The symptoms that you describe are suggestive of NGU. that you had negative tests for gonorrhea and chlamydia do not rule out the possibility of NGU. The ciprofloxacin that you took would not be expected to prevent or cure it, perhaps because the medication was so old and certainly because a single doe is not sufficient to cure the infection. In contrast, azithromycin, 1.0 gram as a single dose is highly effective for NGU treatment and should resolve your problem if that is what you had.
In answer to your questions:
1. Yes it could.
2. Yes, that it is the correct dose
3. It is recommended until at least a week after treatment, In addition, if you have had sex with a regular partner since your exposure, irrespective of her symptoms, she should be treated as well.
4. The azithromycin is likely to prevent syphilis if you were exposed and it is unlikely that you were. As for herpes, if you do not develop lesions within 10-12 days of your exposure, you need not worry and do not need testing.
Hope this helps. EWH
This is a seperate issue. It is also the end of this thread. There will be no further answers. EWH
I've developed pain around my rectum. It hurts to pass a stool and I feel discomfort while I walk. I noticed the pain a few days after my risk exposure and it has gotten a little worse. During my risk exposure, there was no contact (that I'm aware) with my anal region whatsoever. Could this be related or do you think it's a separate issue?
Thanks
I can't thank you enough!!! I was concerned that the azithromycin didn't work. You've relaxed my fears!
Have confidence in the azithromycin. Most men have small amounts of this sort or discharge from time to time, particualrly on awakening. If it persists you may want to get re-checked but I sincerely doubt that it is anything to be concerned about. EWH
One more thing doc. I did have a lot of beer they day/night before because we were camping. I still have not had sex. I'm not sure if these facts help.
Thanks
Dear Dr. Hook. Thank you for your help. I have one more question. Tell me if I should pay again and I will do so.
Today is 9 days after my treatment with 1 gr azithromycin for a possible, yet unconfirmed case of NGU. This morning when I woke up to use the bathroom, I noticed a very clear tiny drop of fluid at the tip of my penis. It looked like pre-***. I don't know if this is normal to happen to a guy after a "wet" dream or if I should be concerned. There is no painful urination or other symptoms. FYI, the first time I noticed a drop of fluid was 9 days after exposure and I was treated on the same day (I couldn't tell if it was clear or somewhat cloudy that morning because of the lighting).
Let me know your thoughts,
Thanks!
No, your alcohol will not prevent the azithromycin from working. Try not to worry. EWH
That's what I thought. Much thanks to you.
Lastly, tonight I had one beer at 10:30pm. I took my 1 gram dose of azithromycin this morning at 10:00am. I didn't even think about it at first but later I started to wonder if that would ruin azithromycin's effectiveness. Did I ruin the drug's efficacy?
Thanks,
Eli
Nothing more to worry about. EWH
Thanks Doctor! Anything else that I should be concerned about besides the common oral risks like gonorrhea/ngu/syphilis/herpes? Thank you again.