is this herpes?

Hi Doctor,

I had protected sex with a sex worker in Nevada 5 days ago. Couple of hours after having sex, a small lump appeared on the opening of my anus. It is now about the size of about a grape and looks pink with a black or dark blue spot on it. It is causing discomfort and recently it started bleeding when I visit the bathroom. I am also having itchy sensation on my upper back under my shoulder. Please advise...

[H. Hunter Handsfield, M.D.]

Neither herpes nor any other STD can cause symptoms earlier than 36 hours after exposre.  Your anal symptoms could be any of several things from hemorrhoid, perianal abscess, and other things, but absolutely could not be an infection acquired just a few hours before it started.  An abscess in particular can become quite severe if not promply diagnosed and treated.  Do not sit on this problem (pun intended); see a health care provider right away.

Good luck--   HHH, MD

[chuck186]

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