[Question #6786] Follow up to question # 6599
65 months ago
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Edward W. Hook M.D.
65 months ago
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Welcome back to our Forum although I must say that I am saddened that you felt the need. On this occasion I happened to pick up your question. The questions you are asking are repetitive, particularly given the fact that Dr. Handsfield assured you that the events you described put you at no risk for HIV or other STI whatsoever. I have reviewed his earlier responses and agree entirely with his assessment and advice. I would point out that amongst the statements he made to you were - "You're obviously stressed -- perhaps feeling guilty or ashamed over a sexual decision you regret. Deal with that part as you need to, perhaps including professional counseling. But don't confuse this with infection from the event. They aren't the same and there is no chance you have any STD. Do your best to believe it and move on without further worry. I hope this discussion has helped you do that." This recommendation reains appropriate. My further responses will be brief.
Shaking the hand of your masseuse, wet or dry, with our without cuts on either or both or your hands, with or without genital secretions on the hands was an entirely no risk event. HIV cannot be acquired in this way. As Dr. Handsfield told you, your eye problems and the pea sized possible lymph node that you have detected are neither signs of HIV or STIs, nor things that you are at risk for. If they concern you, you should work with a health care professional to evaluate them, realizing that they are NOT due to HIV of STI.
Please do not worry further about HIV or STI from the encounter you describe. If you cannot, what I recommend, as did Dr. Handsfield, is not testing or therapy but counseling to assist you in moving forward from this unrealistic concern. EWH
65 months ago
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Edward W. Hook M.D.
65 months ago
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let me start this reply with a warning. GOOGLE is NOT your friend!!! PLEASE do not search for symptoms or medical knowledge., Much of what is there is out of date, misinterpreted, taken out of context or just wrong. Your searching will only make you unnecessarily more anxious and make more work for your doctors and me. Your doctor has already told you the things you are concerned about are of no consequence yet you went back to the internet- bad idea! Your follow-up questions reflect your being misled on the internet. Therefor my response will be appropriately brief as there is no medical or scientific basis for your concern:
1. No. TIny nodes are typically normal and may persist. They are not pathologic. Your "lime green urine" is a sign that you are paying entirely too much attention to such things.
2. UTIs are not STIs but arise from bacteria normally on or in the body getting to the wrong place. In most cases they are a chance event. Rarely problems such as an enlarged prostate (something that is normal in men over 40) can predisposed a man to a UTI.
3. No, residual pre-ejaculatory fluid is not a risk factor. What you perceive as "problems" or "signs" are not
4. Get a grip on yourself. Accept, as your doctor appears to have told you, that there is nothing wrong. Deal with any guilt that you may have. Get professional mental health assistance (counseling) if you cannot do this yourself and all signs suggest that you are having much trouble moving forward on your own.
EWH
65 months ago
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Edward W. Hook M.D.
65 months ago
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Straight to your question. You are continuing to overthink this:
1. theoretical concerns about acquisition of HIV or other infections through the eye are overstated and largely theoretical. Hand to eye transmission is not documented and transmission from inanimate objects such as a countertop or other surface to the eye are simply not realistic. Further, for eye inflammation or irritation to occur due to infection, symptoms would not appear for AT LEAST several days even if it were possible. Your eye problem is not related to an infection acquired through the interaction you have described.
2. No, they do not. If anything, the movement with blood is out of the body, not inward.
3. Correct
Dehydration can cause urine color to become darker due to the concentration of the urine. The color of the urine is not indicative of any abnormality.
5.. Yes,
4. Possibly but if they are, they would not have been sexually acquired. All of these infections, while rarely sexually transmitted through direct, penetrative sexual contact are far more often acquired from community or household contacts through activities of daily living.
As you note, this will be the final response as part of this thread. Further and perhaps importantly, I must warn you that further repetitive and/or anxiety-driven questions may be deleted without return of your posting fee. Repetitive questions serve no purpose.. I wish you the best and hope that these final replies will help you to put your fears behind you and to move forward. EWH
65 months ago
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Edward W. Hook M.D.
65 months ago
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No need to avoid contact with your wife even if this does happen to be one of the viruses listed (which do not cause persisting eye inflammation).
End of thread. EWH