Oral Sex and Burning Tongue, etc...

[Oralhelp123]

I’m a 26 year old female.  10 weeks ago I had oral sex with a man who ejaculated in my mouth and I regretfully swallowed.  3 days later, I had a sore throat and primarily a sore tongue, a "burnt" feeling.  This became worse, especially on the sides of my tongue, which I believe might be due to irritation from rubbing on my back molars?  But what is causing this? I'm generally an extremely healthy person and never have mouth problems.  I don’t know the STD history of my "one time" partner although I do know (after the fact) that he sleeps around.
My tongue now hurts mainly on the sides and feels rubbed raw. Slight burning at front and a sore throat occasionally. There is also a tan film over the surface of my tongue that washes off when I brush but always comes back. I also have joint pain in my left shoulder (although obviously could be unrelated).
I've been to several doctors (PCP to ENT to DMD) and all say that my tongue "looks normal," no visible sores.  I have details regarding neg lab work (hsv, hiv, etc) all done at 7 weeks if you need more info. (I was told  hsv & hiv were nearly 100% reliable at 7wks, is that true?  the HIV test was the HIV AB test).  Yesterday my ENT doc said that he can tell there is something "going on" because there are VERY small red dots which many mistake as tastebuds.  Apparently they can appear with thrush or bacterial infections?  Although, he does not think thrush is the culprit.  
My physicians have told me that they are not familiar with oral STD infections and so I turn to your expertise for help. My research keeps me worried about HIV, HSV, HPV...although I know from your posts that this is rare from oral, even when ejaculation was involved.  If it is another STI, I also worry that if I leave it untreated...what the outcome will be.  What else could be causing this?  It all seems too coincidental.  Are non-STI bacterial infections common? Or do you have advice on where I should go next to resolve this?  
Help!  thank you!

[Edward W Hook, MD]

Welcome to the Forum.  The symptoms you describe are not suggestive of typical STDs and thus this verifies what other health care providers and your laboratory tests indicate.  Most  bacterial STDs which occur in the mouth are asymptomatic.  I have several possible thoughts about what you might do to sort this out.  these are:

1.  It sounds like the ENT you have seen is on track.  He sounds interested and engaged and I would stick with him and his advice.  With each new health care provider you see, you will have to start your evaluation over and that will just take time and frustrate you.
2.  I do think that in the situation you describe you can have confidence in both your HSV and HIV test results.  No further testing is needed.
3.   I doubt that your shoulder is part of this unless there is an element of tension which may be manifesting itself as shoulder pain
4.  On further way of ruling out the STD concerns would be to see if your partner would be willing to go and get checked as a favor to you.  He may be and this might help to put the STD concerns to rest
4.  The question of HPV is a difficult one.  This is an evolving area of research.  What we do know however is that while the prevalence of oral HPV is not clear and is currently under study, when it occurs in non-smokers it is of no meaningful consequence and not a major reason for concern.  When HPV does occur in the mouth, it is typically asymptomatic as well.

Bottom line.  There really is little to link your symptoms with your oral exposure.  IT may have been coincidence.  In the meanwhile. I'd suggest working with your ENT and, regarding your molars, perhaps you dentist.

I hope these comments are helpful.  EWH  

[Oralhelp123]

Thank you very much for your quick reply!!

I appreciate the reassurance that it's not HIV or HSV.

I have asked him to get tested twice...both times he declined and since then we have stopped communication.  Is there a way for me to get tested to rule out all STDs aside from his participation?  Are oral swabs accurate?  I've been trying to determine what else should be ruled out now that HIV and HSV (and possibly HPV) are determined to not be a cause.  If it was another STD and I'm one of the unlucky few that have symptoms...would lack of treatment cause any consequences?   10 weeks of a burning tongue seems really odd....right?

Again, thank you for your help.  I really do appreciate it.  

[Edward W Hook, MD]

Sorry to hear he declined.  I really don't think you need a lot more testing.  If you really want to be sure, the main thing is an oral test for gonorrhea.

There are few if any complications of possible infection to worry about.

I doubt that your buring tongue is related to the expsoure you mention.  EWH

[Oralhelp123]

Thank you for your continued help!  

You have really set my mind at ease.

Thanks again!!