[Question #6311] Follow up for #6180

15 months ago
Hello Doctors,

This a follow up for question #6180, please refer to it first. describing a very brief oral msm encounter that happened in May 2017.
Doctor Hook's response was very reassuring and much appreciated. I have developed somewhat of an obsession regarding this incident and chose to get tested yesterday for Gon/Chlam both penile and oral swab.

1. If I got one of these infections, and it cleared on its own, would it still register on one of the tests? I was just curious about this.

2. The nurse initially seemed concerned about the giving oral part and mentioned that oral gon and chlam can develop into serious complications if left untreated. Following this, I showed her Dr. hook's final response and she did agree with it which was reassuring. 

I was told up to a week for results which leaves me very nervous and prompted my visit back to the forum. I must also mention I am a very anxious person and may have developed minor OCD. I realize I was encouraged not to worry but I felt the test would ease my mind. Thank you in advance.
Edward W. Hook M.D.
Edward W. Hook M.D.
15 months ago

Welcome back to the Forum.  I'm sorry that you continue to worry about these events.  Straight to your follow-up questions:

1.  If you had acquired one of these infections and it had cleared on its own the tests would be negative.  Having cleared, with negative tests, you would no longer be at risk for transmission of infection to others or for complications.

2.  Thanks for the follow-up.  When oral infections do occur, complications are extraordinarily rare and are typically asymptomatic.  I'm glad my earlier response was helpful.

Regarding your tests, the testing itself takes just a few hours in the lab.  The time to results, represents time for specimen transport and transmission of results.  In many instances your doctors will have results sooner than a week.  Four or 5 days after the test was collected, it might be worthwhile to give them a call.

Hope this helps. EWH

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15 months ago
Thanks for the additional info Dr. Hook! I saw a very small grayish particle in my urine sample. Not sure if this means anything. I realize in your first response to me you mentioned that you thought the chance of getting gon. or chla. was very low to begin with and would have cleared by now but I wanted to inquire about the small particle I noticed. As stated in my previous post, I have developed quite a bit of anxiety and possibly minor OCD so I appreciate your patience and willingness to answer my questions. I will save my final response to post test results when they are made available but I wanted to ask about the very small particle I noticed and if this is something of concern.
Edward W. Hook M.D.
Edward W. Hook M.D.
15 months ago
I have no idea what the small particle might be.  Certainly there are NO STIs which would explain this observation.  Further, as an FYI, kidney stones are typically not visible either.  It may have been something from clothing or something else but I would not assign any significance to it.  As you wait for your test results (which I am confident will be negative), I would urge you to think about what you need to do to break this unwarranted, anxiety-driven cycle of concerns.  Counseling may be helpful.  EWH
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15 months ago
Tests were done early. I called and waited a few hours for a call back because the technician explained the results were in but she needed the nurse to call and explain them. I became very anxious but found reassurance in rereading your replies. A few minutes ago I just received the call from the nurse. NEGATIVE!! My deepest thanks to you Dr. Hook. Your no nonsense, logic based replies really made these last two days earlier.  I remember reading an old response of yours' (admittedly I have spent some time on this forum) encouraging those who remained obsessed surrounding low risk events to seek testing simply to end the anxieties once and for all. I think my brain is having a somewhat hard time catching up, but I know now definitively, I have nothing to worry about. Keep doing all the amazing work you do and once again thank you from the bottom of my heart :)
Edward W. Hook M.D.
Edward W. Hook M.D.
15 months ago
Thanks for your thanks.  I hope you will now move forward without lingering concerns.  This ends this thread.  EWH
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