Any ideas on what I might have....

[It sure hurts]

I thought I might have an STD (protected)"tingling" and 9 days later presented to the GP. Didn't have a visual (nothing to see)presc 3 anti (Doxy, Cipro and another). Things got way worse (No OB’s. just huge huge heat and pain). After reading articles I assumed must be HSV 2 (I have HSV 1 orally). Pain did not subside and at 8 weeks presented myself to GP for visual and tests. GP stated it was not HSV 2 (As was just red around the opening at that point - I'm male) and did the tests (I thought that the anti's may have failed). Had a Chlamd test, a blood test (for Syph) and a general swab. All negative, GP rec seeing the Urol. I said hold off (going on hol and the pain had reduced to 1 out of 10) (The pain and discomfort is like a rollercoaster but always quite a lot of pain). Well, a couple of days the pain racked up to the max and continued on the rollercoaster ride. Anyway, last week after describing my cond's someone mentioned that I might actually have Yeast. (That the skin toward the tip has darkened, The top half gets red and heats up progressively if I don't keep it completely dry, and there was an increased fishy smell, also I developed a rash patch half way down that disappeared in a day and it moved out along some skin folds) (Also, I had a bout of constipation and the motion was rubbing my prostate (I believe) and some "moose/cottage cheese" exited the tip - nothing like anything I have ever noticed before). Anyway, bought some OTC canesten and applied it externally (Friday) things improved a bit on Saturday (The skin at the very tip edge looks more healthy - and the redness externally goes away) but on Sunday morning I woke up in a 9 out of 10 pain condition (bright red . This pain reduced to 5 out of 10 by lunchtime and then 1 out of 10 by evening. Monday was 1 out of 10 and same with Tuesday so I decided to stop applying canesten. This morning I woke up with pain and heat 5/10 and it’s decreased to 2/10 by this evening (Applying once again - its just itching and discomfort down the inside length of the urethra (The heat has gone externally). Anyway, I am at nearly the 4 months point, and I just don't know when this is all going to stop (Its completely taken over my life).

So, the question is basically how prob is it that a healthy guy can get a UTI then take antibiotics and get some systemic yeast condition? (I have had a yeast OB under my arms from alcohol based deodorants and gym, also developed darker brown area's between my legs likely due to yeast gym/bike issues). And if I could have a systemic yeast problem would it not eventually resolve without the need for an oral thrust prescription?
If thrush gets to the prostate will it not self resolve if the pathway was initially antibiotic?

Is it possible to suffer huge heat and pain and have no breakouts and on an ongoing basis with massive fluctuations of the conditions?

Could I have torn anything inside after the 6 hour effort? (No change in urine color).  

[H. Hunter Handsfield, M.D.]

Well, it is clear you don't have any of the recognized STD; you can rely on the negative results for chlamydia, gonorrhea, etc.  Your symptoms don't really suggest herpes and certainly you don't have syphilis.  Many of your symptoms probably are irrelevant, i.e. unrelated to the painful urination etc--change in skin pigmentation, constipation, etc.  Urine color and odor are entirely irrelevant.  Sorry to disappoint you on another aspect as well, but there is NO SUCH THING as "systemic" candida/yeast infection.  I certainly do not believe yeast infection cause symptoms like yours, and yeast ("thrush") does not cause prostate infections.

Your use of the term "thrush" for genital yeast infections suggests you are in the UK; that terminology is not common in the US.  (I don't know about other commonwealth nations, eg Australia, NZ, etc).  If you in the UK, the best thing by far is for you to visit a genitourinary medicine (GUM) clinic; there are GUM clinics in all major and most mid-sized cities, and you can rely on the expertise you will find there.  In the meantime, you can at least be confident you have nothing that will ever cause serious problems; no cancer, no infertility, nothing you can transmit to a sex partner. I have to wonder whether most or all of your symptoms are psychological.

By the way, what does "OB" mean?  I haven't a clue.

