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Herpes from Oral?

First, my current symptoms.

Extremely painful sitting, anus and buttocks turn bright red when sitting all day. Looks like there is a cut forming right above the anus.

Below full story:

Concerned/Confused

by harrycrumb502, Aug 19, 2014
I am a white male, 34 years old.

On April 19th of this year I received unprotected oral sex with an assumedly promiscuous person. This is the only sexual contact I have had since, and before that it was over a year.

Being paranoid about the encounter, I went to the local clinic about 2 weeks later and had a full STD panel. I was complaining about frequent urination, but wasn't really sure if it was paranoia. To be on the proactive side, the clinic gave me a shot as well as the one day dose of the medication they usually give to people with Chylamidia or Gonnoreah. The std panel came back negative.

A week two later I was complaining about an irritation in my urethra - not horrible but unpleasant. I was prescribed cipro for 7 days. I went back a week later, complaining of some unpleasantness still there, as well as some pain in my lower back. I told the doctor I was worried about possibly contracting herpes. This was 5 weeks after the encounter. Everything I have read tells me that's possibly not enough time, but the doctor told me it was extremely accurate. They tested my blood and negative for both HSV 1 and 2.

Now the pain started to shift between my buttocks and penis. No uncomfortableness peeing, no discharge, just occasional pain. However, it had become severely painful to sit. We did another std panel, again all negative. This is when I was sent to a urologist.

After a rectal exam, the nurse practitioner said my prostate was swollen and could be the source of my pain. I was prescribed 4 weeks of cipro. During about week 4 I felt like I had noticed a minor improvement.

I have now been off cipro for over a month, and the pain in buttocks has returned in full force. Sometimes pain in the penis, but mainly buttocks and thighs while sitting. My job requires me sitting 8 or more hours a day. Some days, not all, the skin at my anus is extremely red. My butt and thighs have always had acne problems, but now I'm looking at what I used to feel was normal and making myself more paranoid. The zits or red spots are not in clusters, don't hurt, and are not watery.

So what can this be? Can prostatitis cause all of this? Can this be herpes? Something else? Input or answers appreciated.
6 Responses
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Avatar universal
Grace - last question for this thread. Any over the counter anti fungal creams that may do the trick? Currently without insurance and can't afford trip to the doc. Would I put only on my anus or over the whole buttocks?
Helpful - 0
101028 tn?1419603004
if you've had a fungal infection this long, it's not going to go away on its own.  you killed off your "good" protective flora with the antibiotics and it allowed for over growth of not so good things.

never underestimate but a whopping case of fungus can cause symptom wise!!! You've seen the commercials for us gals - burning and itching and pain - same thing happens in you males too!
Helpful - 0
Avatar universal
My response would be to wait a full 4 months from last exposure and get another IgG.

As you may know your primary concern is HSV1 (from the oral).  Actually happens quite commonly.  

As you may not know, HSV1 is missed on about 10% of HerpesSelect tests (the most sensitive tests in existence) - even at 6 months.  If your'e really thinking herpes, get that 4 month test.
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Avatar universal
Thanks for the responses.

Would a fungal infection cause in constant pain when sitting? Not burning or itching, just down right painful and extremely uncomfortable.

Will a fungal infection go away on its own? I've been suffering for about 2 months.
Helpful - 0
101028 tn?1419603004
this sounds like perhaps you've developed a fungal infection from being on antibiotics. see your provider for a proper exam to confirm.

grace
Helpful - 0
3149845 tn?1506627771
Hi, nothing that you posted is consistant with a new infection from herpes. If you think the butt pimples are a herpes outbreak from your july affair, its not as is the wrong place. First time outbreaks would be at point of contact like your penis shaft area not your butt area. Do you have hemorrhoids?
Helpful - 0
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