[Question #7294] Confused
 |
58 months ago
|
A few days after unprotected sex with a friend I started having sharp pain in my penis head like a prickling feeling. Slight burning when urinating and a pinkish red and white blotchy rash on penis head that comes and goes when I urinate or shower, then a rectal discharge. My left testicle dropped and strong pain in it. I got to a dr about 2 weeks after symptoms started. I was given azithro. It did not go away. Rectal discharge burned and got worse. Penis head sharp pain stopped. Got 10 days of doxy. Got a shot of ceftriaxone.. Another round of doxy. Now levofloxacin and another ceftriaxone shot. No change. 2 months later urologists are confused and say ive been overtreated and am making it up. How am I making up a yellow discharge coming from rectum? They also are trying to tell me its coincidence. Its not. Ive had these same identical symptoms twice including the rectum discharge before after unprotected sex with a new partner 10 years ago and 4 years. Doxy cleared it up both times within a week no tests were done then. Ive had 4 urine tests all negative for gon, chl, trich. Never had a discharge from penis. My abdomen started having pains, I had night sweats and possibly a fever for a day or 2 no more. Im tired of being told my penis looks normal and testical hanging super low with pain is normal. None of this is normal.
 |
H. Hunter Handsfield, MD
58 months ago
|
Welome. Thanks for your confidence in our services.
However, I'm afraid I can't help much. First, no distant forum -- without an oplporunity for in-person medical history or examination -- is likely to add much when someone has already been examined, tested, and treated by competent physicians. Most important, no STD causes the combination of all the symptoms you report; and any bacterial STD you conceivably could have caught would have been cured by the comtination of multiplle antibiotics you have received. Based on all you say, I am inclined to agree with your doctors' advice that your symptoms are coincidental with your sexual exposures; or that they are primarily psychological. (In that way they may be "caused" by those sexual exposures, if they are accompanied by anxiety or stress over sexual decisions you regret.)
My only direct comment on your symptoms concerns rectal discharge. No STD can do that unless the rectum is directly exposed; if you did not receive anal sex by a male partner, that fact alone excludes STD as a cause. But there are plenty of other non-STD causes of such a symptom. If you have not seen a gastroenterologist or perhaps colon and rectal surgeon about this problem, that would seem to make sense.
Sorry I can't do more, but I hope these comments help a little bit. Best wishes and stay safe.
HHH, MD
--- |
58 months ago
|
Its not mental anxiety or regret. I have no regrets. It was quite fun and gave me a nice confidence boost. I do however have a painful testicle, rectal discharge, and slight rash. These are not mental anxiety and im tired of being told that as I said. This has happened now 3 times. Thats a hell of a coincidence that 3 times identical symptoms. Did I get anxiety or regret those times too? No. Doxy cleared it up twice indicating it was bacterial. Those 2 girls both indicated without directly saying so they had an std after. This one insists she does not and said she got checked. I have seen people say they contracted rectum gonorrhea or chlamydia without anal sex. I also question the actual competency of a urologist that sees a testicle hanging over a inch below the left and red and swollen saying its normal and not sign of infection after 2 months. I have an appointment for a swab test finally and blood test in which I will get multiple things checked and go from there. My worry is because I couldn't see a Dr for 2 weeks that this got in my blood or something thats harder to treat.
|
H. Hunter Handsfield, MD
58 months ago
|
Whatever the cause of your symptoms, I remain confident they are not the result of any STD or any infection acquired from any of your sex partners.
---
---
It is absolute nonsense that anybody acquires rectal gonorrhea or chlamydia without direct anal exposures. You did not see that from any scientifically reputable source. There are two potential exceptions, neither of which applies to you. Women with genital gonorrhea or chlamydia can acquire anal infection by contamination from vaginal fluids contacting the anal area. And some rectal chlamydia may result from oral exposure, with the organism later showing up at the other end of the GI tract. There are no chlamydial infections not cured by doxycycline, so even if the latter situation occurred, it was eradicated by one or more of your courses of doxycycline.
I have no comment about your urologists' expertise. But one testicle hangs lower in all men (usually the left), and that difference often increases with age. No infection does anything like this. As for "red and swollen", if a urologist doesn't find abnormal redness, tenderness, swelling, etc -- i.e. noticeable only by the affected person -- then probably nothing is wrong. This aspect, like most of the other symptoms you describe, continue to strike me as likely psychological -- i.e. increased awareness or concern about minor symptoms or sensations that otherwise would be ignored or not even noticed. In general, the stronger a patient's denial of a possible psychological cause of unexplained symptoms, the more likely that psychological issues indeed are the main problem.
---
|
58 months ago
|
Ignorant response that because im denying an absurd claim that my testicle is swollen and in pain hanging over an inch lower than my right is normal I must have some psychological issue. Ive had these same testicle for 36 years I know my body and what is normal and not. I know that burning and rectum discharge is not normal. I know that after sex the rash on my penis head is not psychological. This symptoms are not unexplained. They are there and have happened 3 times after unprotected sex over the years with someone new. Ive had unprotected sex plenty of times. It hasn't happened every time. It hasn't happened with each new partner. This is very real and your condescending attitude and ignorant response has been no help. Clearly just because you arrogant drs can't pin point what this is I have to be lying and making it up. Right. Ignored how I said doxy cleared it up twice.
|
H. Hunter Handsfield, MD
58 months ago
|
You came here for our expert, science-based advice and judgment, You've had them. These comments do change my evaluation or advice: you are free to accept or reject it.
My final susggestion is that you might photograph your testicles at a time (now?) that they are in what you believe to be their normal state (both broad view to show the entire genital area and close-up of the lower/sore testicle); then do the same if and when the condition recurs. At that time, see whichever urologist you most trust within a day or two. If s/he sees evidence of inflammation, perhaps further evaulation will be warranted. In that event, you can still remain sure it's not due to any STD. There are plenty of causes of epididymitis or orchitis other than STDs.
That completes the two follow-up exchanges included with each question and so concludes this thread. Best wishes and good luck.
---