I hope this helps.  Best wishes--  HHH, MD

[It sure hurts]

Also, sometimes I wonder if I am peeing acid. This might be the inflamation (inflammation) in the urethra or the pee itself.

Worringly, In a specific location where I touched myself after removing protection and having a pee I suffer the most pain, and it looks like small plaque colored patches appear that appear and disappear with the pain. It would appear these are under the skin. No blistering/lesions ever develop and the skin above is completely healthy. Maybe it is just the skin "weeping" with the underlying pain being generated.

Could long term yeast create ureathral holes and therefore even more imflamation...

Guess, its the Urologist time...

[BenG]

Hi Dr, I think "OB" means outbreak. I saw the acronym used on a herpes forum once.

Ben

[It sure hurts]

Thanks,
OB is an acronym for "out break" used on herpes blog boards.
Yes, Thrush as defined by UK terminology.
Yes, I am aware of GUM clinics. I am trying to see if there are other conditions that can exist, other than HSV 2 that I could have.
Psychological – I’d like to think so, but its one thing to think of pain, it’s completely another to experience and see the redness and heat. Its like suffering friction burns off an artificial surface.
In terms of systemic yeast etc, I was thinking more along the lines of things residing in the prostate as it seems once something gets in there its hard to shift.
In terms of HSV 2 I have been told that rapid movements in pain can be generated by the nervous system. Also, for anyone reading I am beginning to wonder about different HSV 2 strains and some similarity with HSV 8 (Zooster/Shingles) and/or whether some bacterial infection etc can activate some latent aspects.  
Lastly, (Again for any readers) I am somewhat unconvinced about the medical pronouncement that you can’t get HSV 1 down below if you have had it up top. Different writers of articles say different things, but it has come to my attention that there is talk of different strains within a HSV group type and that typical lesions only occur in 20% of cases (Every other virus has mutation qualities, what makes HSV 1 & 2 any diff to the properties of HIV/Colds etc?). If you get HSV 1 down below then it’s the general contention that you might get one outbreak and then it doesn’t occur again (Not its natural residence), currently there is no way to test for HSV 1 down below if you’ve had it above (unless you had lesions – which may never occur in patients with prior HSV 1?). So, you cannot prove that you have an additional strain of HSV 1 if you’ve had it before and because they appear non recurrently then its put down to a NSU etc. I guess I could be wrong if someone can categorically prove lack of mutation qualities and that all HSV 1 & 2 strains are the same across the globe.

Anyway, today my symptoms are now back to the same as initially presented to the GP 2 months ago..I’ll give it some more time and see if it finally goes away.. The one point of consolation, is the oscillation of conditions seems to around a mean, that is gradually decreasing.  

[kkkkkkkk]

"your symptoms are psychological." this comments from doctors rely **** me off .
This is how they treat you when your in massive pain.
i know i was in this exact situation
i took droxycycline for apx 9 weeks travelling overseas as a malaria preventative and came home and my night mare was gone
good luck
track me down if this works and tell everyone , i wish some one would have told me .i dont know if the prescription for malarial prevention is allot higher , but my god it saved my life.

[H. Hunter Handsfield, M.D.]

ISH:  The data in support of the low (zero?) risk of getting a new HSV-1 infection--i.e., genital infection in someone who already has oral HSV-1--are very strong.  But there are no absolutes in biology and medicine, and maybe it occurs.  If so, it is very rare, regardless of what might be said on herpes-focused websites.  But this debate really isn't pertinent to your case.  There is nothing in your story to make one particularly suspicious of herpes as a cause of your symptoms.  But you could have a type specific blood tests for HSV-1 and HSV-2, if not yet done.  If positive for HSV-2 (or maybe HSV-1), you could try taking an anti-herpes drug for 3-4 weeks to see if it controls your symptoms.  Non-response (which is what I predict) will provide further evidence against herpes as the cause.

kkkkk:  You can be pissed off if you like, but be careful in your attitudes on this forum, which prides itself on reasoned discourse without anger, challenge or personal attacks.  Your comment is on the edge of getting you blocked from further posts on the forum, which has happened to a number of others.

