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 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.