Part of why Kaeya has no qualms about rushing headfirst into danger and why he is so disinclined to go see a Vision-wielding healer has to do with his nature as Khaenri’ahn. While the traces of the curse bestowed upon his lineage is not as advanced as that of others, thanks in part due to his father, he still feels constant and sharper flares of pain because of it, especially whenever he delves closer/further in Abyss-infested areas and the longer he lingers near/around them. Especially whenever he uses his own Vision and/or has the effects of one imbued upon him.
For this reason, most sensations people would find agonizing tend to be something Kaeya actively seeks out, finding typical ones do not register to him so easily. If he can find something that really smarts compared to what the curse makes him feel, that he can focus on instead of it, he can have some twisted semblance of coping and controlling his pain, in his mind. Especially if he can find ways to get it treated and actually feel the relief of such.
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