OpenHealth Q&A

Get answered by medical professionals

Inquiry Regarding Ongoing Symptoms

2/11/2026, 8:00:38 AMMale25-34

I've decided to reach out since I couldn't secure a doctor's appointment until March, and I struggle with health anxiety as well as OCD. I’m a 20-year-old male, standing at 6 feet 3 inches and weighing 160 pounds. Currently, I'm on Lexapro and taking multivitamins, plus I've been vaping for four years, which I regret. I’m not aware of any existing health issues that have been diagnosed. Lately, I’ve been dealing with persistent body aches, fatigue, and an overall feeling of being unwell. My diet leaves much to be desired, and my sleep habits are irregular—both of which I'm trying to improve. So, I find myself wondering: could I be facing autoimmune conditions or another severe health issue, or might this be mainly due to my inadequate diet, lack of sleep, and insufficient exercise? I realize my writing may not be the best, but I'm feeling quite anxious about this.

RheumatologyMuscle PainChronic Pain

Answers (1)

Cony

2/11/2026, 8:00:58 AM

OpenHealth AI

You're experiencing persistent body aches, fatigue, and an overall feeling of being unwell, which can understandably cause anxiety, particularly given your current mental health concerns. While these symptoms can indeed raise questions about possible underlying health issues, they could also be closely related to lifestyle factors such as diet, sleep, and exercise.

Explanation

Persistent body aches and fatigue can stem from multiple causes, including not only autoimmune conditions but also lifestyle factors like poor nutrition, irregular sleep, and lack of physical activity. Anxiety and stress can also exacerbate physical symptoms, making it challenging to distinguish between psychological and physical sources of discomfort.

Next Steps

  1. Improve Your Diet: Incorporate more whole foods, including fruits, vegetables, lean proteins, and whole grains. Try to reduce processed foods and sugars, which can contribute to fatigue and poor health.

  2. Establish a Consistent Sleep Routine: Aim for 7-9 hours of sleep each night. Set a regular bedtime and wake-up time. Reduce screen time before bed and create a comfortable sleep environment.

  3. Increase Physical Activity: Start with light exercises, like walking or stretching, even if for just 10-15 minutes daily. Gradually build up to more activity as you feel able.

  4. Hydration: Ensure you’re drinking enough water throughout the day. Dehydration can contribute to fatigue and body aches.

  5. Monitor Your Symptoms: Keep a daily log of your symptoms, sleep, diet, and physical activity. This can help you identify patterns or triggers over time.

  6. Consider Reducing Vaping: As you mentioned regretting this habit, looking into resources to help you quit vaping could improve your overall health and well-being.

  7. Practice Relaxation Techniques: Since you struggle with health anxiety, incorporating activities like mindfulness, meditation, or gentle yoga can help reduce anxiety and improve your mental clarity.

Remember, while these suggestions can help, it's crucial to keep track of your symptoms and how they evolve. If you notice worsening symptoms or new concerning signs, it's important to pursue medical care as soon as you’re able. You're not alone in this, and taking these actionable steps can contribute to improving your overall health.

Related Questions

Concerns About Menstrual Blood Clots: A Personal Account

Hello everyone! I'm a 36-year-old woman standing at 4'11" and weighing 140 pounds. For about a decade, I’ve been using the NuvaRing for birth control. I stopped smoking and switched to vaping three years ago, which I acknowledge isn’t the healthiest choice, but that’s why I’m sharing this story. Throughout my experience with the ring, I often skipped my periods due to severe cramps and heavy bleeding. This was the primary reason my doctor and I decided on this method, as it suited my needs perfectly. However, for the last four months, my menstrual cycle has returned to a strict schedule, much to my dismay. Now, the pain from my cramps has intensified dramatically, reminiscent of the days in school when I had to stay home because of the agony. While the discomfort from my hip arthritis is bearable, I find myself wishing for something like Vicodin to alleviate my situation. I am particularly worried about using tampons as I notice dark red clots that may be indicative of something concerning. I’ve heard that what resembles clots can sometimes be the uterine lining. The texture varies; at times, they are jelly-like, while other times, they are thicker and more cohesive. I prefer pads since they accommodate the size of what I experience, and I find them more reassuring. I have encountered clots that are consistently larger than a quarter, often appearing smeared over toilet paper or in clumps. My periods themselves aren’t excessively heavy or lengthy—they typically begin with a dark brown discharge, transition to a vivid red, and then fade back to brown, always with a chunky appearance toward the end. I’m trying to keep the mood light and inject a bit of humor into this scary experience!

