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mn_guy
16-07-18, 21:35
Hi all - this is my first post after over a year of lurking. Some background - I'm 36 (male) and live in Minnesota, USA with my wife and kids. I've struggled with various anxiety for a long time; usually it has focused on intrusive/ruminative thoughts somewhere in the GAD/OCD spectrum. I've occasionally had mild health anxiety in the past but in the last couple of months the health anxiety has grown pretty severe.

Toward the end of May, I saw a bat in our kitchen at breakfast. We had seen one in our unfinished basement about a month earlier but hadn't thought anything of it as we didn't think there was any way for them to get up into the house. I tried to capture the bat with a bowl and in the process ended up injuring its wing and killed it with a broom as it flopped around squealing on the floor (out of slight panic as my kids were nearby and I didn't want it to suddenly fly up and bite them). I picked up the dead bat with about six layers of thick paper towels and put it in a plastic bag before throwing it away. I then cleaned the area where the bat had been and the broom with Lysol wipes. I didn't think anything of it for about a week, other than to call a bat removal specialist who informed me we had a small colony of big brown bats (thankfully not protected species in my state) and he would do the necessary steps to seal/exclude them. Right after this incident I thoroughly searched my hands for any sign of a bite or scratch (not really anxious at this point, just being prudent) and didn't see anything (nor did I feel anything poke me at any point). At no point did I directly touch the bat and I had washed my hands thoroughly after it was over just to be safe.

Around a week later I made the mistake of Googling about bats and rabies and saw a bunch of scary articles about how bats can bite you in your sleep and you wouldn't know it, or how you could get scratched by one and not feel or see it. The CDC in the US actually recommends vaccination in a lot of circumstances where there was no contact with a bat at all (although most other countries such as Canada do not). In a panic, I went to the ER and gave the ER doc my whole story. The doctor called the health department and they agreed that since a) I never had direct skin contact with the bat and b) there was no evidence the bat was ever in a bedroom (although it theoretically could have flown into mine and my wife's bedroom by going up the stairs and through an open door), that this was a low-risk encounter and neither I or anyone in my family needed vaccination. I almost asked for the vaccine anyway but in the US this is very expensive (over $10000 in a lot of cases) and insurance might not cover it if not recommended by the health department.

This should have been the end of it, but unfortunately the past 7-8 weeks have been sheer hell for me. Around the same time I went to the ER I started feeling tingling in my left hand and arm (which was not the hand I used to dispose of the dead bat). I've had weeks where my neck and shoulder really hurt, or where I had bad headaches, or where I had dry mouth and a sore throat. About a month after the initial incident, I was starting to realize I was going to be fine when I happened to look at my left hand and see two small skin-colored bumps around 1cm apart. I discovered these were some kind of blister by popping them but they just refilled after a few days. I showed them to my wife and asked if she thought I should be concerned and she said it was probably some random skin thing and not to worry about it. They itched/tingled a bit when I first noticed them and then not again for a few weeks until the last 3-4 days where they've been itching again. I tried to take a picture but they are so small and hard to see (and flesh-colored) they don't show up well via camera. I did some Googling and the closest thing I could find to match is dyshidrotic eczema and I am seeing a doctor this afternoon to take a look at them.

I've read through a lot of threads on rabies fear and at first glance my situation seems less fantastical than most (e.g. there was an actual bat in my house at one point), but I am a pretty logical person and realize that it is highly, highly unlikely that I have rabies. I just can't convince myself of this 100%. By the time I noticed the weird blister things the bat removal specialist had sealed and excluded the bats from our house and we haven't seen any since the one in late May. The chances of some weird blister developing in the exact site where a bat bit a month earlier seems pretty remote. If all of the symptoms I've had since early June were really rabies I'd be dead by now (although I get around that by thinking "Maybe those earlier symptoms were psychosomatic but these are the real deal"). I have some good days and some bad; no sooner do I convince myself everything is fine then I get some new tingle or itch or pain or sore throat or whatever.

