[Question #2855] Follow up 2832

40 months ago
Dr's,

Thanks in advance yet again for your responses. I can't help but think these symptoms were caused by the encounter that i detailed in my question #2832. Have you ever had experience in all your years with someone with symptoms similar to mine i.e. Testacle aching, muscle spasms in calves, pain in side of buttocks and lower back , rectal discharge, lymph node swellage,  Extreme headaches located in back of head and stiff neck due to a sexual encounter? I can't help but think this is some type of virus that maybe I haven't tested for? Do you recommend any further testing that possibly hasn't been done? I have tested negative for all standard STD's i.e. Ghonnorea, chlamydia, HIV, EBV, HSV, Syph and all negative 6 months post exposure. CBC normal and full metabolic panel normal. Just scared of all the symptoms I have experienced and nobody seems too concerned. I have visited the university health clinic 6-7 times and planned parenthood around the same amount of times with no explanation of symptoms. I'm turning to you guys obviously due to your expertise. Thanks again 
40 months ago
The reason I'm back on here is due to having a serious girlfriend now and don't wanna risk passing anything on to her.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
40 months ago
Welcome back, but I'm sorry to learn you felt the need. I really can't say much more than before. (And in case you're wondering, I can guarantee that Dr. Hook would not have anything additional to add. We have both managed patients like you innumerable times, often together, and our understanding of the issues and our opinions and advice are no different from each others'.)

As discussed last time, the one symptom that doesn't fit with the rest is the rectal discharge. I would strongly encourage you to see a doctor and get that checked out. However, I cannot imagine that it is the result of any STD or any other infection acquired during your recent sexual encounter. In people without rectal sexual exposure, rectal discharge usually is due to inflammatory bowel disease, or sometimes a perirectal abscess, and sometimes irritable bowel syndrome in people who also have other typical symptoms, such as alternating diarrhea and constipation. I think you should look at this as a problem separate entirely from all your other symptoms.

Whether or not I have ever seen someone with the exact complex of symptoms you describe doesn't matter. The fact is that in my 4 decades in the STD business, no patient with a general pattern of symptoms like yours ever turned out to have an STD or other significant infectious cause. That said, I cannot rule out things like fibromyalgia, chronic fatigue syndrome, and so on. But these are probably not infections, at least not in the usual sense, nor are they sexually acquired.

As also discussed before, your other symptoms remain most consistent with a psychological origin. To the extent that this could itself be in reaction to a sexual decision you regret, perhaps it is related to the sexual exposure. But not because of an infection. And to the extent you remain fearful of an infection or some sort of environmental toxin, please re-read my comments last time about all the other potential but unknown exposures you might have had around the time of the sexual exposure that is so dominant in your thinking.

I suggest you do your best to focus on the positive news:  you have nothing serious, and nothing you can transmit to a sex partner; that your many tests are negative from any STD; and that your normal CBC and metabolic panel suggest you are in excellent physical health. But assuming your symptoms continue, by far the most important thing you can do now is stop doctor shopping for a new or different opinon, which will never come; pick one physician among them who you trust; ask him or her about the possibility of a psychological issue; and then follow his or her advice. If that includes referral for professional counseling, do it. I suggest this from compassion, not criticism. In the meantime, I would also suggest you go forward with your new relationship, including sex if that is your desire and hers. You have nothing that can harm her.

Best wishes and good luck.  HHH, MD

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40 months ago
Dr. HHH,

I apologize for the ongoing questions and thank you for responding again despite already doing so. The worst thing I could've done was google my symptoms and now thinking I've caught some new retrovirus that has yet to be diagnosed that is causing my symptoms.  If my symptoms continue I will book a flight to Washington so me and you can figure this thing out! Thanks again Doc
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
40 months ago
Thanks for the thanks. But I no longer have an active clinic. And in any case, seeing you in person would not change my perspectives or advice. I have nothing to add from what I said in your previous thread and above. I am confident you have no infection, at least none of any importance.

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40 months ago
Dr. HHH,

Thanks again Doc. I guess I just needed to hear that from someone with the overwhelming experience and knowledge such as yourself. These symptoms came on rather strong which is why I was so concerned.
40 months ago
Doc,

I failed to mention that I have lost the hearing in my left ear recently and have a scheduled appointment with an ENT. Does that additional info mean anything to you or change your assessment?

40 months ago
I'm not sure if it's just a coincidence or not.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
40 months ago
It's just a coincidence. Syphilis can cause hearing loss, but usually both ears. And your previous negative syphilis test results show you weren't infected at that time. You can expect your ENT doctor to do another syphilis test, which usually is routine in evaluating hearing loss. But for all the reasons we have discussed, I'm confident this has nothing to do with syphilis or any STD.


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40 months ago
Dr. HHH,

I pray you're as good as it seems you are and that I don't have something that maybe you're unaware of.

Thanks again Doc
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
40 months ago
Thanks for the thanks. I'm glad to have helped.

Please note the forum does not permit repeated questions on the same topic or exposure. This being your second, it will have to be your last; future new questions about this exposure, testing, and these symptoms will be deleted without reply and without refund of the posting fee. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers. In addition, continued answers tend to prolong users' anxieties. Finally, such questions have little educational value for other users, one of the forum's main purposes. Thank you for your understanding.    

Best wishes and stay safe. 
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