Can the skin on the hands and arms become red and mottled due to preexisting polyps, recurrent rhinitis, anxiety, and moderate esophageal dysmotility?

Q. Are polyps, recurrent rhinitis, anxiety, and moderate esophageal dysmotility responsible for red and mottled hands and arms?

Answered by
Dr. Salah Saad Hassan Shoman
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 15, 2023

Hello doctor,

I am a 37-year-old female with polyps and persistent rhinitis. I had anxiety during the previous six months, and I did an investigation for issues with the throat, such as tingling, irritation in the lower throat, reflux, and sporadic chest tightness. Reflux globus was initially thought to be the cause. However, a barium swallow test showed minor esophageal dysmotility. Current medications include vitamin D pills, Cetirizine, Omeprazole, and Nasonex nasal spray. My current worry is that during the past four weeks, I have noticed that the skin on my hands and arms has started to get red and mottled. Despite the fact that I do not feel extremely chilly, this frequently occurs at work in colder rooms or settings. I occasionally have a very small tingling feeling during the day. I was concerned that I could have a circulation issue today because the back of my left hand and arm were also hurting. My lower thighs and knees also have this spotted look. Kindly help.



Welcome to

I read your query and can understand your concern.

This is a livedo reticularis disease that may be caused by a persistent infection, but you should see a vascular expert to rule out other possibilities.

I hope this helps.

Thank you and take care.

Hello doctor,

Thank you for the reply.

I also have another query. Over the last three months, I have been experiencing some reflux-related concerns, which have left me with symptoms such as difficulty swallowing, a sharp tickling or irritation at the base of my throat, noisy breathing, and occasionally heaviness in my chest. After my barium swallow test, the radiography doctor told me I had moderate intra-esophageal dysmotility. Omeprazole, which I take, somewhat relieves the problem. I have experienced severe anxiety for the previous seven months, so I am not sure if it had a role in the onset of my symptoms. During the past two years, I have occasionally had hiccups. What are the possibilities that my reflux issue is a result of anxiety? Does esophageal dysmotility last a lifetime, or is it possible it resolves on its own? Kindly help.



Welcome back to

I read your query and can understand your concern.

The esophageal dysmotility is probably caused by the irritation of the acid reflux to the esophageal mucosa and muscles. As the acid reflux resolves, the dysmotility will get better. I would recommend that you get tested for Helicobacter Pylori (H. Pylori) tests which is a common cause of persistent acid reflux.

I hope I have answered your question.

Let me know if I can assist you further.


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