[Question #6093] Chlamydia

16 months ago
I was exposed to chlamydia may 15/19. (from oral sex from female)I had all the symptoms. I did few ozone IV's and insufflations. and bunch of herbals for a month. seemed to be cured but later became fatigued and eyes are red and mucusy and always eyedrops all day. iron level dropped from 175 to 75 in 2 months. low hemoglobin on blood test. got tested after one month urine and blood both negative. but heart palpitating(low iron & oxygen?)shortness of breath, fatigue, coughing up mucus, headaches, red mucus eyes. I went to a clinic they would not give antibiotics, also contacted online DR would not give ABx bcuz they said my test was negative but subclinical looks like I have it intracellular. it's been 4 1/2 months and seems like im getting worse. verocious appetite gained 15 lbs(low iron?)will PCR testing show I have this or what do you recommend? I m trying to go to dr but they all take like a  month to get in.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
16 months ago
Welcome. Thanks for your confidence in our services. Bottom line:  you don't have chlamydia and probably no other STD.

First, you probably were not exposed at all. Assuming your partner's chlamydia was genital infection (detected by lab test on urine or vaginal swab), she probably did not have oral infection. (Oral chlamydia occurs but is rare.) And if she had it orally, probably it was not transmitted -- genital (penile) chlamydia has never once been documented to have been acquired by oral sex.

Second, the urine chlamydia test is highly accurate; your negative test showed you did not have it. Therefore, I agree with the doctor's decision to not treat you for chlamydia. You misunderstood the doctor's explanation:  all chlamydial infections are intracellular, but that has no effect on test results. There is no such thing as "intracellular" chlamydia with negative testing.

Finally, chlamydia does not cause any of the symptoms you describe and neither does any other STD. Also, those symptoms have no effect on chlamydia test results. Keep your appointment for medical evaluation of your symptoms and their cause, even if it takes a month. In the meantime, you can be sure you don't have chlamydia and probably no other STD either.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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16 months ago
thank you Dr Hunter for your input.sorry I wasn't clear.I picked up s street woman.got oral. within about 3-5 days, I had penile opening red and swollen, sever pain and burning during frequent urination. penile opening was stuck together and pee would go sideways, and a discharge of a yellow pus like substance lasted for about 7-10 days. the whites of my eyes turned red & painful, and swollen eyelids, and mucus coming from my eyes w/blurred vision.I have read on at least 5 different STD sites"chlamydia is the no1 cause of preventable blindness"but since the symptoms of gonorrhea are so similar, it could have been that. they both can cause conjunctivitis, according to the Merck Manual. I didn't get tested until 4 weeks after exposure so IM thinking this is why it didnt show in the urine test. one thing I am 100% certain of, i had and still have some type of STD bacterial infection in my body.your theory of not being able to get it from oral is incorrect. it's the only way I could have got it since im not having any other forms of sex in the past year.

it's well known fact that bacteria utilizes iron to survive in the body, this explains my low iron and hemoglobin on blood test. "When the bacteria enters the macrophage, they ingest the iron, which insures their survival. Other ways bacteria can get iron is from heme in hemoglobin or transferrin, an irontransport protein found in the blood. Other bacteria can get iron directly from lactoferrin, a defense iron binding protein found in body fluids." http://www.irondisorders.org  

also this explains the heart palpitations. "heart palpitationscan be another symptom of iron-deficiency anemia. Hemoglobin is the protein in red blood cells that helps transport oxygen around the body. In iron deficiencylow levels of hemoglobin mean the heart has to work extra hard to carry oxygen."  https://www.healthline.com

I realize this isnt 100% proof but the evidence seems to be worth a try of antibiotics. so far 2 DR's have turned me down simply bcuz the test was negative, and sounds like if I went to you you would be the 3rd DR to turn me down. IMO the evidence is clear that there is in fact a bacterial infection in my body.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
16 months ago
Thanks for the additional detailed information. It is apparent you have some medical/scientific knowledge -- or at least you have spent a lot of effort learning information that seems relevant, presumably by online searching. Although some of your factual knowledge is accurate, you also have some important misunderstandings relevant to your symptoms.

First, your initial symptoms are very atypical for chlamydia. The timing (4-5 days), the occurrence of prominent meatitis (the redness and swelling of your penile opening), and conjunctivitis (eye infammation) all point to adenovirus. This is primarily a respiratory virus that causes common colds, sore throat, etc -- which is transmissible by oral sex if present in the oral partner's throat, and often causes conjunctivitis. With your apparent familiarity with medical/scientific literature, look up adenovirus (or adenoviral) urethritis for more information. Chlamydia rarely causes such prominent inflammation, and symptom onset is rare sooner than 7-8 days. Gonorrhea is possible and is commonly transmitted by oral sex (unlike chlamydia) and the timing is pretty good, but unlikely to cause conjunctivities.

