Ok, Kind Of Embarrassing. I Had An Erotic Massage That
?GONOCOCCAL INFECTION
Detailed Answer:
Hi.
Welcome to Ask a doctor service.
I am Dr Ajeet XXXXXXX
As per the symptoms you have,you might be suffering from a gonococcal infection.
There is a misconception regarding unprotected oral sex that it is safe and does not transmit STD.
Oral gonorrhea(gonococcal pharyngitis)is an STD infection of the pharynx caused by Neisseria gonorrhoeae.It may be asymptomatic or there is local inflammation of pharynx,sorethroat,redness ,difficulty in swallowing and may have some white spots or whitish discharge.It is usually accompanied by chlamydia infection.
Please don't be embarrassed and visit your clinician.He may procure a throat swab for identification.
Antifungals won't help.You need a full antibiotic course of two weeks (usually azithromycin).
Mantainence of oral hygeine is important.
At times,partner also needs to be treated.
Please have safe sex in future.
Hope that I have answered your query.
If you have any doubts,please let me know.
Regards
?GONOCOCCAL INFECTION
Detailed Answer:
Hi.
Welcome to Ask a doctor service.
I am Dr Ajeet XXXXXXX
As per the symptoms you have,you might be suffering from a gonococcal infection.
There is a misconception regarding unprotected oral sex that it is safe and does not transmit STD.
Oral gonorrhea(gonococcal pharyngitis)is an STD infection of the pharynx caused by Neisseria gonorrhoeae.It may be asymptomatic or there is local inflammation of pharynx,sorethroat,redness ,difficulty in swallowing and may have some white spots or whitish discharge.It is usually accompanied by chlamydia infection.
Please don't be embarrassed and visit your clinician.He may procure a throat swab for identification.
Antifungals won't help.You need a full antibiotic course of two weeks (usually azithromycin).
Mantainence of oral hygeine is important.
At times,partner also needs to be treated.
Please have safe sex in future.
Hope that I have answered your query.
If you have any doubts,please let me know.
Regards
Thank you for your reply. Just a few comments. During this period I had dental work and had a full course of amoxicillin. 10 days. Would this organism be sensitive to that? Also had 5 days of Zithromax early on with no change. As far as the differential, could an oral HPV infection cause this redness? You may be right about the gonnococcal infection but I did have antibiotics as mentioned. Is there a 10 day course of Zithromax? Have only seen the 5 day dose packs. I read that 10 percent of men have oral HPV and it clears in most cases but in others it leads to CA.
Dr XXXXXXX I mean no offense at all. I paid to upgrade to specialist and directed this query to an ENT. But don’t worry. I value your opinion for sure. Do you know why it didn’t get referred to the specialist? But in the meantime could you address my follow up questions. Is it possible to upload a picture of my throat? I appreciate your help. XXXXXXX
Thank you for your reply. Just a few comments. During this period I had dental work and had a full course of amoxicillin. 10 days. Would this organism be sensitive to that? Also had 5 days of Zithromax early on with no change. As far as the differential, could an oral HPV infection cause this redness? You may be right about the gonnococcal infection but I did have antibiotics as mentioned. Is there a 10 day course of Zithromax? Have only seen the 5 day dose packs. I read that 10 percent of men have oral HPV and it clears in most cases but in others it leads to CA.
Dr XXXXXXX I mean no offense at all. I paid to upgrade to specialist and directed this query to an ENT. But don’t worry. I value your opinion for sure. Do you know why it didn’t get referred to the specialist? But in the meantime could you address my follow up questions. Is it possible to upload a picture of my throat? I appreciate your help. XXXXXXX
?GONOCCOCAL PHARYNGITIS ?HPV
Detailed Answer:
Dear Sir....
Kindly share the pic of your lesion which would help me to evaluate further.
The possibility of HPV can not be ruled out completely.HPV lesions are usually single or multiple cauliflower masses.It usually affects lips,tongue and soft palate.It has a viral etiology.It is not easy to diagnose it.Only way is ,to demonstrate viral DNA fragments from oral secretions in a PCR Test.Only known treatment is surgical excision of lesion or cryotherapy.Yes....There has been a clinical correlation between oropharyngeal cancers and HPV.
