Should I see a neurologist, dermatologist, or general practitioner?

  • Posted by a hidden member.
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    Nov 20, 2009 3:34 AM GMT
    Okay guys, let's play doctor (and in the scientific sense).

    I have had the WEIRDEST symptoms that with all my hypochondriac experiences I cannot diagnose.

    It all started with a bump between my nose and my right eye itching. It's been there all my life and I just accepted it as some sort of mole. Well it was itching like crazy for three days for the first time. It felt like there was something sticky on my face on that mole, but it was just that mole. It's just a raised bump that isn't even a different color. So I don't know if it even qualifies as a mole but I'll refer to it as that for now.

    After the itchy mole escapade, two days later I woke up with what I felt like where spider bites. They were deep itchy feeling, kind of stingy, but not lesion or bump until I started scratching them, just like a spider-bite. All on the right side of my face. Eventually red bumps appeared and a red raised bump and possible skin abrasion would occur if I itched them enough, otherwise there was no scarring, no puss, and they healed and stopped itching within 36 hours and disappeared. I thought these "spider bites" healed unusually quick.

    But then same sensations appeared on parts of my face adjacent to the old "spider bites"! And for the past 3 weeks, I've had 3-5 of these bumps on various places on my face...NOT on my nose, forehead, around the mouth (so it's not herpes), or past my jaw bone, but just around the cheek and chin. And almost all of the new ones appear close to the old ones that just started healing.

    The sensation feels tingly, sticky, burning at times, and especially itchy. Sometimes when I scratch the bumps on the right side I get this sensation that leads back to the original mole between my nose and my right eye. Neurological pathway??

    My theory is when I scratched the mole between my nose and my right eye it leaked something out, that because of it's properties isn't being dissolved, but can't travel outside of my face. That sounds completely bizarre though. Or maybe I keep sleeping on something that irritates my skin but only my face because of it's unique chemical properties. But that wouldn't make sense because the sensation feels like it's coming from underneath my skip.

    What do you think I should do? See a skin doctor first? Neurologist? Or a general practitioner? I don't want to bounce from dr to dr just to find someone who understands what my symptoms are encoding. Ever experience this before? Is there a Dr. in the RJ? lol
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    Nov 20, 2009 3:37 AM GMT
    It sounds like it may be an allergy, but go to a GP first. He may then send you to a dermatologist. Most GPs are smart enough to diagnose skin problems. They'll just send you to a dermatologist for treatment.
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    Nov 20, 2009 3:38 AM GMT

    A dermatologist I'm guessing, as it's just under the skin, right?

    -Doug
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    Nov 20, 2009 3:41 AM GMT
    meninlove said
    A dermatologist I'm guessing, as it's just under the skin, right?

    -Doug


    Thats what I think at first but I feel like it's a neurological problem since I get a deep tingly sensation with no external appearance until I've been scratching for a while.
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    Nov 20, 2009 3:53 AM GMT
    go to dermatologist

    gp's are only there to refer patients and to give cough medicine
  • charmr

    Posts: 233

    Nov 20, 2009 4:11 AM GMT
    None of us should be trying tto diagnose this. It is obviously basically a skin problem, though there could be a neurological aspect. Your gp won't touch it so skip him [unless you need a referral for your insurance]. The skin must be treated in any event so go straight to the dermatologist. If you need a neurologist too, he'll let you know quickly enough, and you'll still need the dermatologist too.. If you went to the neurologist first he would probably have you see the dermatologist before he touched it.
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    Nov 20, 2009 5:38 AM GMT
    To keep this from spreading you must make a very fine cut at the top of the neck just under the ear, then under the jaw, the chin, then the other jaw up to the other ear, then do what's called a face peal, pulling it up over your forehead, your problems will cease to exist. LOL !!! No !!! maybe not, you may rather put up with the itch, that is at least until you go see a dermatologist, he should be able to help you with less pain than the afore mentioned face peal. Ha !!!
  • Posted by a hidden member.
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    Nov 20, 2009 5:53 AM GMT
    I'd go to the dermatologists first
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    Nov 20, 2009 6:37 AM GMT
    Did you recently switch laundry detergent (or dryer sheet)?

    Wash your pillow-cases (do a double-rinse cycle to get out all the detergent).

    See a dermatologist (or GP for referal).
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    Nov 20, 2009 6:40 AM GMT
    GP...get the referral!...depending of course on the rules of your insurance
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    Nov 20, 2009 6:42 AM GMT
    Did you have chickenpox as a child? Are the bumps right- or left-sided exclusively? Either a GP or dermatologist could help in the diagnosis. This could be shingles, and getting it diagnosed and treated sooner will help prevent long-term itch, burn or pain.

    In other words, it could be herpes, whether or not you're a slut.
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    Nov 20, 2009 7:07 AM GMT
    That sucks. I HATE not being able to figure out whats wrong with me.
    I would go to my doc first and the dermatologist.
    Dont GOOGLE your symptoms- I often get more anxiety after any form of google home research.
    Pay attention to your pillow cover, soap, diet, detergent, cologne, anything that may be a factor.
    Good luck.
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    Nov 20, 2009 7:16 AM GMT
    I would definitely see a dermatologist first, yeah.
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    Nov 20, 2009 7:19 AM GMT
    mickeytopogigio saidDid you have chickenpox as a child? Are the bumps right- or left-sided exclusively?


