[Question #10994] Oral gonorrhea and chlamydia
18 months ago
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Hi Doctors,
This question is in reference to Oral gonorrhea/chlamydia. 9 weeks, I blacked out at a speakeasy where sex does happen, but it is not common. I have called several people there that night and they have all told me I didn’t do anything, but I have anxiety about the issue. 6-7 weeks after the blackout, I have been having “Globus Sensation” daily, on and off, which has never happened to me before and my partner’s period was late by 6 days, which is uncommon for her. I have tested by urine for G, C, Mgen, Trich and Ureaplasma at 7 weeks and all were negative. I have taken a Oraquick HIV test at 8 and 9 weeks, both negative. I check my throat constantly for redness or tonsil swelling, which there isn’t any, but I keep having a lump in my throat below my adams apple and dry throat feeling.
I know when I am drunk, I am unable to have an erection, so what are the chances of getting Oral G,C from kissing and cunninglingus?
Is globus sensation a symptom of oral G,C?
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Edward W. Hook M.D.
18 months ago
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Welcome to the Forum. Thanks for your questions. I'll be glad to comment. Essentially your question is, "is it possible that during your period of inebriation" that you acquired gonorrhea either from kissing or performing cunnilingus on someone. The answer is this is very, very improbable. I say this because:
1. You do not know that you were exposed. In fact, your friends indicate that it is unlikely that you were
2. Even if you did, most people do not have STIs
3. In addition, most single exposures do not result in infection. Both kissing and cunnilingus are quite unlikely to transmit oral gonorrhea or chlamydia
Clearly you are worried. Nothing you describe suggests you are at risk. If you are worried, get a throat swab to test. I am confident it will be negative.
Finally, most oral gonorrhea is asymptomatic. Globus sensation is NOT a sign of possible gonorrhea.
Personally, I would have no concerns and woud not bother to test. If however you wish to prove that you were not infected, go on and test. I am confident the results will be negative. EWH
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18 months ago
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Just some more info: 38/m Hetero, the speakeasy bar is here in Metro city of USA.
Is there a timeline on how Oral g,c presents itself? I felt perfectly fine until 6-7 weeks after incident and then when my wife was late on her period, I went down the rabbit hole of googling/reddit. This coincides with when this globus sensation began. I also have a little dry cough here and there. The globus comes and goes. My wife currently has zero symptoms, besides her period being late.
Thank you for your help as always, I understand that my question is kind of repetitive, but just wanted more clarification.
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Edward W. Hook M.D.
18 months ago
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Most oral infections are asymptomatic and are best detected by testing. You have been tested and are negative. You really have no reason, other than perhaps guilt to be worried and you DO have good reasons/proof that you were not infected.
When STIs are present and cause symptoms, those symptoms do not come and go. Your globus is most likely a function of your guilt/anxiety.
Please don't worry. EWH
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17 months ago
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Hi Dr. Hook,
I went to my GP yesterday and after checking my mouth/throat he said I have esophagitis. I do have GERD for around 7 years now. He also said, I would have white patches or atleast a little swelling in my tonsils, which I don’t. Prescribed me
omeprazole and sucralfate. He did not recommend an oral swab for G,C.
1. After googling esophagitis, it says that if you have hiv this can occur, I have taken two Oraquick tests at 8 and 9 weeks. I know from previous posts submitted, that if my throat symptoms that started 6 weeks after my blackout was due to hiv the Oraquick test would catch it?
2. My GP told me that in his 8 years of being a doctor, he has never had one patient diagnosis with Oral G & C. He told me that it is really rare and we live in a big metro city, I just wanted to confirm the rarity in your experience?
Thank you as always.
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Edward W. Hook M.D.
17 months ago
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As you know, we provide up to three responses to each clients questions. This will be my third response. The thread will be closed after I complete it.
1. Esophagitis is quite common in people who have GERD. It can also occur in people who are anxious.. Esophagitis is not particularly common in persons with HIV until late in the course of disease. Most people who experience esophagitis do not have HIV. The Internet is not your friend here. Please don’t search there as it will mislead you far more often than it provides useful information.
2. I agree with your doctor. Or gonorrhea is relatively uncommon.
As I have suggested before you were worrying entirely too much. Please do your best to put your fears aside. They are unwarranted. EWH
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