[19M] Experiencing non-itchy skin blotches and upper right abdomen pain

Patient Description

A 19-year-old male reports experiencing pink/red, non-itchy, non-raised skin blotches that appear to fade upon pressure, though not definitively, for a couple of days. Additionally, the patient has observed mottling on his hands and skin discoloration on his abdomen and hands. He also reports dull pain in the upper right abdomen, rating the pain at a 5 on a scale of 1-10, which worsens with exhalation or laughter, starting today. The patient has recently completed an 8-week cycle of Ligandrol and is currently taking Tamoxifen daily for 4 weeks. He has a history of anxiety and depression diagnosed last year and allergies to Penicillin and Bactrim. No recent changes in bowel movements, urine or stool color, severe abdominal pain, persistent vomiting, fever, or chills were reported. The patient is concerned about the possibility of drug-induced liver disease.

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Arora's Assessment

What might be happening

Based on your symptoms, here are a few possibilities:

  • Drug Reaction: Ligandrol and Tamoxifen are both medications that can potentially cause side effects. Skin rashes and abdominal pain are not uncommon side effects of many medications. However, it's important to note that drug-induced liver disease usually presents with jaundice (yellowing of the skin and eyes), which you have not reported.

    • Treatment would involve discontinuing the offending medication, under the guidance of a healthcare provider.

  • Viral Infection: Many viral infections can cause a rash and abdominal pain. These are usually self-limited and resolve on their own.

    • Treatment is usually supportive, meaning it aims to relieve symptoms rather than cure the disease. It might involve rest, hydration, and over-the-counter medications.

  • Allergic Reaction: Given your history of allergies to certain medications, it's possible that you're experiencing an allergic reaction to something new. This could potentially cause a rash and abdominal pain.

    • Treatment would involve identifying and avoiding the allergen, and possibly taking antihistamines or steroids to reduce inflammation.

What you can do

  1. Consult a healthcare provider: Given your symptoms and recent medication use, it would be best to consult a healthcare provider. They can evaluate your symptoms, possibly perform some tests, and guide you on the next steps.

  2. Monitor your symptoms: Keep an eye on your symptoms. If they worsen or if you develop new symptoms, seek medical attention promptly.

  3. Stay hydrated and rest: These are general measures that can help your body recover from many illnesses.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe abdominal pain
  • Yellowing of the skin or eyes
  • Dark urine or pale stools
  • Persistent vomiting
  • Difficulty breathing or swelling of the face, lips, tongue, or throat

Remember, this advice is intended to be general in nature, and specific causes may not apply to your situation. Always consult with a healthcare provider for appropriate examination, testing, and care.

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7 mo ago

People Also Ask

What are the common side effects of Ligandrol and Tamoxifen?

Common side effects of Ligandrol may include headaches, nausea, and fatigue, while Tamoxifen can cause hot flashes, mood swings, and nausea. Both can potentially cause skin rashes and abdominal pain.

How can I differentiate between a drug reaction and an allergic reaction?

A drug reaction often involves side effects that are known and expected with a medication, while an allergic reaction may include symptoms like hives, itching, swelling, and difficulty breathing. An allergic reaction can be more severe and requires immediate medical attention.

What are the signs of drug-induced liver disease?

Signs of drug-induced liver disease include jaundice (yellowing of the skin and eyes), dark urine, pale stools, severe abdominal pain, and persistent vomiting. If you experience these symptoms, seek medical attention immediately.

What should I do if I suspect a viral infection is causing my symptoms?

If you suspect a viral infection, focus on supportive care such as rest, staying hydrated, and using over-the-counter medications to relieve symptoms. Monitor your symptoms and consult a healthcare provider if they worsen or do not improve.

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