OpenHealth Q&A

Get answered by medical professionals

Marbling of the Palms

3/4/2026, 8:00:31 AMMale25-34

Informations sur le patient : Femme, 48 ans, non-fumeuse, pesant 58 kg pour une taille de 1,69 m. Médicaments pris : Xanax et Trintellix (bien que j’en ai déjà cessé l’usage). Bonjour à tous, Je me demande quelles pourraient être les origines de mes symptômes. Cela fait maintenant quatre mois que je souffre de ce problème. Mes symptômes deviennent plus prononcés lorsque je me lève ou que je fais de l'exercice, et semblent s'atténuer lorsque je soulève mes bras. De plus, je ressens une accélération de mon rythme cardiaque. En prenant du Xanax, des sensations de picotements se manifestent dans différentes parties de mon corps, et je me sens constamment fatiguée. Tests médicaux : - Troponine hypersensible : < 5 - Analyses ANA et CRP : résultats négatifs - Polyurie présente, sans diagnostic de diabète. Parfois, une de mes jambes présente une rougeur accentuée. Quel pourrait être le diagnostic possible et quelles options de traitement s’offrent à moi ? Je vous remercie par avance pour votre aide.

LupusCrohn's DiseaseCOPD

Answers (1)

Cony

3/4/2026, 8:00:51 AM

OpenHealth AI

It's understandable that you're feeling concerned about your symptoms, especially since they have persisted for four months and are affecting your daily life. The combination of palm marbling, fatigue, palpitations, and the specific changes in your symptoms based on body position and activity can suggest several potential factors at play.

What Your Symptoms Might Indicate

  1. Circulatory Issues: The marbling of your palms and changes when you stand or exercise could indicate a vascular issue, where blood circulation is affected.
  2. Neuropathy or Anxiety: The sensations of tingling, especially accompanied by Xanax use, might be linked to nerve-related issues or anxiety itself. These symptoms can sometimes cause or exacerbate heart palpitations.
  3. Fatigue and Other Symptoms: The fatigue and occasional leg redness could stem from various conditions or even side effects of medications.

Important Next Steps

  1. Monitor and Record Symptoms: Keep a daily log of any changes in your symptoms, noting when they occur, their severity, and any activities or positions that seem to worsen or relieve them. This can provide insightful information about patterns related to your symptoms.

  2. Hydration and Movement: Ensure you are staying well-hydrated, since dehydration can lead to circulation issues and fatigue. Try to engage in gentle exercises, such as walking, that promote circulation without stressing your body too much.

  3. Positioning: Since your symptoms seem to improve when you raise your arms, try to incorporate this into your daily routine, especially during times of discomfort. For example, when seated, practice arm stretches or light exercises.

  4. Review Medications: Since you mentioned having previously taken Xanax, consider exploring with a healthcare provider how your medication history may influence your symptoms, particularly regarding anxiety and its physical manifestations. It's crucial to do this safely and under professional guidance.

  5. Consult a Healthcare Provider: Given the complexity and duration of your symptoms, reach out to a healthcare provider for a thorough evaluation. They can consider other potential causes, including circulatory assessments or other diagnostic tests to rule out conditions like autoimmune disorders or vitamin deficiencies.

Remember, while your symptoms may be distressing, keeping a close watch and taking measured steps toward understanding them can lead toward better management and relief. Please take care of yourself, and know that support is available.

Related Questions

Preventing Pancreatitis: My Experience and Concerns

Age: 17 (as of March 4, 2026) Height: 5 feet 4 inches Weight: 45 kg Gender: Male Medications: None currently prescribed Smoking Status: Non-smoker and abstinent from alcohol At present, I am in my final year of high school. Over the past four years, I have faced five instances of acute pancreatitis. The initial episode caught me off guard; I was hospitalized for a week during which I suffered severe vomiting and intense pain. A year later, I experienced another bout that also required hospitalization. The third incident mirrored the previous ones, while the fourth occurred after relocating to a new city in Nepal, where I was fortunate enough to recover without needing hospital care. Most recently, I faced my fifth incident just eight months after the last, necessitating another hospital stay. Extensive tests including blood work, scans, ultrasounds, and an MRCP were conducted to identify the underlying cause. I am feeling quite anxious at this moment, as these episodes have significantly disrupted my studies, leaving me fearful of experiencing another attack while eating. My doctor suggested pursuing genetic testing, although such services are unavailable in my country.

