[Question #13740] Follow up.

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1 months ago
Hey Docs sorry to be back but I went ahead and went to an urgent care on 01-19 to do a full panel. Ik the chances of me getting anything in ur words is “low risk” but I just wanted to be 100% certain with tests for reassurance. I ended up speaking with a provider and I explained the situation to her of what happened and also told her that I had spoken with you and she essentially was in agreement with your opinions of the situation. One of the reason why I even showed up to an urgent care is cause my anxiety I believe got the best of me and for the past few days before the visit to the clinic I was vigourously squeezing the shaft of my penis and trying to see if something was coming out cause I felt like something was coming out but when I would check nothing would but on a couple of occasions I do see white discharge come out and the provider did advise me that doing that can cause inflammation and symptoms that I am experiencing. She did tell me that if I wanted to do a test just for reassurance purposes that she can do that, but she advised me that the only two tests that she would trade me for is gonorrhoea and chlamydia not because she believes I have anything but just because gonorrhoea and chlamydia tests are done together and she doesn’t believe that with my possible exposure that I would’ve contracted anything else she didn’t seem like she knew about NGU  and when I asked her about syphilis, she said it’s probably very rare. I will be getting those results by Thursday or Friday. They did also do a urinalysis for me which came out all negative/normal.
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1 months ago
Here are my results of my urinalysis: 
UBG-NEG
BLD-Neg
BIL-Neg
PRO-Neg
NIT-Neg
KET-Neg 
ASC-Neg
Glu- Neg
PH 6.0
SG 1.010 
Leu- Neg
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1 months ago
I had lost the small paper that had the results but I do remember they were all negative and one of them said Normal. Anyway the provider did advise me that normally she wouldn’t give treatment if wasn’t necessary but she prescribed me Doxy 100mg of 7 days and azithromycin 500 mg I believe this is 1g but could be wrong it’s 4 tablets in the bottle. My questions are: 
1. I am on day 9 and tomorrow will be day 10 I have not gotten any discharge beside with my anxiety driven squeezing. Also have not gotten burning or painful urination. As far as my tests which was gonna test for Gonorrhoea is 9 days show I’m in the clear? Obviously test will show that but from ur professional opinion . 
2. Does my “neg/normal” urinalysis show anything as far as STDs? I’ve never done one before. Is it good news that it is those results. 
3. Will doxy and azithro that was prescribed prevent the unlikelyness of syphilis incubating? 
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1 months ago
I also asked her about swabbing to see if any WBC would show and she said they can do it with my urine and by swabbing. 
In ur experience have u seen people vigourously squeezing cause the white discharge that I saw. 
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1 months ago
If I had gotten NGU would the medicine prescribed help clear that from my system 
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1 months ago
Sorry I found the results of the urinalysis
NGB was normal. Just wanted to update that.  
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Edward W. Hook M.D.
1 months ago
I’m sorry that you are having so much trouble moving forward.  On this occasion I’ll be providing the response.  To prepare I reviewed your recent interaction with Dr. Handsfield and agree with all that he said.  I also agree with what you learned in your interactions wither urgent care doctor.  Your exposure was virtually zero risk.  Your anxiety has led to unnecessary testing and unnecessary antibiotics.  I’ll go straight to your questions:

1.  Yes, your test results for gonorrhea and chlamydia testing was performed, are conclusive.
2.  Your urinalysis is normal and shows no evidence of infection.  You don’t need a urethral swab.
3.  The antibiotics you took would prevent/treat NGU, syphilis and chlamydia.

I hope this further reassurance as well as your test results will allow you to put aside your unnecessary concerns and move forward.  EWH
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1 months ago
Hey Dr. Hook hope ur doing well. 
Idk if u can use it in different wording but for 
1. Is 10 days of no symptoms (penile discharge, painful urination) a sign that I did not get infected? 
2. Is a urinalysis a good way of also proving u did not catch anything? STD wise. 
3. I just realized that the prescriptions I got were more than I thought they were. I got 2g of azithro and Doxycycline Hyclate 100 mg. Will they help with Gonorrhoea? 
4. Would squeezing my penis cause the small amount of discharge I’ve seen? 
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Edward W. Hook M.D.
1 months ago
These questions are largely repetitive and answers are not going to change:

1. Is 10 days of no symptoms (penile discharge, painful urination) a sign that I did not get infected? 
YES
2. Is a urinalysis a good way of also proving u did not catch anything? STD wise. 
Not as good as the specific tests that you have had.
3. I just realized that the prescriptions I got were more than I thought they were. I got 2g of azithro and Doxycycline Hyclate 100 mg. Will they help with Gonorrhoea? 
About half of gonorrhea will bot be treated with the antibiotics you took.  They WILL prevent/cure chlamydia, syphilis, and NGU
4. Would squeezing my penis cause the small amount of discharge I’ve seen?
Absolutely.

No change in my assessment or advice, nor the advice that Dr. Handsfield has already provided.  

One follow-up remaining.  .  EWH 

 
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30 days ago
Hey Doctor Hook, I just got news from my results and they are negative for gonorrhoea/chlamydia. I can actually take a breathe and relax now. 
Just a couple questions just so I can learn from this whole situation.  
1. I panicked and took 2 of the doxy at the same time I was told later that I’m suppose to space them out every 10-12 hours. Will it be okay since I did this?
2. Just for some reassurance no reason to be nervous about HIV correct. 
3. Will 1g of Azithro be enough to prevent/cure syphilis or should I take the 2nd gram just to be sure. 
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Edward W. Hook M.D.
30 days ago
Final answers;
1.  There is no harm in taking two doxycycline at one time
2.  Correct
3. The doxycycline alone would prevent/cure syphilis.  You do not need to take more azithromycin..

This completes this thread.  There should be no need to return.  EWH
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