You give no evidence of having "some type of bacterial STD infection". You misunderstand iron and bacterial infections. It is true that many pyogenic bacteria (including Neisseria gonorrhoeae) require iron and express increased virulence in its presence. But except in special circumstances and very severe infections, such as life-threatening sepsis, they do not utilize anywhere near enough iron to reduce the body's iron stores or cause iron-deficiency anemia. All the various symptoms you mention are nonspecific. As you likely know, that's medical talk for symptoms and signs that do not point to any single disorder but are seen in many conditions.

So if you were my patient, based on what I know at this point, I definitely would not prescribe an antibiotic. Adenoviral infections, including urethritis and conjunctivitis, clear up entirely without treatment, as is the case for almost all respiratory viral infections. Although that probably was the initial event, it has nothing to do with your continuing symptoms. Of course if a physician takes a careful medical history, examines you, and undertakes certain lab tests, I suppose it is possible some sort of bacterial infection would be uncovered. But nothing you have said makes that likely.

So my advice is to continue to work with your doctor(s) on this. If things remain uncertain, ask for referral to an infectious diseases specialist. I would also urge caution in your online searching of the medical literature that seems pertinent:  it is clear you are learning some things out of context that have less connection to your problem than you have come to believe.
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16 months ago
thanks again DR Hunter for your input. it has helped me. 1st off the time frame could be off, could be 5,10 or 20 days, I was a bad boy on several occasions. so time frame could be correct for chlamydia or gonnorhia. also your theory for eyes clearing up is not correct here, it has been 5 months and getting worse by the day, I can barely drive me car and constantly wiping my red swollen eyes but cant get drops bcuz DR's wont give me a PHx. here is a 2nd clue for my theory of bacterial infection. from DR David Watts book "Trace elements"  "during a bacterial infection, the body shifts iron from the blood into storage compartments such as bone, liver, spleen, and lymphatic tissues. this is a protective measure that makes the iron unavailable to the bacteria, which needs iron for it;s growth.  if the infection becomes chronic, it can create a type of anemia called "infectious anemia" this type of anemia is not due to iron deficiency per se, but is due to the iron being locked into storage tissues. this will not respond to iron therapy until the infection is brought under control."  He also states in the book from memory that this can change a "slow metabolizer" to a "fast metabolizer" this is classic  case. I am eating huge amounts, 3x as much food as before and cant seem to eat enuf. I've never been able even when young to eat a sub and 2 whoppers plus huge pasta at  one meal.
   Yes  I am a cert. nutritionist and  herbalist, but the herbs I have tried so far have helped but you really need fresh grown plants of which I havent found yet. and I am not a fan of the allopathic system or drugs. havent touched any drugs since 1995 when they almost killed me, not even an aspirin. although I now see that the use of antibiotics do have merrit and also I have high respect for the ER hospital system we have here. 
   I do find your theories to be possible and plausible in some cases, I will research it. But I am the world's leading expert on my health..I am sitting inside this body and I have always been right when I do figure out the whole puzzle, it has never failed me yet in many years.
  I find it ironic that the MD had my baby son on antibiotics for almost continuous for 4 years, when a baby. almost killed him when it is now obvious he didnt need them at all. but when people need them they can't get them, so I am forced to go to mexico to get my antibiotics and canada to get my b-12 injections. If i was a rich guy I could cure this with ozone IV's but it is very expensive and time consuming,  would take up to 10 or 20 visits to IV DR and they are very costly.  
  one thing the medical system is good at is describing disease, the merck manual clearly states that both chlamydia and gonnorhea can both cause conjunctivitis.
one thing I would like your opinion on is if I am to be found to have latent infection, would my my current girlfriend be susceptible to it even tho' she has no symptoms at all. and do you think PCR  blood testing is accurate and would it show the evidence of bacteria..?

H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
16 months ago
These rather detailed comments do not change my opinions or advice. I continue to see evidence of non-expertise in microbiology and infectious diseases, notwithstanding your knowledge about nutrition and perhaps especially micro-nutrients. The notion that you have a problem that could be addressed by "ozone IVs" is nonsense, hoping you don't mind my blunt language. I continue to be confident you have no "latent" infection. In the slim possibility you do, I see no reason to attribute it to your previous urethritis or any STD, and hence no worry about sexual transmission to current or future sex partner(s).

There are no PCRs used to test blood for STDs.

That concludes this thread. Please do not start another on this topic, 'There is no additional information you can provde or think of that would change our opinions or advice.
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