FibromyalgiaCrohn's DiseaseThyroid Disorders
Male25-34
1 hour ago

Persistent Lump on the Back of My Head

I'm a 16-year-old male, standing 5 feet 5 inches tall and weighing 63 kilograms. For several months now, starting in January, I’ve noticed a small lump on the rear of my head that hasn’t disappeared. I remember hitting my head about a week before I discovered it, so it seems likely that this incident triggered the bump. I haven’t experienced dizziness or an increase in headaches compared to before, and overall, I have no alarming symptoms. However, I am quite anxious that a medical professional might tell me it is something serious, potentially requiring hospitalization. Therefore, I’m seeking advice: Is this condition normal, warranting no concern, or should I be proactive and consult a doctor? Thank you!

Multiple SclerosisCOPDInternal Medicine
Male25-34
1 hour ago

Months of Illness Following Imuran Treatment for Lupus

**Age:** 24, **Weight:** 128 pounds, **Height:** 5'6", **Ethnicity:** Caucasian, **Lifestyle Choices:** Never smoked, abstained from alcohol, never engaged in recreational drug use. For those who wish to grasp the full scope of my experience, I encourage you to read on, though here’s a brief summary: **Summary:** Since initiating Imuran (Azathioprine) for a week in May 2025, I have been plagued by unrelenting burning pain in my upper abdomen. Other troubling symptoms have emerged progressively, including severe anxiety, temperature fluctuations, excessive sweating, clamminess, nausea, overwhelming fatigue, emotional instability including mood swings and crying spells, persistent headaches along the top right of my head, vertigo, visual disturbances, weakness on my right side, memory difficulties, brain fog, and night sweats. **Medication and Supplements:** - **Medications:** 200mg Plaquenil twice daily, 75mg Sertraline (increased from 50mg recently), 200mg Progesterone daily (withhold during menstruation). - **Diagnoses:** Lupus (diagnosed May 2025), anxiety and depression since 2014 (diagnosed), suspected endometriosis (heavy and painful periods, diagnosed circa 2022). - **Supplements:** Olly Ultra Strength Sleep Softgels, Diindolylmethane (DIM) 300mg. Having received a lupus diagnosis nearly two years ago, I have been relying on Plaquenil (Hydroxychloroquine) for about the same duration. While it alleviated some flare-up symptoms, I still did not feel entirely well. Consequently, I consulted my rheumatologist about introducing an immunosuppressant and was prescribed Imuran at 50mg twice daily, commencing on May 15, 2025. Within days, I became severely unwell, experiencing dizziness, intense nausea that confined me to bed, loss of appetite, fatigue, abdominal pain, and diarrhea. I discontinued Imuran after eight days as my condition was unbearable, though the burning pain in my upper abdomen remains, varying in intensity. During that time, I lost ten pounds. In June 2025, I experienced a significant exacerbation of upper abdominal pain, accompanied by intractable nausea and inability to eat, amplified anxiety (prompting an increase in sertraline), diarrhea, bloating, clamminess, fever-like sweats, tremors, and excessive belching. Concerned about the possibility of pancreatitis, I sought urgent care, but tests revealed my lipase levels were normal. I did have a notable resting heart rate of 107 bpm and a low temperature of 96.6°F. Laboratory tests indicated normal glucose and kidney function, but I was diagnosed with gastritis, receiving a prescription for omeprazole, which ultimately exacerbated my lupus symptoms, leading me to discontinue. In August, I underwent routine bloodwork, results of which I scarcely remember (due to memory issues) included stable counts across various measures such as RBC, hemoglobin, and WBC. However, I also had an elevated count of lymphocytes and a low Eosinophil count flagged. In September, I treated a UTI with Cephalexin. On Halloween, I fainted while curling my hair, a second fainting episode occurred during a cooking incident in June. On November 11, 2025, I suffered an episode characterized by severe anxiety, intense nausea, loss of appetite, tremors, burning stomach pain, and alternating hot/cold sensations. This time, I visited another urgent care facility where gastritis was once again diagnosed, leading to a prescription for famotidine and dietary recommendations. Although famotidine initially alleviated my stomach pain, it was short-lived and I experienced the onset of a headache thought to be nerve-related along with back and shoulder discomfort. Then, lasting panic attacks occurred for an exhausting six hours, ceasing only after stopping the famotidine. Existing symptoms escalated, with new issues popping up — dizziness where it felt as if my brain was excessively inflating, a persistent linear headache, loss of balance, memory lapses, emotional disturbances including heightened anxiety and irritability, and neurological symptoms like visual snow impairing my sight. I noticed a strange connection between my abdominal pain and my digestive system, discovering that drinking ice water heightened the discomfort, which seemed to originate from a different location than previously noted. Fast forward to December 8, I finally visited my doctor after much hesitation, fearing my neurological symptoms, and was diagnosed with Gut Candida Overgrowth believed to have arisen due to Imuran usage. I received prescriptions for Meclizine for dizziness, Zofran for nausea, and Fluconazole. I adhered to a strict antifungal and candida diet with notable improvements, though some days I felt ill following Fluconazole. By early January, while trying to reintroduce normal foods, my symptoms resurfaced. After a family tragedy in early January with the loss of my dog, I deviated from the diet and my well-being declined significantly. Although I initially weighed about 140 pounds, my weight dropped to 120 because of my health challenges and dietary restrictions. My experience consulting a nutritionist was disappointing due to unhelpful recommendations. By January 13, I sought further information, exploring supplement options for Candida management. I have since incorporated a variety of supplements into my routine, yet despite efforts, my situation remains dire. My symptoms recur despite following a diligent regimen, causing distress and impacting my mental health. My current assessment positions the burning upper abdominal pain as potentially unrelated to gastritis. I pushed my doctor to arrange a GI Map test for definitive clarity regarding candida, alongside bloodwork that recently indicated some low levels while ESR and CRP remained normal. Results for how lupus is currently impacting my health are still pending. I am reaching out for guidance. I am putting forth every effort towards my health recovery, yet my body seems to rebel against me. This year has been arduous, and I am in dire need of insights or potential explanations for my distressing symptoms. Any advice would be greatly appreciated, as my situation continues to weigh heavily on both my physical and mental well-being.