In spite of an increase in gonococcal infection in the world,there is paucity of therapeutic data to guide the treatment regimen.Development of drug resistant strains (sometimes called Super Gonorrhea) have complicated the scenario and have made the treatment tricky.
In the past,gonorrhea was treated with common antibiotics like ampicillin and amoxicillin.Amoxicillin also works well for chlamydia and usually both infections coexist and both are treated together.
Unfortunately the treatment protocol containing Amoxicillin is not working effectively,now a days due to drug resistance.Due to emergence of drug resistance,newer ways of combating new strains have been evolved and now Amoxicillin do not find a place in Internationally accepted treatment protocols.
Ceftriaxone, 250 mg in a single intramuscular injection in combination with either azithromycin (Zithromax) 1 g orally or doxycycline(Monodox) 100 mg orally twice daily for seven to ten days is effective and widely used for treating uncomplicated pharyngeal gonococcal infections.
Azithromycin alone will not be able to wipe out the treatment and is only effective when used in combination with third generation cephalosporins (provided you are not penicillin resistant)
Doxycycline is an alternative regimen in combination with a cephalosporins but azithromycin is usually preferred as there is high prevalence of tetracycline resistance,thus causing treatment failures.
Worldwide,there are emerging strains of drug-resistant Neisseria gonorrhoeae which complicates the treatment and makes it difficult.Patients which do not respond after a week of combined therapy and with persistent symptoms are evaluated by taking a throat swab and sending it for culture and sensitivity.This will help in demonstration of causative organism Neisseria gonorrhoeae,which are then tested for antimicrobial susceptibility.
At times,oral azithromycin is used in combination with oral quinolone Gemifloxacin or in combination with an aminoglycoside called gentamycin,to treat refractory gonococcal infection and it is highly successful.
Other quinolones have no role in treatment of gonorrhoea.
Hope that I have answered your query.
Happy living.
Regards.
?GONOCCOCAL PHARYNGITIS ?HPV
Detailed Answer:
Dear Sir....
Kindly share the pic of your lesion which would help me to evaluate further.
The possibility of HPV can not be ruled out completely.HPV lesions are usually single or multiple cauliflower masses.It usually affects lips,tongue and soft palate.It has a viral etiology.It is not easy to diagnose it.Only way is ,to demonstrate viral DNA fragments from oral secretions in a PCR Test.Only known treatment is surgical excision of lesion or cryotherapy.Yes....There has been a clinical correlation between oropharyngeal cancers and HPV.
In spite of an increase in gonococcal infection in the world,there is paucity of therapeutic data to guide the treatment regimen.Development of drug resistant strains (sometimes called Super Gonorrhea) have complicated the scenario and have made the treatment tricky.
In the past,gonorrhea was treated with common antibiotics like ampicillin and amoxicillin.Amoxicillin also works well for chlamydia and usually both infections coexist and both are treated together.
Unfortunately the treatment protocol containing Amoxicillin is not working effectively,now a days due to drug resistance.Due to emergence of drug resistance,newer ways of combating new strains have been evolved and now Amoxicillin do not find a place in Internationally accepted treatment protocols.
Ceftriaxone, 250 mg in a single intramuscular injection in combination with either azithromycin (Zithromax) 1 g orally or doxycycline(Monodox) 100 mg orally twice daily for seven to ten days is effective and widely used for treating uncomplicated pharyngeal gonococcal infections.
Azithromycin alone will not be able to wipe out the treatment and is only effective when used in combination with third generation cephalosporins (provided you are not penicillin resistant)
Doxycycline is an alternative regimen in combination with a cephalosporins but azithromycin is usually preferred as there is high prevalence of tetracycline resistance,thus causing treatment failures.
Worldwide,there are emerging strains of drug-resistant Neisseria gonorrhoeae which complicates the treatment and makes it difficult.Patients which do not respond after a week of combined therapy and with persistent symptoms are evaluated by taking a throat swab and sending it for culture and sensitivity.This will help in demonstration of causative organism Neisseria gonorrhoeae,which are then tested for antimicrobial susceptibility.
