[40F] With itching, bruising, and upset stomach

What might be happening

Based on the symptoms you've described, here are some possible explanations:

Upset Stomach and Nausea

• Gastroenteritis: This is an inflammation of the stomach and intestines, often caused by a viral or bacterial infection. Symptoms include nausea, vomiting, and abdominal pain.
• Irritable Bowel Syndrome (IBS): Given your history of IBS, it's possible that your symptoms are related to this condition. IBS can cause abdominal pain, bloating, and changes in bowel habits.
• Medication Side Effects: Sometimes, medications like Buspar and Abilify can cause gastrointestinal side effects, including nausea and upset stomach.

Itching and Raised Bumps

• Allergic Reaction: Even though you haven't changed any products, it's possible to develop new allergies over time. The raised bumps and itching could be a sign of an allergic reaction.
• Dermatitis: This is a general term for inflammation of the skin, which can cause itching and raised bumps. It can be triggered by various factors, including stress and autoimmune conditions like lupus.
• Lupus Flare: Given your history of lupus, it's possible that these symptoms are related to a lupus flare, even though they are different from your usual flare symptoms.

Bruising

• Subcutaneous Hematoma: This is a collection of blood under the skin, often caused by minor trauma or spontaneous bleeding. It can sometimes be seen only under certain lighting conditions.
• Lupus-Related Vasculitis: Lupus can cause inflammation of the blood vessels, leading to bruising and other skin changes.

What you can do

Upset Stomach and Nausea

• Stay Hydrated: Drink plenty of fluids like water, clear broths, or oral rehydration solutions to stay hydrated.
• Eat Bland Foods: Stick to bland, easy-to-digest foods like bananas, rice, applesauce, and toast (the BRAT diet).
• Avoid Irritants: Avoid caffeine, alcohol, and spicy or fatty foods that can irritate your stomach.
• Consult Your Doctor: Given the persistence and severity of your symptoms, it's important to consult your doctor. They may recommend medications to help manage your symptoms or investigate further for underlying causes.

Itching and Raised Bumps

• Avoid Scratching: Try to avoid scratching the affected areas to prevent further irritation and potential infection.
• Use Moisturizers: Apply hypoallergenic moisturizers to keep your skin hydrated and reduce itching.
• Over-the-Counter Antihistamines: Consider taking an over-the-counter antihistamine like Benadryl to help reduce itching.
• Consult Your Doctor: Given your history of lupus and the new symptoms, it's important to consult your doctor. They may recommend topical treatments or further testing to determine the cause.

Bruising

• Monitor the Area: Keep an eye on the bruised area for any changes or worsening of symptoms.
• Avoid Trauma: Be gentle with the affected area to avoid further trauma.
• Consult Your Doctor: Given the unexplained nature of the bruising, it's important to consult your doctor. They may recommend blood tests to check for clotting issues or other underlying conditions.

What you should look out for

Given the complexity of your symptoms and your medical history, it's important to seek medical care as soon as possible. Reasons to seek care even more urgently include:

• Severe Abdominal Pain: If you experience severe or worsening abdominal pain, seek immediate medical attention.
• Signs of Infection: If you develop a fever, chills, or signs of infection around the raised bumps, seek medical care.
• Unexplained Bruising: If you notice more unexplained bruising or bleeding, consult your doctor promptly.
• Severe Itching: If the itching becomes unbearable or spreads, seek medical advice.

Remember, while I can provide information and suggestions, I am not a doctor. It's important to consult with a healthcare professional to receive a formal diagnosis and appropriate treatment. You can also use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.