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Odd continuing symptoms

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Male 30, uncut.
Received oral SW 2 months ago. 6-7 days later got burning after/before peeing, green discharge, feeling something is there, white flakes in urine, frequent urination feeling, urethral itching/burning, on tip of penis too. No marks, lesions, spots, rash visible. STD clinic urethral swab, said high WBC, urine neg for Gon/Chlam, Told NGU. 2g of Zithromax, 400 mg suprax 1 day. 2-3 weeks symptoms ebb off ALMOST totally, antibiotics seemed to do nothing, discharge went away in 2 days.

Week 2, stuffy nose, sore throat, chest cough, chest pain, hot flashes on face - went away in 2 weeks.

Week 3 Severe lower back pain. Side burning pain, bladder cramping felt as razor blades. GP did general blood, urine test, results were neg. for everything. Told the pain is bellow kidneys can't be kidney infection.

Week 8 - Have numbing, tingling sensation inside anus/scrotum (makes you want to clench your anus/sphincter muscles a couple of times to ebb off) Same clench when a male ejaculates. Happens when I walk/bike/sit. Bladder sore, as if bruised. Feels if prostate itches dull shooting pain from urethra to prostate area. Could go 3 days no symptoms, then 1/2 day with urethral irritation, itching, shooting pain. Then nothing again. Ejaculation irritates perineum/urethra once in a while, feels itchy/hot, uncomftable. This started after oral experience. Told by clinic could be Yeast infection, bladder infection, prostatis. GP did prostate exam, it might be bacterial prostatis...no massage/culture done. Given Cipro 1g daily X14days. Stopped after 2 days, side effects, no effect on symptoms.
1. Could this be some variation of Herpes?

2. Could any STD cause Prostatis? Travel up urethra to prostate?
GP thinks so. On cephalexin 2g day for nasal surgery, paranoid it could be HSV permanently messed up my urethra. GP/STD clinic here don't do HSV blood tests (Canada). Only swab if leasions present. Freaked out it might be HSV to HIV.  Please help.
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300980 tn?1194929400
MEDICAL PROFESSIONAL
You really seem to want this to be an STD.  I said STDs rarely casue prostatitis becasue it is an topic of some debate.  If you did have prostatitis, the STD organisims which might have casued it would have been treated withthe antibiotics you ahve taken.

HSV proctitis occurs with direct inoculation of HSV into the rectum with rectal sex. You are not at risk for it.  I have nothing more to say about the HSV possibility. Although you are having trouble letting go of it as an explanation for you problems, I can find no reason at all to even consider it further.  We will have to agree to disagree on this.  I will not debate with you about this, nor comment further on HSV as a cause of your symptoms.

In my opinion, there is no risk for tranmission of an STD to your wife related to your symptoms.

The time has come for this thread to end.  EWH
Helpful - 0
Avatar universal
Thank you doctor for your response.  
The anal/urethral shooting pain, scrotal discomfort started couple days after my septo-rinoplasty (week 6-7 of post oral), I was given Cephalexin 2g X7days day to prevent infection. That week I felt nautious anytime i had a food/fluid intake that lasted over a week...the shooting pain started soon after. First few days were really bad, hot cold feeling around anus, scrotum, I mean really hot, severe urge to clench muscels.

You stated that "STDs rarely cause prostatitis" meaning sometimes they might..would they be bacterial in nature if it was due to STD? I am just wondering If I had something that was resistant to the Z-Pac and it traveled down the urethra.
I am still concerned about GHSV-1 just due to the fac that the antibiotics did not cure the urethral irritation even after 2 doses of Z-Pac and 1 of suprax, took almost  2 weeks for it to go away ....sort of on its own.

Would herpes proctitis only occur if someone had anal intercourse with a HSV+ person, or would infection through oral cause the symptoms as well since it is the same nerve cluster?

I just don't know why or how all these, scrotal, anal, urethral symptoms began after the experience. It seems suspicious to me that one infecion cause another. I was even thinking the Cephalexin, or Z-pac messed up my system and let some oportunistic infection in.

Urologist where I live has a 3 month wait. I am holding on to the Cipro (severe headache, double vision as side effect) just in case its a bacterial infection, but with a 30 second prostate exam and a diagnosis of prostatitis I need to ask GP for prostate massage to be sure its bacterial. Seemed like it was just a general diagnosis with no real sample data.

Im stressed over this like mad, and don't know if I should have intercourse with my wife  since I don't know  whats going on and I might infect her.
Thank you doctor if you could anwser my last questions.



Helpful - 0
300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to the Forum.  It sounds to me like there may be two or even three different things going on here, some of which may be related or which may have occurred coincidentally at around the same time.  Let’s break things down step by step.

Your initial problem sounds very much like non-gonococcal urethritis (NGU) from receipt of oral sex.  This can be caused by introduction of oral (mouth) bacteria into the urethra during oral sex and recommended treatment is azithromycin.  What you describe is pretty typical of this problem and its resolution.

The second set of symptoms (stuffy  nose, sore throat) sounds like an "every day" viral, non-STD sore throat which was likely unrelated to your earlier illness or how you got it.

The 3rd set of symptoms which developed at week 8 do not suggest STD at all.  While I realized it seems logical to link these events, I very much doubt that they are. This final set of symptoms still needs to be diagnosed and may need additional testing or a treatment trial to sort out.  The anal/scrotal pain you describe does not suggest an STD.  Rectal infections ("proctitis" or "enteritis") can cause sudden discomfort in the genital area, as can prostatitis.  Sorting out which of these may be present often takes more than one visit to the doctor and as I mentioned above, sometimes some trial and error as well.  Ciprofloxacin is a logical choice of antibiotics for prostatitis and sometimes takes longer to respond than 2 days.  There are other antibiotics if need be or perhaps your doctor will want you to see someone else ( a urologist?).  A yeast infection might cause some of your symptoms (anal itch) but is unlikely to cause others.  You have been on a lot of antibiotics in recent weeks and this does increase risk for fungal skin infections but as I said, I would be surprised if your sharp scrotal/anal pains are the result of a fungal infection.  As I said, you need to work through this with your doctor.

In answer to your specific STD-related questions:

1.  there is ABSOLUTELY NOTHING here to suggest that this is a herpes infection.  Many people associate genital pain with herpes but there are many other causes.
2.  STDs rarely cause prostatitis.  I suspect the events you describe are unrelated and the timing you note is more coincidence than anything else.
3.  Similarly, nothing you have described suggests that this is HIV or that you are at risk for it.  If HIV is a concern, get a test.  I am confident you did not get HIV from the exposure you describe .  If you get tested, promise yourself you will believe  the result.

Hope these comments help.  EWH
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