Question Regarding STDs

[zahidkapariya]

Dear Experts,

I am worried regarding this STD problem for a year now. i am really looking for some help.

all my HIV of one year are cleared and all my STDs test are cleared.
( HIV 1,2 ) ( Hepatitis B, C ) , VDRL, RPR and TPHA, for Syphilis, Chlamydiae and also CBC, Total Protien, LFT, Ultra sound, Regular Urine, Chorestrol, Glucose fasting and some other tests.. ALL ARE CLEARED.

However we don't have Gonorrhea test in our country. so it leaves me in doubts however i got that.

little history, in march 2013 i did unprotected exposure with a commercial sex worker, after a week i started to have upper left side abdominal pain and loose stool problem and now it has become a part of me for 1 year. Can this be Gonorrhea? can you get abdominal pain because of Gonorrhea? what are the symptoms of Gonorrhea ?

my second question: my doctor said if you are living in doubts of having Gonorrhea.
you may take single dose of cefixime 400 mg and doxycycline 100mg twice daily with food for 7 days.
so i wanted to ask, is it safe to take those tablets even though you don't have the infection? my doctor said there is no harm taking those tablets.

Please help.

[HowardH]

You're obviously very knowledgeable about gonorrhea, but apparently without sophisticated understanding of immunology or the microbiology of Neisseria gonorrhoeae. For example, "innate immunity" is irrelevant to this issue. And of course nobody said gonorrhea should not be treated with antibiotics as promptly as possible to prevent both complications and ongoing transmission.  By the way, the Wikipedia article states that untreated gonorrhea "may last for weeks or months".

I stand by all my statements above. In any case, this is my last comment.  

[mkh9]

Sorry I think you are mistaken here. Yes there is some innate immunity to all diseases. However, GC is generally not one of them. And, has always required treatment back to the middle ages. They used mercury. Also, some the decline you see now is due to awareness. See articles below if interested. Where are your references. I would like to read them.
mkh9
http://www.news-medical.net/health/Gonorrhea-History.aspx

if gonorrhea is left untreated, it may spread locally, causing epididymitis or pelvic inflammatory disease or throughout the body, affecting joints and heart valves.

http://en.wikipedia.org/wiki/Gonorrhea

http://journal.frontiersin.org/Journal/10.3389/fmicb.2011.00052/abstract

http://mbio.asm.org/content/2/3/e00095-11.full

http://www.sarahwoodbury.com/medieval-diseases/

[HowardH]

Most of your comments are correct, but not "GC doesn't go away on its own."

What do you think happened to the millions of people who caught gonorrhea before antibiotics were invented? That they were infected for life?  The large majority of bacterial infections in humans are eventually cleared by the immune system.  For gonorrhea, probably an average of 2-3 months in men, somewhat longer in women.  The complications you mention (and others) often occurred, but eventually the infection usually clears up.

[mkh9]

p.s. regarding self treatment. GC and many other bacteria have become very resistant to antibiotics so you also need to be very careful not to take the wrong ones as you can develop even worse resistance or if you take multiple antibiotics over time you may develop other problems such as Clostridium difficile. So, there are many reasons not to self medicate. Speaking of C. difficile have you already taken several antibiotics this year? Because if you have you could have developed this.
mkh9

[mkh9]

FYI,

GC doesn't go away on its own. It can be asymptomatic (sometimes but usually in women not men). Usually, men get pain on urination, and it is hard to urinate. You should take antibiotics without a doctors approval or at least a physician assistant. You could have an allergic reaction to a drug and/ or not take the correct drug. No one on here is a doctor. So they shouldn't be prescribing antibiotics. However, they can give you websites and suggestions. The symptoms you have are not like those of GC. The swollen spleen or pain in the area can be due to an infection but it doesn't have to be GC. Do you have a fever? The diarrhea may be something else chronic. I can talk to you on your message.
mkh9

[zahidkapariya]

Hi Howard,

Thanks for your quick reply. Your reply means alot to me. however you are right the upper pain abdominal is slowly fading away but here is the i am really worried about my wife and daughter.

The exposure happened only one time in my life and it was before my marriage and i had no knowledge about HIV or STD before that but it has opened a new door of knowledge for me and would always keep me away for my entire life. i never want to die with shame.

If treatment doesn't hurt then i would surely get a treatment asap.

Thanks alot again.

[HowardH]

Gonorrhea doesn't cause such symptoms, and even if you had it earlier, it's gone by now.  Gonorrhea is cleared by the immune system in a few weeks or months. Treatment wouldn't hurt, but you don't need it.