[52F] With chronic skin changes, visual disturbances, and gastrointestinal issues

What might be happening

It sounds like you are experiencing a range of symptoms that could be related to multiple underlying issues. Here are some possibilities:

1. Parasitic Infection:

   • The sensation of things moving under your skin, along with the visual confirmation of movement, could suggest a parasitic infection. Parasitic infections can sometimes cause skin changes, itching, and other systemic symptoms. Common tests include blood tests, stool samples, and imaging studies like ultrasound or MRI.

2. Dermatological Conditions:

   • The petechiae, skin tags, and itching could be related to a dermatological condition. Conditions like dermatitis, eczema, or other skin disorders can cause itching and skin changes. A dermatologist can perform a skin biopsy or other tests to diagnose these conditions.

3. Systemic Conditions:

   • The combination of fatigue, headaches, muscle pain, joint pain, and visual disturbances could be indicative of a systemic condition such as an autoimmune disease or a connective tissue disorder. Blood tests and imaging studies can help diagnose these conditions.

4. Mental Health Considerations:

   • Given your history of schizophrenia and other mental health conditions, it's important to consider that some of your symptoms might be influenced by these conditions. However, this does not mean that your physical symptoms are not real or should be ignored.

What you can do

Parasitic Infection:

• Seek Medical Attention: It's important to see a healthcare provider as soon as possible to rule out or confirm a parasitic infection. They may perform blood tests, stool samples, or imaging studies.
• Document Symptoms: Keep a detailed journal of your symptoms, including when they occur, their severity, and any potential triggers. You can use MDandMe to journal your symptoms, track progress, get insights, and share longitudinal medical notes with your provider.

Dermatological Conditions:

• Consult a Dermatologist: A dermatologist can evaluate your skin changes and itching. They may perform a skin biopsy or other tests to diagnose the condition.
• Skin Care: Continue using over-the-counter treatments like Cortizone 10 for itching. Avoid scratching to prevent further irritation.

Systemic Conditions:

• See a Specialist: A rheumatologist or an internist can evaluate your systemic symptoms. They may perform blood tests and imaging studies to diagnose any underlying conditions.
• Healthy Lifestyle: Maintain a healthy diet, stay hydrated, and engage in regular physical activity to support overall health.

Mental Health Considerations:

• Mental Health Support: Continue taking your prescribed medications and seek support from a mental health professional. They can help you manage any symptoms related to your mental health conditions.

What you should look out for

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

• Severe Pain: If you experience severe pain that is not relieved by over-the-counter medications.
• Fever: If you develop a fever, which could indicate an infection.
• Neurological Symptoms: If you experience new or worsening neurological symptoms such as severe headaches, vision changes, or seizures.
• Severe Skin Changes: If you notice significant changes in your skin, such as rapidly spreading rashes or sores.

Remember, while I can provide information and suggestions, it's crucial to consult with real healthcare professionals to receive a formal diagnosis and appropriate treatment. If you have more questions or need further assistance, feel free to continue the conversation.