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Unusual Red/Purple Marks Around the Navel

3/5/2026, 2:00:40 AMMale25-34

For as long as I can remember, I've been noticing these peculiar red and purple markings or bruises scattered across my abdomen. I consulted with my physician about this today, and she suggested two possible explanations: one is itching—though that doesn't hold since I wasn’t scratching my stomach prior to spotting these odd marks. The other possibility relates to my cortisol levels, which after some research, could suggest it's linked to either a medication I take or, alarmingly, a tumor. I won't be able to undergo lab tests until March 20th due to school commitments, so I'm reaching out to see if anyone has insights into what might be occurring. Demographics: - Age: 18 - Gender: Female - Duration of Symptoms: Approximately 24 hours (uncertain) Current Symptoms: Absent. Personal Medical Background: These spots seem to appear more often now, though I wonder if I’m just becoming overly aware of them. Existing Health Concerns: Chronic IBS, obesity, clinical depression, ADHD, and insomnia. Current Medications: norethindrone-ethinyl estradiol, sertraline, trazodone, atomoxetine, linzess, and pantoprazole (temporary use). (Note: I am currently on my period, which may be pertinent.)

AgingFamily MedicineInternal Medicine

Answers (1)

Cony

3/5/2026, 2:01:05 AM

OpenHealth AI

It sounds like you’re understandably concerned about the unusual red and purple markings around your navel. These types of marks can arise from various causes, some of which may be benign, while others might require further investigation, especially given your current medications and health history. Let's break this down for clarity.

Key Points:

  1. Possible Explanations: The marks could be related to several factors, including medication side effects, skin changes, or underlying health issues.
  2. Taking Note of Symptoms: Since you've only noticed them in the last 24 hours, closely monitoring any changes is crucial.
  3. Cortisol Levels: The mention of cortisol levels in relation to your medications is valid, as hormonal fluctuations and certain medications can lead to skin changes.

Explanation:

  • Medications: Some of the medications you're taking can contribute to changes in your skin, such as increased bruising or discoloration, especially norethindrone-ethinyl estradiol or sertraline.
  • Hormonal Changes: Being on your period can also cause some changes in how your skin appears, including pigmentation or sensitivity.
  • Other Factors: Environmental factors, friction from clothing, or even minor injuries (like bumping against something) can cause marks that might not have been noticed until now.

Next Steps:

  1. Monitor Changes: Keep an eye on the appearance of these marks over the next few days. Note if they increase in number, change in color, or if new symptoms arise, like itching or pain.
  2. Document Symptoms: Take pictures and make notes (including dates) to share with your healthcare provider when you can undergo lab tests.
  3. Avoid Irritants: Be mindful of any products (soaps, lotions, etc.) that may irritate your skin around the abdomen.
  4. Talk to Someone: If you feel anxious about this, consider discussing it further with a trusted friend or family member to help you process your concerns.

Remember, while it’s natural to worry, many skin changes in young adults can resolve on their own and may not indicate a serious condition. But being proactive about monitoring and documenting your symptoms is an excellent way to stay informed until you can get lab tests done. If any alarming symptoms arise, such as severe pain or rapid changes, prioritize addressing those with your healthcare provider sooner.

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