Chronic Skin Issues and Unexplained Symptoms: A Comprehensive Guide

It should be caused by the skin?

My skin has not been good for the past two years.
When I scratch it, it looks like it's falling apart.
I consulted dermatologists, and they said it is urticaria.
However, I experience intense itching at night and also during the day, and it heals very slowly.
The scars on my hands do not seem to improve.
I don't understand the reason behind this.
Previously, I had a boyfriend who was abusive and hit me several times on the head, causing a lot of bleeding.
In the last couple of years, the incidents have decreased, but I have fainted three times.
During those times, I wasn't particularly tired from work; I was at home taking care of my father, and my meals were normal.
One day, while painting at home, I don't know if the paint fumes were too strong, but that night I couldn't see anything, although it was fine the next day.
Recently, I have been experiencing frequent nosebleeds for no apparent reason, and I also have difficulty with bowel movements, as I can't seem to go.
Additionally, I often experience severe swelling.
What could be causing these issues?

Qiu Xiaojie, 20~29 year old female. Ask Date: 2013/02/15

Dr. Wu Yuxin reply Dermatology

For skin issues, it is advisable to seek medical treatment.
If a dermatologist informs you that it is urticaria, and if it is chronic, you must take medication regularly; intermittent use of medication will not be effective.
As for your other concerns, I apologize, but they are outside my area of expertise.

Reply Date: 2013/02/15

More Info

It sounds like you are experiencing a complex array of symptoms that are causing you significant distress. Chronic skin issues, particularly those involving itching, redness, and slow healing, can be quite challenging to manage and often require a multifaceted approach to treatment. Based on the information you've provided, let's break down your concerns and explore potential underlying causes and management strategies.

Chronic Skin Issues
From your description, it seems you may be dealing with chronic urticaria (hives), which is characterized by itchy welts that can appear suddenly and may persist for a long time. Chronic urticaria can be triggered by various factors, including stress, allergens, medications, or even underlying health conditions. The fact that you experience intense itching, especially at night, suggests that your skin is reacting to something, which could be environmental or related to your overall health.

Possible Underlying Causes
1. Stress and Trauma: You mentioned a history of physical abuse, which can have long-lasting effects on both mental and physical health. Stress can exacerbate skin conditions, leading to increased itching and slower healing. It’s important to address any psychological trauma with a mental health professional, as this can significantly impact your overall well-being.

2. Environmental Factors: You noted that you experienced symptoms while painting. Exposure to certain chemicals in paints or other household products can lead to skin irritation or allergic reactions. If you suspect this is a trigger, consider using hypoallergenic products and ensuring good ventilation when using such materials.

3. Nutritional Deficiencies: Difficulty with bowel movements and frequent nosebleeds may indicate nutritional deficiencies or dehydration. Ensure you are consuming a balanced diet rich in vitamins and minerals, particularly vitamin K (important for blood clotting) and fiber (to aid digestion).

4. Underlying Health Conditions: Conditions such as eczema, psoriasis, or even autoimmune disorders can manifest as chronic skin issues. If your symptoms persist despite treatment, it may be worth consulting a dermatologist or an allergist for further evaluation, including allergy testing or a biopsy if necessary.

Management Strategies
1. Moisturization: Keeping your skin well-hydrated is crucial. Use fragrance-free moisturizers regularly, especially after bathing. Look for products containing ceramides or hyaluronic acid, which can help restore the skin barrier.

2. Antihistamines: Over-the-counter antihistamines can help alleviate itching and reduce the severity of hives. However, consult with your healthcare provider before starting any new medication.

3. Topical Treatments: If you have been prescribed topical steroids, use them as directed to reduce inflammation. However, be cautious with long-term use, as it can lead to skin thinning.

4. Avoid Triggers: Keep a diary to track your symptoms and identify potential triggers, whether they are foods, environmental factors, or stressors. This can help you avoid situations that exacerbate your condition.

5. Consult Specialists: Given the complexity of your symptoms, consider seeking a multidisciplinary approach. A dermatologist can help with skin issues, while a psychologist or counselor can assist with the emotional impact of your experiences.

Conclusion
Your symptoms are multifaceted and may require a comprehensive approach to diagnosis and treatment. It’s essential to work closely with healthcare professionals who can provide personalized care based on your specific situation. Remember, healing takes time, and addressing both the physical and emotional aspects of your health is crucial for recovery. Don’t hesitate to reach out for support, whether from medical professionals or trusted friends and family.

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