Herpes, chlamydia, or nothing?

Hi,

My urethrea started burning a week ago.  It came on and off.  It started increasing in the last couple of days and felt quite like chlamydia (had one three years ago), except I had no irritation at the tip of penis and no discharge.

Last night I had a huge migraine and a stomach pain and a bizarre burning sensations in my feet.  I also felt like throwing up.

So I went to a doctor.  She doctor made me do a urine test, to see if there wasn't any urinary infection.

She said I had only traces of blood in my urine (not visible to the eye) and no white cells.  

She concluded I MAY have chlamydia and gave me the standard dose of azythromicyn and supprax and said "we treat regardless of results if there are symptoms"

Now my questions are the following:

1. could this be herpes?  Because I read that the symptoms I described earlier could be related to a first herpes outbreak.  
2. could this be nothing because I'll admit that the pain in my urethrea is very very mild and it's my only symptoms around my genital.
3. I had oral intercourse with a man for a very short time a few weeks ago.  He seemed very clean and 'reliable'.   Whatever it is, Is this more likely to come from him or my long-term girflriend who I have unprotected sexual on a regular basis?  Is it even possible to get infected orally?  

p.s. I know I could wait for my results, but I'd rather see what you think just so I don't go nuts. :-)

[Edward W Hook, MD]

The onset of urethral burning shortly after receipt of oral sex with a new partner is certainly suggestive of urethritis (penile infection) with either nongonococcal urethritis or gonorrhea being the likely causes.  The treatment your doctor gave you would cure both reliably.  Thus if your symptoms now go away, the entire scenario suggests that you got urethritis from the encounter you had outside of your relationship.  If your symptoms do not improve, you can be confident that you did not have NGU or gonorrhea and thus this could be nothing other than the overly expectant observation that sometimes accompanies casual relationships.  

This does not suggest herpes at all.

Hope these comments help.   You have done the right things in the right sequence.  EWH

[daggotht]

The person who I had oral sex with just got back from his own test.  I've listened to the message left on his answering machine myself.

All his clear.  So I guess it's not that encounter.

If my tests comes back positive, should I blame my significant other or just stop worrying and let it go?

We've had a long history of passing each others yeast infections.  Could it be the cause?

p.s. I don't know if I can ask more than one question.  If not, sorry :-)

[Edward W Hook, MD]

Your partner who performed oral was probably tested for gonorrhea and chlamydia but, in the process of receipt of oral sex, bacteria from your partner's mouth can get into the urethra (penis) and cause the irritation that we call NGU - these bacteria are not detected except as NGU.  You should still be tested in the manner I suggested.  If your tests are positive gor gonorrhea or chlamydia, you need to consider your SO but not otherwise.  EWH

[daggotht]

Two more questions, then I am done :

It’s been three days since I took my antibiotics, symptoms are pretty much the same.  Is that normal?

Statistically, do you know if chlamydia or gonorreha is more likely than an urethritis caused by something else?

[Edward W Hook, MD]

Typically STD related urethritis should have at least begun to improve after 3 full days of antibiotics. If it has not, you may wish to let your docotor know.

The questions about statistics relates to the contect in which it occurs.  In your case, STD-related urtehritis is becoming less and less likely.  EWH

[daggotht]

Now 7 days into my antibiotics treatment and symptoms remain the same so I assume I can rule out chlamydia/gonorrhea.

I am waiting for my test results for Chlamdydia/gonorrhea/Herpes but I cannot get a hold of my doctor (I'm in Canada and it tends to be slow).  So I thought I'd ask here...

Burning in my urethrea increases in pain as I go to the bathroom.  Skin around my anus has started burning as well.  It's not the first time I get that, but it usually happens after long hours of walking and sweating.  Now it occurs after a five minutes walk in the morning.  I've inspected it and there are reddish spots on the skin.  The skin is not raised and there are no sores but there are slight cracks.  My perineum and scrotum both tingle and feel heated though not irritated.  

Could these symptoms be a mild outbreak of herpes? Especially itching in anus?  Because like I've pointed in my first post, I've had stomach pain and a migraine which I read somewhere are precursor of an initial herpes outbreak.  Does herpes automatically have to come with sores?  Can they occur in the urethrea?

Thank you

[daggotht]

I'd like to add that burning in my butt tends to increase in severity while I'm sitting around.

I'd like to think it's in my head but sometimes, while I'm sitting there concentrating on work, it feels as though someone was lighting a matches under my butt.  Then it goes away.