Do people have any tips on how I can get over this? I talked to my wife about it a bit at first and she basically thought I was crazy, so I've stopped mentioning anything to her. The ER doc and the health department have said I had a low-risk encounter and didn't need the vaccine (but if course I wonder if maybe I left out some critical detail). If all of my weird intermittent symptoms would just go away I think I could get over this. I am seeing a psychiatrist that I've seen in the past this week so hopefully he can help me as well, but I wanted to throw this out to the forum as this worry seems pretty common on here. Please help and provide advice!

---------- Post added at 15:35 ---------- Previous post was at 12:09 ----------

Update - went to the doctor this afternoon on the bumps. She diagnosed them as dyshidrotic eczema and said to use hydrocortisone cream. I told here about my bat worries and she said that there is "no way" that these marks could be from a bat bite (given that they popped like water blisters and they haven't changed appearance in about a month).

I am feeling better now but just waiting for the anxiety process to talk me into thinking I am in trouble again.

NervUs
16-07-18, 23:02
Had a similar experience, MN. Will message you later tonight, after dealing writing my own plea for help.

venusbluejeans
16-07-18, 23:05
I told here about my bat worries and she said that there is "no way" that these marks could be from a bat bite (


Exactly :)

Glad you are feeling a bit better

paranoid-viking
17-07-18, 05:57
You confessed - you googled. But what you google is extreme hypothetical scenarios which may be technically possible if you are the most unlucky person living on this planet but still is so overwhelmingly unlikely you would be better off not reading these things.

mn_guy
17-07-18, 22:01
You confessed - you googled. But what you google is extreme hypothetical scenarios which may be technically possible if you are the most unlucky person living on this planet but still is so overwhelmingly unlikely you would be better off not reading these things.

Yeah, I've been on the anxiety roller coaster enough in the past you think I'd have learned my lesson about Googling. I had initially Googled just to figure out what the heck to do if I found a bat in my house, and while most of what I read initially seemed to indicate everything would be fine there were a few stories about people who had gotten their entire family vaccinated after finding a bat. That left enough doubt about whether I'd be fine that I did more Googling as the week went on and it all spiraled down from there. I have a tendency to not be satisfied until I have a 100% confident answer, but obviously in a case like this we're dealing with probabilities and you can never know 100%.

I even found this study by the Canadian government showing that the probability of rabies from a non-direct-contact encounter is upwards of 1 in 330,000 to 1 in 2.4 million, (and even in non-bite direct contact situations is around 1 in 50,000) but of course, "What if I'm that one?"

I am hoping that going forward in situations similar to this I'll be smart enough to not Google.

Bubbletea
18-07-18, 15:29
I also had a similar experience (check out my threads, you'll see)
I've been to multiple doctors because of this anxiety and wasted LOTS of money for the consultation fee. Whenever I see a small mark that looks like a bite on my skin, I'd immediately head to the same doctors I know (I became friends to some of them because I keep going back to their clinic/office whenever I was anxious about rabies). In my country, rabies is more common in dogs & cats, but I also had the same thought like mn guy. My HA rose and I kept having false memories to the point my dad thinks I'm going crazy.
Luckily, vaccines are not that much expensive here (ranges from $150-200), while preventive vaccines cost $30-40, so I immediately took a preventive shot in order to calm myself and it's also what the doctors recommended.
What I can suggest is if the doctors says it's okay, then you're actually fine. You can get a 2nd opinion (like what I did) for reassurance, or if preventive vaccines are cheap in your area (the pre-exposure vaccine, not the post exposure one cuz that is very expensive indeed)... I'd say you should get one as well

mn_guy
19-07-18, 20:12
Figured I'd post an update - unfortunately things haven't gotten much better. In the last few days I've had a sore throat feeling and feel like my lymph nodes on my neck are swollen (although who knows - I never really thought about whether I could feel them before). Today I have an elevated heart rate (10 BPM or so above normal) as well as nausea and diarrhea. That could be because I've been taking 5-HTP for a few days and had three beers and McDonald's last night, but who knows. The problem with this is that both the incubation period and initial prodromal symptoms of rabies are so non-specific there's no limiting factor on the anxiety. Any random ache/pain/illness/symptom that comes up causes my anxious mind to freak out and start thinking, "This is it!"

I saw a psychiatrist yesterday and he prescribed Lexapro (and to stop the 5-HTP, which I did today). I'll start taking it tomorrow or whenever my current digestive issues calm down, and I'll post how things are going a few days after that.