LupusFibromyalgiaRheumatology
Male25-34
2 hours ago

Seeking Advice on Persistent Joint Pain and High CRP Levels

Greetings everyone, I'm a 31-year-old female, weighing 215 pounds and standing at 5 feet 5 inches tall. I do not smoke and I am currently on various medications. **My medication regimen includes:** - **Sertraline** 50mg once daily - **Bupropion XL** 150mg once daily - **Folic acid** 5mg daily, except on methotrexate days - **Methotrexate** 1ml injected weekly - **Adderall XR** 10mg once daily - **Sulfasalazine EC** 500mg four times a day - Additionally, I use the ***Evra*** patch for contraception and take a daily supplement of ferrous fumarate. With the formalities out of the way, I’d like to share my experience. Over the last four years, I have been suffering from severe joint pain. Initially, I would wake up unable to walk in the mornings, but gradually I could move after a while. I first attributed my discomfort to cycling injuries, as it was an activity I enjoyed before this pain interrupted my life. However, as time passed, I realized this pain was not typical. About a year into this ordeal, I consulted with my doctor who concurred that my symptoms were concerning and referred me for blood tests. The results revealed that my CRP (C-reactive protein) levels were alarmingly high at over 96 mg/L, where a level of 3 mg/L is generally regarded as elevated. Consequently, I was referred to a rheumatologist who prescribed methotrexate, which helped alleviate some pain, but we have struggled to reduce my CRP levels beneath 65 mg/L. This ongoing discomfort has profoundly impacted my daily life. I have undergone an MRI with contrast, a course of prednisone, multiple rounds of antibiotics, and I have tested negative for the HLA-B27 gene. I’m reaching out to see if any healthcare professionals have encountered similar cases and might offer suggestions for discussions with my doctor. Although I feel well cared for, it appears my rheumatologist is running low on treatment options. Thank you to everyone who took the time to read my lengthy post. If you need any additional details or clarification, please don’t hesitate to ask!

ArthritisLupusRheumatology
Male25-34
2 hours ago

Concern After Swallowing Pills Incorrectly?

At 20 years old, standing 5 feet 8 inches tall and weighing 155 pounds, I found myself in a rather foolish predicament this morning when I attempted to swallow three pills simultaneously without sufficient water. Unfortunately, they got lodged in my throat during the process, causing my gag reflex to kick in. They lingered there for a moment before I managed to swallow again. While one of these pills is quite small, the other two are considerably larger. Now, I'm feeling a bit anxious that perhaps one of them may have gone down the wrong way. I've been dealing with a persistent cough since having a cold about a week ago, and it seems to have intensified today, accompanied by a noticeable crackling sensation. My apprehension is heightened by a past episode where I had pneumonia that lasted for three weeks; trust me, I wish to avoid that experience at all costs. I understand that accidentally inhaling a pill can easily introduce bacteria into the lungs. Is there a genuine reason for my worries, or am I simply overreacting?

AsthmaCrohn's DiseaseCOPD
Male25-34
2 hours ago