    It's not unilateral. I already thought of that. Although most of it is on the right side, but like 75% of it.
  • Posted by a hidden member.
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    Nov 20, 2009 7:28 AM GMT
    You should come and visit me... I'll do the check up.
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    Nov 20, 2009 7:33 AM GMT
    I would have it checked out by a Dermatologist, it may be a Sclerosing Basal Cell Carcinoma. Very light skined people who spend time in the sun tend to get BCCs more than other people. They usually appear on the face and and other body parts exposed to the sun. They usually grow very slowly and don't cause pain. They can do considerable damage to the muscle, bone and nerves. I had a similar experience before I had one removed. The good news is, they can usually be taken care of easily. See a Dermatologist, if for no other reason than to rule out the possiblity of a BCC. Good Luck.
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    Nov 20, 2009 7:39 AM GMT
    Dermatologist, I would think. You could also start with your GP. Keep us posted, interesting case.

    Critical care nurse, 14 years...
  • Webster666

    Posts: 9217

    Nov 20, 2009 7:40 AM GMT
    Get some Hydrocortisone at the drug store.
    It's inexpensive and over-the-counter.
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    Nov 20, 2009 7:41 AM GMT
    shybuffguy said...it may be a Sclerosing Basal Cell Carcinoma. Very light skined people who spend time in the sun tend to get BCCs more than other people. They usually appear on the face and and other body parts exposed to the sun. They usually grow very slowly and don't cause pain. They can do considerable damage to the muscle, bone and nerves. I had a similar experience before I had one removed.


    mmmm it's probably not this. Each itchy blister lasts 48 hours max and then disappears completely. But then another one reappears as the old one disappears! The best way to describe this is I have 3-5 bug bites that are traveling across my cheeks and chin. Strangest thing ever. And annoying. I'm going to get an appointment with a dermatologist.
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    Nov 20, 2009 7:57 AM GMT
    Dermatologist bud. Go through the channels your ins. requires obviously but that's unusual stuff and that's coming from a guy w/bad Irish skin. Not zits, hives or shingles??? The guys gave ya good advice above about rinsing the pillow case, laundry detergents, no cologne and all. I sympathize. Good luck.
  • Latenight30

    Posts: 1525

    Nov 20, 2009 12:46 PM GMT
    Get an internist. Not a GP.
    At this age you need a good doctor you can trust and talk to and will see you when strange things come up.
    I have to say that I don't get paid much for the work I do, but my insurance is rocking. So I'm worried about this national thing.. but that aside. Everyone I encourage you, no matter how healthy you are find a doctor that you are comfortable with before you need one. Interview them, got see them. Ask for a consult, not so much of you but of them.
    Once you form a relationship and a 'chart'. They will see you almost no matter who else may have walked in off the street.
  • Posted by a hidden member.
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    Nov 20, 2009 12:54 PM GMT
    Internal medicine first.... then a specialist.
    Then maybe a therapist because hypochondria can be the most debilitating of them all... Believe me... I know from whence I speak.
  • Halcyonz

    Posts: 157

    Nov 20, 2009 1:23 PM GMT
    This is a definitely a dermatological issue. Make an appt. with your dermatologist asap. But here is a suggestion before you go. . .

    TAKE A PICTURE. Most likely, as is a lot of cases, the skin infection will be gone or starting to go away when your appt. date comes. This makes it harder to diagnose because then it looks like a lot of different things instead of a few specifics.

    Also, if you could post a picture. . . that would be cool. Telederm is amazing.
  • Posted by a hidden member.
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    Nov 20, 2009 1:30 PM GMT
    Sounds like you'd need to see a dermatologist first.

    Get it checked and see what they say.... remember that anxiety can cause a lot of CRAZY sensations.

    I have muscle fasiculations (twitches), dizziness, numbness and burning sensations all over.... because I thought I had MS. Turned out I was just crazy/anxious. I am better now. And I am sure you will find out what/if the problem is and take care of it!

    All the best.
  • Celticmusl

    Posts: 4330

    Nov 20, 2009 2:19 PM GMT
    mickeytopogigio saidDid you have chickenpox as a child? Are the bumps right- or left-sided exclusively? Either a GP or dermatologist could help in the diagnosis. This could be shingles, and getting it diagnosed and treated sooner will help prevent long-term itch, burn or pain.

    In other words, it could be herpes, whether or not you're a slut.




    I had the same thing happen to me. The only difference is that yours at first healed quickly? That sounds more like an allergy. But everyone at first, including the doctor, thought mine was an allergy.

    There is this weird skin condition that is related to shingles, chicken pox, and herpes. The treatment is very much like how you would treat herpes. You do need to go to a doctor to diagnose it and see if there are any prescriptions that will help.

    When you touch a red spot and you feel the connection to the original spot, that is most likely because it is a form of herpes that hides dormant in your nerves. When I had it on my face I would touch one spot and i would feel this sensation of like a web across my face....that's the nerve net.

    What I had wasn't contagious, just really gross to look at.

    Anyhow, if left untreated it can eventually cause nerve damage.

    Do you take any arginine supplements? If so you should stop. If it is the type of herpes I'm referring to, the doctor might not prescribe it, but taking 3-5 grams of lysine a day seems to help. Also zinc and magnesium.

    Mine came out when I was under a great deal of stress, so it is stress related.

    I hope you recover quickly. ;-)