RheumatologyJoint PainAbdominal Pain
Male25-34
37 minutes ago

Discomfort in My Right Arm and Shoulder Following Heart Surgery

Ever since my heart surgery on the 23rd of last month, I've been experiencing severe discomfort that extends from my shoulder blade down to my fingers. Despite being prescribed 15 mg of oxycodone for relief, the medication seems ineffective. The pain is quite intense, and I'm uncertain about the best course of action. I plan to reach out to my surgeon tomorrow for further guidance. Does anyone have insights on what might be causing this or suggestions for relief? The pain intensifies during the night. I'm a 20-year-old male who underwent a Ross procedure; I hope that information is helpful. Thank you!

Pain ManagementChest PainMuscle Pain
Male25-34
4 hours ago

Weight Loss Journey: Exploring Oral GLP-1 Medications After Injection Setbacks

Greetings! I’m preparing for my wedding this upcoming October and aim to shed approximately 20 to 25 pounds before the big day. Currently, I’m 5'5" and weigh 190 lbs. Working in healthcare has led me to develop some unhealthy eating habits over the past year and a half. My long shifts leave me utterly drained by the time I return home, and my weekends usually consist of lounging around, reading, or binge-watching films. Recently, I’ve been grappling with food temptations, which prompted me to try tirzepatide about six months ago. My mother, who is an experienced nurse, helped me with the injection in my abdomen, starting with the lowest dose. Initially, I experienced a complete disinterest in food the next day, but that quickly escalated when I began to throw up persistently for hours. It was so severe that I lost consciousness briefly from the strain, leaving my body utterly fatigued. This ordeal compelled me to visit the emergency room, where an EKG and blood tests confirmed that I was stable. The attending physician mentioned that my reactions were relatively common among first-time users of such medications. Given my history of nausea during stressful situations, the doctor recommended that I try to persevere through the first week, as many find their reactions improve with time. However, after returning home with anti-nausea medication and IV fluids, I found myself unwell again, even regurgitating some blood likely due to the excessive vomiting. The ensuing week was incredibly difficult; I needed to stay on the couch with a fan directed at me, as any shift in position caused significant abdominal pain and intense nausea. I was prescribed promethazine continuously for the week, in addition to zofran. The experience was so distressing that I decided to abandon the idea of continuing with GLP-1 medications altogether. Now, with the wedding approaching, I recently saw some photos from the dress fitting that left me feeling devastated. I desperately want to make a change. In my search for solutions, I discovered that Hers offers a pill version of GLP-1 medication, which is taken daily rather than via a weekly injection. I am interested to know if healthcare professionals have any insights on how this oral semaglutide might differ from the injectable tirzepatide in terms of side effects. Is there a possibility that the side effects might be less severe?

