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Hello, my name is KJ.

I haven’t been officially diagnosed with EM, but I have been diagnosed with Raynauds. I’m unsure whether my burning symptoms are actually from EM or another autonomic condition, but I’m constantly dealing with flare ups whenever I shower, am exposed to heat, or experience stress. My hands and feet (and my face mildly) get incredibly red (to the point of purple in the shower), and feel like they’re on fire. My symptoms seem also to be correlated with an essential medication that I cannot stop taking, since they got worse when I tried increasing my dose. My flare ups worsen with alcohol and some foods, such as garlic which also causes my stomach to get upset.

Elevating my feet tends to help, as do compression socks (combined with elevation). Cold soaks only help while my feet are in the water, as soon as I take them out the burning comes back worse.

I don’t have any photos of my burning hands and feet since I make a point of hiding them in public and am extremely embarrassed by how shockingly red they are.

I’ve included a picture with a mild face flare up, it’s incredibly contained in my nose and cheeks but it always burns like fire. I usually wear makeup to cover it so it is much more red than it looks here.

Yes I would say you have EM. Most of us with it also have raynauds. What’s the medicine you take that makes it worse? Either way I would highly recommend seeing a pain specialist who can help you with a treatment plan.

I’m taking vilazodone, it’s an SSRI antidepressant that is the only medication that’s worked for me (and I’ve tried DOZENS). I know SSRIs can be used to treat EM, but the increased symptoms with my increased dose really make it seem likely to be related. One of the common side effects listed is “Burning, crawling, itching, numbness, prickling, ‘pins and needles’, or tingling feelings”, which sort of aligns with EM, but it mentions nothing about the blood pooling and intense temperature that my flare ups have. Plus, I started having symptoms as a teenager when I began taking this med.

I haven’t heard of SSRIs causing it, but if it has those neuropathy-like side effects I can see how it would make it worse. Either way, a pain specialist would probably be able to give you more info.

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