Fishmanpa
19-07-18, 20:22
READ THIS (http://www.nomorepanic.co.uk/showthread.php?t=219591) as many times as you need to.

Positive thoughts

NervUs
20-07-18, 02:46
So sorry you're going through this. It is simply unfair to get sick in the midst of a rabies panic!

Hopefully, your stomach will settle down (anxiety can definitely bring that on) tomorrow. Try to eat gentle foods to see if that helps too. The sore throat is a stinker, but I have had a mild scratchiness too-and it seems like a lot of people are getting colds.

Unfortunately, you are going to have to wait through this but, remember, note any improvement in symptoms b/c that is 1000% evidence that you do not have rabies. I also hope the meds help.

Keep us updated!

paranoid-viking
20-07-18, 11:03
Figured I'd post an update - unfortunately things haven't gotten much better. In the last few days I've had a sore throat feeling and feel like my lymph nodes on my neck are swollen (although who knows - I never really thought about whether I could feel them before). Today I have an elevated heart rate (10 BPM or so above normal) as well as nausea and diarrhea. That could be because I've been taking 5-HTP for a few days and had three beers and McDonald's last night, but who knows. The problem with this is that both the incubation period and initial prodromal symptoms of rabies are so non-specific there's no limiting factor on the anxiety. Any random ache/pain/illness/symptom that comes up causes my anxious mind to freak out and start thinking, "This is it!"

I saw a psychiatrist yesterday and he prescribed Lexapro (and to stop the 5-HTP, which I did today). I'll start taking it tomorrow or whenever my current digestive issues calm down, and I'll post how things are going a few days after that.

At least you do realise; as I understand from your post that deep down you know that this is just anxiety and that your anxious mind is playing trick with you. GOOD! And this is where you must work from. Diarreah is the most common symptom caused by anxiety itself. Anxiety certainly messes up the bowel system - or at least it do so with me.

mn_guy
20-07-18, 13:38
At least you do realise; as I understand from your post that deep down you know that this is just anxiety and that your anxious mind is playing trick with you. GOOD! And this is where you must work from. Diarreah is the most common symptom caused by anxiety itself. Anxiety certainly messes up the bowel system - or at least it do so with me.

It's probably more accurate to say that I'm "fairly sure" that this is anxiety (possibly combined with some unrelated ailments - everyone gets sick from time to time). I might even go as far as to say I'm 99% sure - it's that 1% that gets me. :)

I just keep repeating (to myself) the statistic from the Canadian study (that I can't link to b/c I don't have enough posts): the odds of getting rabies in a situation where you encountered a bat in the house but didn't have direct contact with it are between 1 in 330,000 and 1 in 2.4 million. In the US the health departments are even more conservative and paranoid than in Canada, and they thought my encounter was low risk enough to not recommend the vaccine.

---------- Post added at 07:38 ---------- Previous post was at 07:34 ----------


So sorry you're going through this. It is simply unfair to get sick in the midst of a rabies panic!

Hopefully, your stomach will settle down (anxiety can definitely bring that on) tomorrow. Try to eat gentle foods to see if that helps too. The sore throat is a stinker, but I have had a mild scratchiness too-and it seems like a lot of people are getting colds.

Unfortunately, you are going to have to wait through this but, remember, note any improvement in symptoms b/c that is 1000% evidence that you do not have rabies. I also hope the meds help.

Keep us updated!

Thanks for the encouraging words! Today is somewhat better. My heart rate has settled down and the diarrhea has gone away. I still have no appetite (which is a symptom of rabies!) but this is exactly how things have gone any time I've had food poisoning or a stomach bug in the past. I'm hoping to start my SSRI later today but may hold off until Saturday if my stomach is still messed up. One of the big side effects of escitalopram that the pharmacist warned me about is upset stomach and the last thing I need right now is more of that.

mn_guy
22-07-18, 23:33
Figured I'd post a reply so everyone knew I was still alive. :)

My nausea did end up being either food poisoning or a stomach bug as I was able to eat full meals starting at lunch Saturday and the nausea is completely gone today (Sunday).

