what is this and do i need to go the emergency room?
looks like dermatographia. if this is your first time experiencing this, it's probably temporary. it could also be a allergic reaction to something on your hands after you scratched your arm but that would be a strange scratching pattern. give it a few days and if it doesn't stop, a doctors appointment couldn't hurt.
you should be in contact with your doctor by phone if you are in pain or bleeding. going to the er should be a joint decision, unless you are experiencing extreme uncontrollable pain or other unusual or concerning symptoms. You are so kind to be this active due to the distress of a stranger. I'm touched by how much you care. I can also see why you are horrified!  
  
Maybe this woman is too far along with the prolapse, but I do know that there is something called a pessary that can generally be inserted to hold the organs in place. I'm surprised this wasn't done long ago for this woman. The nursing home maybe didn't have care of this woman until it was too late.   
  
You seem to be doing everything you can, and you're right in not wanting to get the nursing home in trouble since they aren't the problem. Contacting the urology department of your local hospital may yield some results. Perhaps there's a program for people who are in such dire situations. Please let us know what happens.   
Take care,  
Carol A. I am so sorry that you were struggling with these symptoms, and very glad you took the time to write us here at Psych Central.

The intensity of your reactions and the volatility of your thoughts suggest evaluation by a psychiatrist or a psychiatric mental health nurse-practitioner. The forceful and rapid mood swings combined with the internal voices and commands indicates you should make this appointment sooner rather than later. A psychiatrist or a psychiatric mental health nurse practitioner would be in a better position to know if there is a medical concern underlying the symptoms. He or she would also be able to prescribe medicine if it is needed.

Wishing you patience and peace,  
 *Dr. Dan*  
 [*Proof Positive Blog @ PsychCentral*](https://psychcentral.com/blog/archives/author/danielt/)

Confused about My Intense Mood Swings, Rage and Paranoia that sounds rough, i am sorry you aren't feeling well. my advice is just go to a different hospital to get a different view on your situation. please don't hold off on it, this problem really needs to be taken care of. sounds like sleep apnea. its a condition where u stop breathing during certian sleep patterns. dont stress out too much it can be treated by sleeping with an air mask or other ways but do go see a doc if this is old news, just a bad habit. if new onset, you need to see an ophthalmologist/neurologist to rule out any neurological disease. see more... may be a sign of infection, check with your doctor. see more... if you indeed do have mh then you should have been treated in a hospital setting. not only can it cause a deadly increase in muscle metabolism, but it also can increase heart rate. i would recommend against any stimulant like caffeine right now. make sure with your doctor that you have mh. mh is a medical emergency! grace, i would have it checked out if i were you. the least would be a physical examination and a chest x-ray. good luck. there are a number of possible reasons, but narcolepsy may well be what you have. you need to get a set of sleep tests (it takes about 24 hours in a sleep laboratory). then a proper diagnosis can be made, and all of the conditions can be treated.<br><br>you really need help asap.