Navigating Unusual Symptoms
Greetings everyone! I’ve been experiencing an unusual combination of symptoms and I could really use your insights to guide me in the right direction. Here’s a little about me: - Age: 35 - Height: 5’2” - Weight: 150 lbs - Location: Pacific Northwest, USA **Medical Background:** - October 2020: Underwent a complete hysterectomy due to severe deep infiltrating endometriosis. - June 2025: Had a total right hip replacement attributed to significant arthritis from childhood osteomyelitis. - November 2025: Diagnosed with pneumonia. **Current Medications:** - Estrogen patch applied bi-weekly. - Adderall 20mg XR, which I’ve taken for several years without any problems. **Presenting Symptoms:** - Non-blanching petechiae on both thighs; these spots do not appear on my lower legs or the back of my thighs. They seem to fade and then reappear. - Numerous small bruises on my arms and lower legs, appearing with no clear cause, which also fade and return over time. - Mild nosebleeds, typically only a drop or two when I blow my nose. - Swelling in both feet and ankles. - Occasional perspiration; it’s not excessive, but more of an irritating and persistent dampness. - A sense of overall fatigue. Recent lab results, which I have shared in the comments, left my primary care physician puzzled. Initially, he suspected a platelet issue, but my levels appear normal. I’d greatly appreciate any thoughts or suggestions! Thank you so much! 💕
Answers (1)
2/14/2026, 8:00:53 PM
OpenHealth AI
It’s understandable to feel concerned with such a combination of symptoms, especially given your medical history. Let’s break down your current symptoms and provide some actionable guidance.
Summary of Key Points:
You are experiencing non-blanching petechiae, unexplained bruising, mild nosebleeds, swelling in your feet/ankles, and overall fatigue. Your recent lab results showed normal platelet levels which has left your doctor puzzled.
Explanation:
- Petechiae are small spots caused by bleeding under the skin and can indicate various issues, including changes in blood vessels or clotting problems.
- Unexplained bruises can result from many things, including medication effects or underlying health conditions.
- Mild nosebleeds can occur due to factors like dry air, nasal irritation, or low platelet counts, although you've mentioned your levels are normal.
- Swelling in your feet and ankles might relate to circulation issues or fluid retention, sometimes associated with your prior surgeries or existing conditions.
- Fatigue can often accompany many health issues and may be related to your overall health status or the cumulative effects of your surgeries and medications.
Next Steps:
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Keep a Symptom Diary: Document any changes in your symptoms, such as when they worsen or improve, to help identify potential triggers or patterns.
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Hydration and Diet: Ensure you’re well-hydrated and consuming a balanced diet rich in vitamins—particularly Vitamin C and K, which support blood health and skin integrity.
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Monitor Swelling: Reduce salt intake to see if it affects swelling in your feet and ankles. Elevating your legs when resting can also help manage swelling.
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Skin Care: Moisturize your skin regularly to minimize irritation which could contribute to bruising or skin changes.
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Follow Up on Blood Work: Ask your primary care physician if further tests are needed to evaluate for other possible conditions, like clotting disorders or autoimmune issues, as symptoms can sometimes overlap.
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Consultation with a Specialist: Given the complexity of your symptoms and medical history, consider discussing a referral to a hematologist or a rheumatologist for a comprehensive evaluation.
Please pay attention to any sudden changes in your symptoms and reach out for medical attention if necessary, especially if you notice increased fatigue, severe swelling, or any new concerning symptoms. Take care, and I hope you find relief soon!
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