Question: Hello,

I am 38 year old male. Due to a car accident in 2000 I have been on pain meds to treat daily, debilitating headaches. For the last several years I have taken the "new" opiate Nucynta 300-400 mg/day as well as 90 mg of Temazepam (PTSD - long story) I take the Temazepam throughout the day with my Nucynta. I know Temazepam is for sleep, but believe me, my doctor and I went through everything and somehow it just works and I don't get sleepy on it. It just works with the Nucynta to relax me so i can stay calm (history of panic attacks and anxiety).

Anyway, a year and a half ago I got extremely dehydrated for about a month (work outside in the heat). I didn't realize how dehydrated I got until I saw my Doctor for minor hip and inner thigh pain. We ran test - everything came back perfect except my Kidney function was a bit too low and my egfr was 48 - My Dr said was a combination of my meds and just not getting enough water. I was outside all day and got very hot over long periods of time and did not drink enough water. I got control of that, that was the end of last year. I stayed hydrated and in Feb this year the follow up blood work showed everything back to normal - Kidneys came back fine. Liver fine. He does a ton of lab on me every few months because of my Testosterone injections ect.

WellI got a little dehydrated again for about two weeks last month (not as bad as last time and urine has always been perfect. Not brown, not clear, just a perfect light straw color every single time and it does not hurt to urinate like it did last year) But I recently felt that inner thigh pain come back on again. (not as bad as last time but it seemed like the same thing was starting over.) So I got hydrated again and all that is returning to normal. I have lab work in a few weeks.

So all that to say this, I was sitting on the toilet last week and my inner thigh (right inner thigh - same place as before ) was bothering me a little and I noticed that I had a very small (smaller than a dime) yellowish bruise and it was painful to the touch but no more than any other bruise. And it is all but gone now but it seems to have stayed around a few days longer than I would have expected but that may not be true.

I have No swollen lymph nodes. I have had two a major oral surgeries this month and probably didn't drink enough. I am scared (probably irrationally but nevertheless scared I might have lymphoma (although other than the inner thigh bruise that has hung around for a while but it's going away.)

I take testosterone injections from my doctor 200 mg 2 times a month.

Some people say it's the narcotic (nucynta) causing my prob.
Others say it's just a bruise ( I do have a history of incorrect self-diagnosis ;)
Others say that my kidneys may be stressed again

I know you can't officially diagnose me without seeing me and I won't hold you to anything. Just would like an opinion. Is this panic time or not? I had a full broad amount of blood work done in Feburary this year and everything - including my liver and kidneys were normal. I have GERD, as well which as recently caused my throat to feel time like someone is pressing on my XXXXXXX apply making it harder to swallow. I've got an appointment with a Gastro to do a scope and stretch my esophagus (had this done before and it feels like the same symptom and that fixed the throat, but I wanted to tell you that I am experiencing that as well right now).

Sorry for this long letter... Can you give me your opinion on if I should panic or not lol... The inner thigh bruise seems like I might be blowing it off. But I've had two of them over the last month. Same place, same size, same duration. I could have easily done something to it but I don't recall what that would have been.

Thank you so much you have put my mind at ease. After i submitted the question something occurred to me (probably of no significance) but about 3 weeks ago i had a similar small yellowing bruise in basically in the same place on the other (opposite inner thigh) it was there but it was small as a dime and yellow and didnt hurt unless i pushed on it. It healed and disappeared. I thought nothing of it.
Bottom line in the last month i have had two identical dime sized yellow bruses one in roughly the same place on both sides of each inner thigh and prolly a similar bruise on my shin that was yellow and went away normally. Sorry for not mentioning that in my original presentation but they seemed like such a non-issue I thought nothing of it. Everybody gets bruies so i thought nothing of it. Anyway all three of my bruises Were small and healed like any other bruise. The only thing that bothers me is that i had matching ones on each hip for few days but they were not lumpy just small yello bruises that went away. I just dont know where i got them. and it was on the opposite inner thigh in roughly the same place. but it didnt seem significant at the time (and it probably still is not significant) It couldnt have been there more than 10 days or ao. These are NOT huge hard purple and black things. was such a non issue it only occurred to me now. it. It was so minor and disappeared so quickly. One ther thing i forgot to mention is that about every summer. (Allergies) i tend to get itchy all over my body after i take the nucynta. But the nucynta does teigger it. He gave me a short course of Prednisone and did bloodwork. The Prednisone knocked it out and this year again i starting itching all over my body a couple weeks ago. (about the same time as last year this same thing happened. So i am in the middle of a short course of prednisone right now - because i have pins and needles i feel all over my body but my bloodwork is fine and my Dr. thinks its a hystamine allergic response to the Nucynta opiate. After the prednisone course last year the itching was done and i resumed Nucynta with no problems when the itching returned a couple weeks ago and the Prednisone is knocking it out again. Im fine in the morning its just something that seems to effect me in laye summer/fall. In combination with nucynta. . Anyway, so when the nucynta brought on the whole body pins and needles again this year but the prednisone will fix that. I dont think any of this will change anything but full body itching. I should tell you. Dreaded opiate itch? Do you concur with my other dock this is a hyatamine issue?

Thank you. Ive only had two "unexplained" inner thigh bruses and they were small and left fast. The one on my shin my 2 year old nephw kicked me there so i know what cause that and im 90% sure the other two (although at separate times this