[Question #2852] pain for three months
42 months ago
My contact took place July 15th and had symptoms of an infection with in 72 hours. I have been tested several times for the typical STI's and everything has come back negative. That being said I have been having pain in my urethra and painful lymph nodes in groin, armpits and neck with a sore throat for three months. I have been on several antibiotics which seem to work for awhile but then my symptoms come back? I'm still in a lot of pain but can't see a Infectious disease doctor till December. Is there anything I should be asking my Primary care doctor to test for? Lymphocyte and Monocytes are elevated?
H. Hunter Handsfield, MD
42 months ago
Welcome back to the forum, but I'm sorry you found it necessary after the reassuring advice you had from Dr. Hook.
Clearly your symptoms are not due to any infection from the sexual exposure described. For additional reassurance, you probably should go ahead with your planned ID consultation, but don't get your hopes up: I'm confident no infection is responsible for this problem. There simply are no STDs or other likely infections that cause the kinds of symptoms you describe. Failure to respond to antibiotics is not evidence of an antibiotic resistant infection, but rather is evidence that no infection is responsible for the problem. Your symptoms are much more typical for the physical manifestations of anxiety, stress, etc.
In your other thread, you described your lymphocyte and monocyte levels as "slightly" elevated. There is tremendous variability in these counts in entirely healthy people -- but I'll be happy to comment further if you'd like to provide the details of these and the rest of your CBC results. In the meantime, I'm pretty sure nothing serious is going on.
Best wishes-- HHH, MD