[Question #12329] Syphilis HPV Wart Scare
8 months ago
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Hi Doctors,
In my previous question I said my encounters with 2 CSW (protected vaginal, unprotected oral) were 3 months ago. I got the dates wrong, I am now at the three-month mark since my encounters. NW Indiana.
I tested negative for both HIV and syphilis (blood test) at the 8-week mark. I have since developed some oral problems that I’m being seen for. Specifically a lump on my tongue that was biopsied and ruled benign but potentially cancerous in the future.
During this phase of not knowing if I have oral cancer or not, a small bump appeared on the shaft of my penis, probably an inch from the base. I foolishly squeezed it and no pus came out so I immediately thought genital warts.
I went to urgent care clinic. A well respected one in my area. The doctor said it was not a wart or herpes. Reason being she squeezed it using gloves and said pus was coming out of it. I’m not sure if I saw pus or not. I’ve been so worried about all this health stuff it’s like I don’t trust my own eyes.
Anyways, the bump was noticed last Thursday. It has gone down in size but I have squeezed it a couple times since hoping to see pus. I know I shouldn’t do that. Today it is red, with a couple darker red spots in the middle. I can’t say it looks like an open sore. It looks more like areas where I squeezed.
I’m nervous about genital warts and syphilis.
8 months ago
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I also should’ve mentioned I’ve been on amoxicillin since my biopsy. So the urgent care dr did not prescribe antibiotics, but did put in an order for mupurocin cream.
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Edward W. Hook M.D.
8 months ago
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Welcome back to the Forum. I'm sorry you continue to worry.
Your syphilis and HIV tests are entirely conclusive. It's time to put any concerns about syphilis and HIV from your past encounters aside. As for the lump on your tongue, can you provide more information as to what the report or doctor called it.
Regarding your penile lesion, several suggestions- first and foremost, STOP squeezing it- that serves no purpose, increases the risk of having it become infected, and confuses efforts to understand what it is. The redness you are seeing is probably due to the trauma of your squeezing it. It almost certainly is NOT a wart since a wart would not have pus in it (I would believe the trained doctor when she said there was pus present). If you feel the need for a diagnosis, rather than making things more confused by further manipulation, I'd suggest that you have a dermatologist take a look. EWH
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8 months ago
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Hi Doctor Hook, thank you for the prompt reply.
I saw an oral surgeon yesterday (Chicago/Northwestern) he went over my Pathology Report which read as follows: Left dorsal tongue: squamous hyperplasia with surface bacterial colonies, consitant with morsicatio linguarum. No significant atypia in keratinocytes.
There was a little more Latin in the report but I feel I'm already being a little much. However, oral surgeon will see me again in a month. Initially I saw my dentist about a small white spot on gum. I am diagnosed OCD and go to worst case scenario quickly. Since, I've seen four specialists and have not really gotten a definite answer as to whether I have oral cancer or not. I was afraid of HPV at first but they seem to have ruled that out.
The spot on my shaft seems to be healing. Which is a major relief. I appreciate you taking interest in whats going on with my mouth, and you've already been such a help + positive presence in my life I'm not expecting much in terms of a response. Thank you for your time.
8 months ago
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I should add the biopsy was a bump on my tongue. The first perio wanted to biopsy the spot on my gum, the perio and oral surgeon say its nothing to worry about. I've been getting conflicting answers along with a lot of time in between appointments, missed work, etc. I'm just hoping for a concrete answer. Though they have all said I shouldn't really be stressing about cancer.
8 months ago
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apologies for another reply, I'm typing at work, I meant the perio and oral surgeon in Chicago* said they werent worried about the spots. Whereas the perio in Indiana wanted to biopsy.
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Edward W. Hook M.D.
8 months ago
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Morsicatio linguarum results from chronic irritation, most often from repetitively biting one's tongue. It is NOT HPV related and is most common among persons such as yourself with chronic anxiety. It certainly in no way represents an STI. It is now time to put your unwarranted fears of STIs, including HPV and move forward.
I'll have nothing more to say about this- you should work with your oral surgeon on this issue. EWH
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