[29M] With recurring rash, swollen lymph nodes, and dental abscess
Patient Description
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Arora's Assessment
What might be happening
Based on the symptoms you've described, here are some possible explanations:
Recurring Rash on Penis Shaft
- Contact Dermatitis: This could be due to an allergic reaction or irritation from substances like soaps, lotions, or even clothing materials. The leathery appearance and small bumps are consistent with chronic scratching and irritation.
- Eczema: This is a chronic skin condition that can cause red, itchy, and inflamed skin. It can appear on various parts of the body, including the genital area.
Swollen Lymph Nodes
- Infection: Swollen lymph nodes can be a sign of an infection somewhere in your body. Given your recent dental abscess, it's possible that the infection could have spread or caused a systemic response.
- Lymphoma: Although less likely, persistent swollen lymph nodes can sometimes be a sign of a more serious condition like lymphoma, a type of blood cancer.
Hives, Dry Skin, and Eyes
- Allergic Reaction: Hives are often caused by allergic reactions. Dry skin and eyes can also be related to allergies or environmental factors.
- Autoimmune Conditions: Conditions like Sjogren's syndrome can cause dry eyes and skin, although this is less likely given your lack of other systemic symptoms.
Blood/Mucus/White Spots in Stool
- Gastrointestinal Infection or Inflammation: The presence of blood or mucus in the stool can indicate an infection or inflammation in the gastrointestinal tract, such as colitis or a bacterial infection.
What you can do
Recurring Rash on Penis Shaft
- Avoid Irritants: Try to identify and avoid any potential irritants, such as certain soaps, lotions, or fabrics.
- Topical Treatments: Continue using the dermatitis cream as prescribed. Over-the-counter hydrocortisone cream may also help reduce inflammation and itching.
- Hygiene: Maintain good hygiene but avoid over-washing the affected area, as this can worsen the irritation.
Swollen Lymph Nodes
- Monitor: Keep an eye on the size and tenderness of the lymph nodes. If they continue to grow or become painful, seek medical attention.
- Medical Consultation: Given the duration and hardness of the lymph nodes, it's important to consult a healthcare provider for further evaluation, which may include blood tests or imaging studies.
Hives, Dry Skin, and Eyes
- Moisturize: Use a good quality moisturizer to keep your skin hydrated. For dry eyes, over-the-counter artificial tears can provide relief.
- Antihistamines: Over-the-counter antihistamines like cetirizine (Zyrtec) or loratadine (Claritin) can help manage hives and allergic reactions.
Blood/Mucus/White Spots in Stool
- Dietary Changes: Avoid foods that can irritate your gastrointestinal tract, such as spicy foods, alcohol, and caffeine.
- Hydration: Drink plenty of fluids to stay hydrated.
- Medical Consultation: It's important to consult a healthcare provider to rule out any serious gastrointestinal conditions.
What you should look out for
- Persistent or Worsening Symptoms: If your symptoms persist or worsen, seek medical attention.
- New Symptoms: Be vigilant for new symptoms such as unexplained weight loss, night sweats, or persistent fever.
- Severe Reactions: If you experience severe allergic reactions, difficulty breathing, or swelling of the face and throat, seek emergency medical care immediately.
Remember, while I can provide information and suggestions, it's crucial to consult a healthcare provider for a formal diagnosis and treatment plan. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.
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4 mo ago