[44F] With hand eczema, fluid in lung, and upper back pain

What might be happening

It is likely that your symptoms are related to multiple issues, including existing diagnoses. If you have more questions, we can continue chatting.

Hand Eczema

• Diagnosis: Your symptoms of extremely itchy, red, and sometimes pus-filled skin on your hands are consistent with hand eczema. This condition can be triggered by various factors, including allergens, irritants, and environmental factors like mold.
• Treatment: Typical treatments include topical corticosteroids like Clobetasol, moisturizers, and avoiding known triggers. In severe cases, oral medications or phototherapy may be recommended.

Upper Back Pain and Shortness of Breath

• Diagnosis: Given your history of degenerative disk disease, your upper back pain could be related to this condition. However, the presence of fluid in your lung and shortness of breath raises concerns about other potential issues, such as pleural effusion (fluid around the lungs) or an infection.
• Treatment: Treatment may involve addressing the underlying cause of the fluid in your lung, which could include antibiotics for an infection or other interventions. Pain management for your back pain may include physical therapy, pain medications, and lifestyle modifications.

Fluid in Lung and Skin Cells in Urine

• Diagnosis: The fluid in your lung could be due to various causes, including infections, heart failure, or exposure to mold. The presence of skin cells in your urine may indicate a contamination or a skin condition affecting the urinary tract.
• Treatment: Further testing, such as imaging studies and urine analysis, may be needed to determine the exact cause and appropriate treatment.

What you can do

Hand Eczema

• Continue using Clobetasol: Apply as directed by your healthcare provider.
• Moisturize regularly: Use fragrance-free moisturizers to keep your skin hydrated.
• Avoid triggers: Try to identify and avoid any potential triggers, such as harsh soaps or chemicals.
• Consult a dermatologist: If your symptoms persist or worsen, seek advice from a dermatologist for potential alternative treatments.

Upper Back Pain and Shortness of Breath

• Seek medical attention: Given the combination of back pain and shortness of breath, it's important to consult a healthcare provider to rule out serious conditions.
• Pain management: Use over-the-counter pain relievers like ibuprofen or acetaminophen, and apply heat or cold packs to the affected area.
• Maintain good posture: Practice good posture and ergonomic techniques to reduce strain on your back.

Fluid in Lung and Skin Cells in Urine

• Follow up with your doctor: Schedule a follow-up appointment to discuss the findings from your previous ER visit and any additional tests that may be needed.
• Address mold exposure: Consider professional mold remediation to reduce exposure and potential health risks.

What you should look out for

Given the severity of your symptoms and the possibility of life-threatening causes, you should seek medical care as soon as you can. Reasons to seek care even more urgently include:

• Worsening shortness of breath: If you experience increased difficulty breathing, seek immediate medical attention.
• Chest pain: If you develop chest pain, seek emergency care.
• Fever or signs of infection: If you develop a fever, chills, or other signs of infection, consult your healthcare provider.
• New or worsening symptoms: Any new or worsening symptoms should be evaluated by a healthcare professional.

Remember, while I can provide information and suggestions, it's important to consult with real health professionals 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.