illness after approximately a week and a half of its onset. Currently, I find myself in a similar situation, suggesting that this might be a yearly recurring issue. At the moment, the rash isn't itchy, although I've recently had a mild sore throat. Thankfully, I don't have any other signs of illness right now. Last year, when I was unwell, it was an incredibly challenging experience; I felt extremely weak, had a runny nose, persistent cough, sore throat, and even experienced moments of confusion due to fever. The rash did become itchy once I fell ill. During last year's episode, I sought medical advice and underwent several tests while dealing with the rash. All results came back negative, including tests for mononucleosis. The only positive result was for a common cold. Having received vaccinations for measles, mumps, and rubella during my childhood (despite having had those diseases), I'm fairly certain this isn't related to any of them, and I believe I tested negative for those as well last year. Any insights or advice would be greatly appreciated! Thank you from a financially struggling college student!

ArthritisLupusCOPD
Male25-34
49 minutes ago