My position on psychological explanations of genital (and other symptoms) is that stress and anxiety probably do not create symptoms out of nothing.  But one's psychological status unequivocally can affect perception of symptoms, how severe they seem, and how bothersome the problem is.  It is important that such persons know that this is a possibility for them; if nothing else, knowing that nothing dangerous is going on, physically, often is the first step to resolution (someone with abdominal pain who thinks it might be cancer typically has much less severe pain once cancer is excluded as a cause).  Second, it can be a trigger to get necessary counseling.

HHH, MD

[It sure hurts]

Yes, you had something up in the prostate and you needed a course greater than 4 weeks (Doxy, Cipro etc) to penetrate adequately into the prostate.

I guess you had gone on a course initially but it was not long enough to do the deed. Only when you were on a 7 week course for something else was it resolved (I am definitely not a GP/MD) but there's articles about timeframes needed.

When I went back to my GP for tests after the antibiotics didn't do the job, I think more than a general "swab" from the inside tip should have been performed to discount anything wrong further up the track. (I've also read that you shouldn't pee before you see the GP (tests) for up to 3 hours).. Well I had one exactly before I went.

My best guess is the prostate and it is slowly resolving itself, also given that the anti's didn't have any effect I think its cause is either fungal or viral (Both which are possible according to specialist urologists - fungal very rarely). The only other angle is being a bit over active for the 6 hours...if my whole body ached the next day then there's a good possibility I pull something internally. Who knows? There are loads of nerves from the prostate etc down to the tip of your widget.

Anyway, I'll give it 2 more months (6 in total) and if I don't have at least 3 days continuous without any discomfort I'll see the Uro or join the priesthood =).

[It sure hurts]

Don't worry about kkkkkk he's just had a rough time. Its true that in all professions there are variations in service delivery so he's just "venting".

Everyone here appreciates the input from all the medical professionals and any further angles I put into the discussion are hopefully provide food for thought given that professionals like yourself are actively engaged in research.
(like I have been wondering whether another persons strains of bacteria can colonize on you, and that it just merges with everything else..).

[kkkkkkkk]

Hi there
Maybe what i had was slightly different because when i went on the Drox it was instant relief . like heaven.
I had 10s of visits to Doctors , in the end i saw the specilist clinic in city. I know how their expertice varied ,because it wasnt till i got to the specilist clinic that they took the clamida swab properly , ive noticed no days its a less painfull test.
In the end they grew a culture of the bugs and said it was just a common bug that would be found on your skin or arround your anus.
The pain i suffered was bordering on suicide.
Anyway when id finished  i think the 10 day coarse of Droxy , back would come the bug , with avengence .The bit that was annoying was when you dont get believe ,about the pain your in .
What these health professional should do that are studding this area of medicine is infect themselves with the swab , so it can be studdied and worked out.
I think these bugs are mutating and changing quicker than people realise ,and seem easier to catch now days ,ive only been having fun for 25 years and things have only got painful recently.

I think allot more research has to be done in this area. What about the situation where youve just finished having sex ,and are covered with female love juice in the groin area ,you remove the condom , and your flacid wet penis drops onto a fresh bed of love juice filled with every bug known to man.

Plus what about foreplay , you have your fingers done there , getting excited , you fingers are covered with juice , them you use them to unroll and put on a condom , if you put your finger on the inside of the condom and roll it on , i believe these bugs have mastered the art of being transfered this way.
Just saying use condoms is not good enough , there should be a safe handling procedure , so if you have a incounter with some one who has bugs you can walk away with out them.
Plus what about clamidia ,if it can live in the throat ,ive seen girls kiss,snog 4 guys next to each other at the bar and make her way along the bar.
IF you picked up clamida of the throat ,can you then put saliva  on you fingers to insert you fingers into a vagina and give a girl clamida ??????????

Plus how long before a bug get resistant to antibiotics ??????

scary isnt it