At times,oral azithromycin is used in combination with oral quinolone Gemifloxacin or in combination with an aminoglycoside called gentamycin,to treat refractory gonococcal infection and it is highly successful.
Other quinolones have no role in treatment of gonorrhoea.
Hope that I have answered your query.
Happy living.
Regards.
Thank you very much for your thorough evaluation of my questions. I very much appreciate your expertise and I am feeling like we are homing in on an answer. I have been contacting you from my email and don’t know how to upload the pic from there. I do have the app where from it looks easy to upload a pic. If I go to the app can I somehow address it to you so you will receive it? I believe my lesion is more reddish, not cauliflower like and is more generalized to back of throat and soft palate. But I do clear my throat and have sputum as I said. Would that particular symptom occur with HPV? I have been thinking HPV since I first noticed this won’t go away on its own. But I feel you are on the right track with your tentative dx. I feel the picture would go a long way towards helping you confirm. Please let me know how to get it to you. Like I said I have the ask a doctor app.
Thank you very much for your thorough evaluation of my questions. I very much appreciate your expertise and I am feeling like we are homing in on an answer. I have been contacting you from my email and don’t know how to upload the pic from there. I do have the app where from it looks easy to upload a pic. If I go to the app can I somehow address it to you so you will receive it? I believe my lesion is more reddish, not cauliflower like and is more generalized to back of throat and soft palate. But I do clear my throat and have sputum as I said. Would that particular symptom occur with HPV? I have been thinking HPV since I first noticed this won’t go away on its own. But I feel you are on the right track with your tentative dx. I feel the picture would go a long way towards helping you confirm. Please let me know how to get it to you. Like I said I have the ask a doctor app.
?GONOCOCCAL INFECTION
Detailed Answer:
Hi Sir.
You can upload the pic on the app.
You can also address me in a direct question too.
The lesions in HPV are nonsecretory and are not associated with excess mucus production.
In your case,the growth is not cauliflower and is situated in the posterior part of throat.These are the points against a HPV infection.
You can go for PCR test for HPV which detects the genetic material (DNA or messenger RNA) of human papilloma virus.It is reported as positive or negative and is always confirmatory.
A swab may be collected from infected area/tonsils and cultures done to check the bacteria that grows.It will also tell the antibiotics to which organisms are sensitive.
It can identify that whether the infection is gonorrhoea or a mixed infection with both gonorrhoea and chlamydia.Accordingly,Doctors can decide what antibiotics would be best to treat.
This can be important in areas where antibiotic resistant strains have emerged.
The culture for gonorrhoea would also be confirmatory and is reported as positive or negative.
Stay healthy.
Best regards.
?GONOCOCCAL INFECTION
Detailed Answer:
Hi Sir.
You can upload the pic on the app.
You can also address me in a direct question too.
The lesions in HPV are nonsecretory and are not associated with excess mucus production.
In your case,the growth is not cauliflower and is situated in the posterior part of throat.These are the points against a HPV infection.
You can go for PCR test for HPV which detects the genetic material (DNA or messenger RNA) of human papilloma virus.It is reported as positive or negative and is always confirmatory.
A swab may be collected from infected area/tonsils and cultures done to check the bacteria that grows.It will also tell the antibiotics to which organisms are sensitive.
It can identify that whether the infection is gonorrhoea or a mixed infection with both gonorrhoea and chlamydia.Accordingly,Doctors can decide what antibiotics would be best to treat.
This can be important in areas where antibiotic resistant strains have emerged.
The culture for gonorrhoea would also be confirmatory and is reported as positive or negative.
Stay healthy.
Best regards.
?Gonococcal pharyngitis
Detailed Answer:
Yes Sir....I did.
This time,I could procure it.
Wishing you the best.
Warm regards.
?Gonococcal pharyngitis
Detailed Answer:
Yes Sir....I did.
This time,I could procure it.
Wishing you the best.
Warm regards.