RheumatologyPain ManagementAbdominal Pain
Male25-34
4 hours ago

Feeling Lost and Overwhelmed with Ongoing Health Issues

I have a lot to share, and I want to be as transparent as possible about my situation! **About Me**: I am a 29-year-old female, currently dealing with a weight issue of roughly 10 pounds. My health problems began unexpectedly in February 2024. **Diagnoses Include**: gastroesophageal reflux disease (GERD), hypothyroidism, type 2 diabetes (which is managed), mixed hyperlipidemia, polycystic ovary syndrome (PCOS), non-alcoholic steatohepatitis (NASH), tachycardia, anxiety disorders, bipolar disorder type 2, and autism spectrum disorder. **My Medications**: The medications I’m currently taking include Rybelsus at a dosage of 3 mg, Nikki, rosuvastatin calcium at 5 mg, levothyroxine at 50 mg, Voquezna at 20 mg, spironolactone at 25 mg both day and night, lamictal at 150 mg both day and night, propranolol at 20 mg both day and night, Trintellix at 20 mg, hydroxyzine as needed, and Zofran as needed. I recently added Rybelsus just a few days ago. **Digestive Concerns**: - I experience persistent nausea and have to take medication for it daily. - I have sporadic vomiting episodes, typically at night, where I get several pre-symptoms — like shaking, a running nose, goosebumps, and a sudden urgency to use the restroom — and then I end up vomiting bile repeatedly. - Almost all foods I consume cause irritation to my stomach. - It’s quite rare for me to have normal bowel movements. **Skin Problems**: - About once or twice a month for an average of five days, I deal with severe itching from head to toe, leading me to scratch to the point of pain. - My tattoos and scars swell and develop bumps. - These episodes tend to coincide with being sick (like when I catch a cold) or occur after hot showers. - Sometimes, these itch attacks appear without any identifiable cause. **Additional Concerns**: - I feel consistently tired, but any attempt to leave my home exacerbates the fatigue. If I manage to engage in any activity one day, I usually require a full week of rest afterward, as even minor errands drain me. - I experience widespread body pain, making it difficult to sit at my desk for too long without discomfort. - Extreme weakness affects me daily. - I often find myself dizzy, stumbling due to lightheadedness, and the pain is notably more intense in my legs. - Staying warm is a constant struggle. - Daily heart palpitations have become a norm for me. - Additionally, I have very fragile nails, with my toenails frequently breaking across the surface. **Tests and Evaluations**: I have undergone multiple tests including endoscopies, cortisol assessments, MRIs of the brain, CT scans (both with and without contrast), routine blood tests, celiac panel testing, gastric emptying evaluations, and swallow tests. My primary care physician appears somewhat at a loss, and my gastroenterologist has referred me to a leading hospital as she is unsure how to proceed further. **A Few Extras**: Throughout this ordeal, I have attempted various methods such as stopping medications, adjusting dosages, trying different prescriptions, and experimenting with multiple diets. I have fluctuated between slightly overweight and a healthy weight without any significant shifts correlating with my health change. My continuous glucose monitoring has shown no relationship to my blood sugar levels, and I receive thyroid ultrasounds annually. This situation has taken a considerable toll on my life; often, I am confined to bed due to debilitating weakness or illness, and I have made several visits to the ER due to dehydration. I have also tried three other GLP-1 medications, but they only worsened my condition.

FibromyalgiaAbdominal PainMuscle Pain
Male25-34
5 hours ago

Experiencing Hip Pain Months After Ciprofloxacin Treatment: Should I Seek Imaging?

I’m a 34-year-old woman seeking advice on whether I should ask my general practitioner for follow-up imaging. Back in November 2025, I spent three days in the hospital due to a post-surgical infection requiring treatment with intravenous vancomycin and piperacillin-tazobactam. Following my discharge, an infectious disease specialist prescribed a 10-day course of doxycycline and ciprofloxacin, which I completed as directed. Now, four months have passed, and I have begun experiencing intense pain in my hip that has greatly affected my ability to walk over the past week. The discomfort is so severe that I struggle to raise my leg and find walking extremely painful. I was aware of the potential for joint-related side effects from ciprofloxacin, but given that it has been months since my treatment and I do not fall into the higher-risk demographic (the elderly), would it be unreasonable of me to request imaging from my doctor to exclude any serious complications caused by the ciprofloxacin?

Joint PainAbdominal PainChronic Pain
Male25-34
8 hours ago