sore throat, swollen right lymph node in throat and muscle cramps

[raz25]

Hello Doctor,

I am 29 year old male did Cunnilingus on a sex worker for a couple of minutes. no vaginal fluids were involved it was dry and protected vaginal sex for  a minute. On the 4th day I got the sore throat and on the 5th day i saw a swollen lymph node(small size) on the right side in my throat and on the 7th day I got myself tested, all STDs came negative they did blood and urine test. On the 13th day I went to Doc and he gave me Amoxicillin 875mg(2 tablets daily) for 7days and doxycycline 150mg(2 tablets daily) for 2days. On the 15th day I felt warm and tingling all over my right cheek and ear and it went away after 5 hours I thought it could be because of the Antibiotics. since 19th day I started to feel the mild muscle cramps and today is the 21st and last days of my Antibiotics I did not see any change in the sore throat and the swollen node they stayed the same. All my cramps and swollen node and the slight pain in my upper back are on the right side I don't understand what does that mean?

I have a wife and she is working in the different city since this incident happened I have been avoiding any sexual activity and even kissing her except touching her. my wife should not suffer for my mistake.  every week I see some new symptom .
I did not have fever till now but lil cough in the sense i cough 4 time a days while talking due to the irritation caused in the throat
For god sake please help me DOC some specific questions are

What am I going through?
Is the STD testing after 7 days genuine? they said except HIV all other STD tests are 99.9% true. It was a private testing center
If it is not related to STD Strep throat and mono . is there any other virus which causes these symptoms?
will these symptoms stay for ever?
The sex worker was applying some lubrication to her vagina does that cause any problems?
I feel lil better in the morning whay?

Please answer me Thanks in advance
Raz

[Edward W Hook, MD]

Sorry, this forum is about STDs.  You are assuming that your symptoms are due to the exposure to a CSW but there is little or no evidence that this is the case (in fact all the evidence you report suggests otherwise).  The fact of the matter is that people catch community acquired viruses all the time through non-sexual activities of daily living (colds, etc). If you have some sort of communtiy acquired virus, you could spread it to your wife through living with her, without sex.  You could also spread it to friends and co-workers.  

In theory mono could be spread through cunnilingus but I am not aware that it has even been proven to be.

As you mention, stress and guilt could be contributing in important ways to the symptoms you are experiencing.  

The questions you are now asking are beyond its scope and purpose.  As I mentioned earlier, this is not an STD.  to sort out what might be going on you need to see your own health care provider.  EWH

[raz25]

one more question doctor I feel lil better after I wakeup from bet and slowly after a couple of hours I start to feel all the symptoms thats is sore throat , slight pain in throat when swollowing , muscle cramps does all the STD and viral infection symptoms behave the same way?
Does stress also couse the similar symptoms?
Please answer my questions Doc

[raz25]

Thanks for you reply Doc
I have the cramps and they are not the symptom of the cold. Could you please explain about this

If is it some other virus, Doesn't this spread to my wife if I involve in any sexual activity with my wife? Should I be away from my wife till I find the reason for this ?

Is there any chance that I could get mono from Cunnilingus?

Please answer me doc

[Edward W Hook, MD]

STDs are rarely acquired from performance of cunnilingus and you have negative tests.  The likelyhood that your symptoms are due to an STD acquired from the exposure you describe are close to zero.  Believe your tests.

Your sore throat and swollen lymph nodes may be due to some community acquired virus you have picked up (not necessarily from the person you performed oral sex on but in the course of day-to-day activities.  Lots of different viruses cause these sorts of symptoms.  they have no treatment and meed to be allowed to run their course.

You have no reason to worry or to abstain from sex with your wife.

Hope this helps.  EWH
p.s.  the therapy your doctor gave you might have cured strep throat but would not cure gonorrhea, thus it is a good thing you didn't have it.  EWH