OpenHealth Q&A

Navigating Health Concerns: Seeking Guidance

Greetings, medical professionals, I’m a 19-year-old female reaching out because I’ve been enduring continuous physical discomfort and emotional strain, and I would greatly appreciate your advice on my situation. In December of last year, I underwent a thyroid ultrasound that identified five nodules categorized as TI-RADS 5, all measuring under 1 cm. Two of these were located in the right lobe (0.2 × 0.1 cm and 0.9 × 0.1 cm), while three were found in the left lobe, with the largest one measuring 0.2 × 0.2 cm. Due to their diminutive size, the recommendation was to delay a biopsy and instead have a follow-up ultrasound in six months. My thyroid hormone levels were reported as normal. The imaging also revealed a lymph node located under my chin, which has been detectable and palpable for nearly three years—this was initially the reason for seeking out the ultrasound. The report described the lymph node as unchanged in size, exhibiting a fatty hilum and an irregular outline, measuring 1.1 × 0.6 cm, with interpretations suggesting that it is reactive in nature. Starting in May 2025, I began to experience back pain, which was classified as mechanical at first. This discomfort started mildly on the left side but gradually affected both sides of my back, with more pronounced pain in the upper left region and sometimes radiating to my neck. Additionally, I started to feel persistent shoulder pain and have experienced unusual arm soreness, even with minor tasks around the house. A few months later, I noticed the development of rashes (the initial signs of which I shared in earlier posts), which necessitated several consultations with dermatologists. Initially diagnosed as scabies, the condition exacerbated despite treatment. There was consideration for vasculitis, but the lab results returned normal. A skin punch biopsy ultimately indicated findings consistent with psoriasiform spongiotic and psoriasiform/nummular dermatitis. While topical steroids helped improve the original rashes, new eruptions have continued to form on my legs, which I perceive as resembling petechiae—flat, small, red spots that do not blanch and are scattered throughout. Additionally, last December brought about swollen lymph nodes and a generalized sense of discomfort. The lymph nodes that have been affected include: • Two nodes in the left lower back near the hip—painful and still palpable after several weeks. • One node in the right groin/lower abdomen—initially painful, now smaller but still present and causing discomfort. • A painless node in the left parotid area (near the cheek). • An oval, painless node in the left axilla (armpit), which was first identified in a breast ultrasound about eight months ago. This node measures 1.3 × 0.7 cm and has not changed in size since. Other issues I’ve been facing: • Shoulder pain that radiates towards my collarbone. • Intermittent pain in my calves and upper legs. • Widespread and unpredictable soreness in my limbs, similar to what one might feel post-exercise. • Random aches in my forearms. • Occasional tingling sensations in my fingers. • One area on my left thigh feels firmer compared to the muscle around it; it's slightly raised and noticeable to the touch, but meets normal resistance when pressed. My right thigh appears unaffected, leaving me uncertain about the significance of this finding. I’m increasingly anxious about serious health issues like lymphoma or thyroid cancer, particularly due to the suspicious nodules I have. This entire experience has been overwhelming—I often find it difficult to determine which symptoms are the most pressing or which specialist could provide the right insights. I feel dismissed at times by medical professionals, as if my symptoms are considered trivial, hastily brushed off during appointments. There’s a growing concern that I might be dealing with a serious health condition that is worsening as more symptoms arise. While I recognize that a proper diagnosis cannot be established online, I would be immensely grateful for insights regarding: • The seriousness of my symptoms. • Recommended tests or evaluations I should pursue. • The appropriateness of waiting for six months before my next imaging. Thank you for your time and any suggestions you may offer.

Answers (1)

2/8/2026, 9:50:34 AM

OpenHealth AI

Thank you for sharing your detailed health concerns. It sounds like you are experiencing multiple symptoms that are causing you significant stress and anxiety. While it's important to understand that only a healthcare professional can provide a definitive diagnosis, I can offer some insights on your situation and advice on your next steps.

Key Points:

1. Nodules and Lymph Nodes: The TI-RADS 5 nodules, while concerning, are currently being monitored due to their small size and normal thyroid function.
2. Symptoms Assessment: Your physical discomfort, rashes, and swollen lymph nodes warrant attention, but many of these symptoms can be influenced by various factors.
3. Next Steps for Evaluation: It’s essential to prioritize your symptoms and consider further evaluations, particularly about the lymph nodes and skin issues.

Explanation:

• Thyroid Nodules: TI-RADS 5 suggests a higher suspicion for malignancy, but with normal hormone levels and small sizes, the approach to monitor is common. The six-month follow-up ultrasound is appropriate unless new symptoms arise.
• Lymph Nodes: Persistent lymphadenopathy (swollen lymph nodes) and rashes can indicate various benign or less serious conditions, but they may also warrant more investigation, especially given your concerns.
• Pain and Soreness: Symptoms like generalized pain, numbness, and tingling can be related to numerous factors, including muscle strain, autoimmune conditions, or other dermatological issues.

Suggested Next Steps:

1. Detailed Symptom Diary: Start keeping a daily record of your symptoms, noting their severity, location, and any triggering factors. This can provide valuable information for your healthcare provider.
2. Follow-Up Consultation: Schedule a follow-up appointment focusing on the persistence of the lymph nodes and your new skin symptoms. Consider asking for:
   • Specific tests, like blood tests for inflammatory markers (e.g., ESR, CRP), which could indicate underlying conditions.
   • Imaging studies (ultrasound, CT scan) if your clinician feels it is necessary for persistent swelling and pain.
3. Specialist Referral: If not already done, ask for referrals to a hematologist or an oncologist concerning the lymph nodes and a dermatologist for your ongoing skin issues. Given your comprehensive list of symptoms, specialists might provide more focused evaluations.
4. Stress Management: Since the physical discomfort is exacerbated by anxiety, consider exploring stress-relief techniques such as mindfulness or gentle physical activities like yoga, which can help ease mind and body.
5. Second Opinion: If you feel dismissed by your current healthcare providers, seeking a second opinion can provide additional perspectives on your situation, especially because you are feeling overwhelmed.

Final Thoughts:

Your health and peace of mind are important. Keep advocating for yourself and ensure that your concerns are thoroughly addressed. The combination of your physical discomfort and emotional strain is significant, and getting the right evaluations and treatment can make a difference. If your symptoms worsen or new ones arise, remember to seek prompt medical attention. Please take care of yourself, and feel free to reach out for further questions or clarification.