[37F] Experiencing scalp and hair changes, swelling, and gastrointestinal issues

Patient Description

A 37-year-old female reports significant changes in hair texture, with hair becoming coarse, dry, brittle, and discolored over the past year. She also describes small centimeter-long raised lines with bumps on her scalp. Additionally, she experiences transient hard lumps under the skin of her head that change location, facial swelling that decreases throughout the day, and constant inflammation under the scalp. Swelling also occurs in her ankles, hands, and feet. Ear popping and crackling sensations have been noted recently. Gastrointestinal symptoms include mucous in stool, severe constipation requiring manual removal, and acne forming triangular or arrowhead patterns on her back, chest, face, and arms. Her medical history includes anxiety, depression, PTSD, OCD, SPD, and OUD, with the latter diagnosed in 2016. Current medications include Suboxone, Cymbalta, Vistaril, and a multivitamin. She has a known allergy to penicillin, which causes throat closure and headaches.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible conditions that could explain your symptoms:

  • Dermatitis: This is a general term that describes an inflammation of the skin. Dermatitis can have many causes and occurs in many forms. It usually involves an itchy rash on swollen, reddened skin. Dermatitis is a common condition that's not life-threatening or contagious. But, it can make you feel uncomfortable and self-conscious.

    • Treatment typically involves creams to reduce inflammation and itching.
  • Scalp Psoriasis: This is a common skin disorder that produces raised, reddish, and often scaly patches. It can appear as one or multiple patches on the scalp, affect the entire scalp, and spread beyond the scalp to the forehead, the back of the neck, or behind the ears.

    • Treatment often includes a combination of topical treatments, light therapy, and systemic medications.
  • Sinusitis: This is an inflammation or swelling of the tissue lining the sinuses. This can result in symptoms such as sinus pressure and ear popping.

    • Treatment often involves the use of decongestants and nasal sprays. In some cases, antibiotics may be prescribed.
  • Constipation: This is a common condition that affects people of all ages. It can mean that you're not passing stools regularly or you're unable to completely empty your bowel. The presence of mucus in the stool could be due to constipation.

    • Treatment often involves changes in diet and lifestyle, such as eating more fiber, drinking more fluids, and getting regular exercise.

Please note that these are just possibilities and not a definitive diagnosis. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. For your skin and hair symptoms, you might want to consider seeing a dermatologist, who can examine your scalp and hair in person. They may be able to provide a diagnosis and suggest appropriate treatments.

  2. For your sinus symptoms, consider using a humidifier in your home, staying well-hydrated, and using a saline nasal spray to help reduce congestion.

  3. For your constipation, try to include more fiber in your diet, stay well-hydrated, and get regular exercise. If these changes don't help, a healthcare provider can suggest over-the-counter or prescription medications to help.

What you should look out for

If you notice any of the following symptoms, you should seek medical attention immediately:

  • Difficulty breathing or shortness of breath
  • Severe pain or discomfort
  • Symptoms that persist or worsen despite home treatment

Remember, it's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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11 mo ago

People Also Ask


What could be causing changes in hair texture and scalp issues?

Changes in hair texture and scalp issues could be caused by conditions like dermatitis or scalp psoriasis. These conditions can lead to inflammation, dryness, and changes in the skin and hair. A dermatologist can provide a more accurate diagnosis and treatment options.


How can sinusitis lead to ear popping and crackling sensations?

Sinusitis can cause ear popping and crackling sensations due to the inflammation and swelling of the sinus tissues, which can affect the Eustachian tubes that connect the middle ear to the throat. This can lead to pressure changes and sensations in the ears.


What are some effective treatments for severe constipation?

Effective treatments for severe constipation include increasing dietary fiber intake, staying well-hydrated, and engaging in regular physical activity. If these measures are insufficient, a healthcare provider may recommend over-the-counter or prescription medications to help alleviate symptoms.


Can anxiety and depression affect physical symptoms like swelling and skin conditions?

Yes, anxiety and depression can affect physical symptoms. Stress and mental health conditions can exacerbate physical symptoms like swelling and skin conditions due to the body's stress response, which can lead to inflammation and other changes in the body.


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