The one "symptom" that is driving me the most nuts at the moment is a low-grade scratchy/sore throat that I've had for just over two weeks now. I did some quick searching and it seems this might be caused by anxiety? The weird thing is that it went away when those two blisters on my hand started itching and didn't come back until after my doctor's appointment when she said that there was no way there were bat bites. The sore throat also went away (or I just stopped noticing it) once the nausea from the food poisoning started, and came back right after I finished my first full meal and the nausea largely went away. This is highly suspicious, but it doesn't change the fact that there is a tightness in my throat, my mouth/throat are dry, and my throat feels a little scratchy from time to time.

I also think the lymph nodes below my jaw might be swollen, but I've never thought much about them or tried to feel them while I'm healthy so I don't know for sure. I doubt that they would be swollen unless I was really sick with something, but my kids have had colds in the last few weeks so I could just have a mild cold or be getting over one.

For the tingling in my arm I had gone to a doctor previously and she thinks I have cubital tunnel syndrome from sleeping on my arm with it bent, over-using arm rests, and poor posture while biking. Will be working with a physical therapist to get all that sorted out.

I also started 5mg of Lexapro on Friday and will up to 10mg next Friday (which I discuss more detail in a different thread). Hopefully it kicks in soon and the anxiety eases up. Overall I'm feeling OK but I'd be a lot happier if I could go a week or two with no scratchy throat or any other ambiguous symptoms. :)

venusbluejeans
23-07-18, 00:05
Yay :) glad you are still alive

KK77
23-07-18, 00:39
https://i.imgur.com/xJ7qh8C.jpg

AntsyVee
23-07-18, 08:48
KK, what is that thing and why is it half naked?

KK77
23-07-18, 09:42
KK, what is that thing and why is it half naked?

It's the Googly-Eyed Rabies beast of course....it escaped from the Complaints Lab out of its Petri dish. It should NOT be approached as it will try to eat you like a ravenous virus.

Don't be fooled by its googly eyes either! :lac:

paranoid-viking
23-07-18, 16:41
It's probably more accurate to say that I'm "fairly sure" that this is anxiety (possibly combined with some unrelated ailments - everyone gets sick from time to time). I might even go as far as to say I'm 99% sure - it's that 1% that gets me. :)



And I know with 100% certainty you dont have rabies. Plese re-read the sticky thread on rabies and re-read the post there over and over to you realise how crazy this fear is.

mn_guy
24-07-18, 16:07
And I know with 100% certainty you dont have rabies. Plese re-read the sticky thread on rabies and re-read the post there over and over to you realise how crazy this fear is.

Thanks for the encouragement - your thread is helpful to put it in perspective. I've read quite a bit of information describing how rare it is to contract rabies, especially without a known bite or even known direct skin contact with a bat. Anxiety is of course all about doubt and worst fears, so even logically knowing that everything is fine doesn't fix the anxiety unless you can prove it 100%.

I am feeling better overall this week though. The dry mouth/throat is pretty annoying but it seems somewhat better today than yesterday (and may be either caused by anxiety and/or exacerbated by the Lexapro I started taking, even though it started earlier than that).

AntsyVee
24-07-18, 17:32
It's the Googly-Eyed Rabies beast of course....it escaped from the Complaints Lab out of its Petri dish. It should NOT be approached as it will try to eat you like a ravenous virus.

Don't be fooled by its googly eyes either! :lac:

Ahhh... so it’s not an invisible bat biting everyone, it’s just that thing!

mn_guy
04-08-18, 13:23
Figured I'd post an update on this thread. After two weeks on 5mg of Lexapro, the irrational rabies fear has receded quite a bit. I still get some spikes of anxiety when the eczema on my hand tingles or itches excessively, but even that has gone down a lot in the last few days.

One huge piece of advice I'd give to people who are suffering from this or similar fears is to see a psychiatrist if the fear goes on for more than a week or two. Reading the statistics about the rarity of a given condition is somewhat helpful but since anxiety is all about doubt it probably won't help much if you have a real anxiety disorder. In my case medication seems to have helped quite a bit so far; for others some kind of therapy might work well. Ultimately recovery comes by being willing to accept whatever small/infinitesimal degree of uncertainty your mind might have rather than trying to prove to yourself 100% that you aren't sick with whatever condition, and you might need medication and/or therapy to help you do that.