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Suggest Treatment For Soreness And Redness At Tip Of Penis

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Posted on Fri, 23 Jan 2015
Question: + 0 Had protected sex with sex worker in Las Vegas.
+1 day raw feeling on edge of penis
+4 days tip of penis feels weird no visible issues saw dr ran herpes&hiv blood tests and tested for bacterial infection also. All came back -. No symptoms like headache or fever or swollen lymph nodes.
+ 11 days went to urgent care tip of penis hurt edge still raw. Redness at the tip. Took urethral swab for HSV. Came back -. After swab burning while pee for rest of day. Called dr back and insisted something is wrong. Prescribed 1000mg of antibiotics.
+ 12 days burning pee was gone
+ 14 days pain is gone in mornings but seems to be back after it rubs on my boxers a lot. Notice discoloration/redness and swollen opening of urethra also redness and wrinkled looking skin around head.
+ 21 days saw dr again because nothing's changed. He said it doesn't look like std. Referred me to dermatologist.
+ 23 days saw dermatologist who said doesn't look like std said dermatitis and prescribed ointment for 2 times a day for a month and to call if no improvement after 2 weeks.
+ 25 days had non-insertive sexual contact with girlfriend for first time (recently started dating). Was drunk but know I put my penis between her legs and touched her vagina with it.
+ 27 days girlfriend complaining of headache and sore throat.

At this point I've asked the dr to order another HSV blood test which will be taken at 4 weeks post potential exposure.

I can't tell you how anxious I am about this. Can someone please help?
doctor
Answered by Dr. Muhammad Ahmad (43 minutes later)
Brief Answer:
Doesn't look like an STD.

Detailed Answer:
Hello

Welcome to Health Care Magic.

My name is Dr Muhammad Ahmad & i will look into your problem.

I have gone through your query and would try to help you in the best possible way. I understand your concern and will try to rectify the situation with all possibilities and treatment options.

My opinion:

Your problem DOES NOT seem to be STD related i will explain to you the reasons why i am saying so .

Here is what i think happened to you>> You had sex and then got a mild UTI for which you were put on antibiotics and it got relieved but that UTI left penis tip irritated which kept making you anxious.

In my opinion , Dermatologist was thinking in the right direction.It could be contact dermatitis which kept getting worse by rubbing with your boxers as you said, wasting the effects of treatment.

WHY IT DOESN'T LOOK LIKE STD:

Herpes and syphilis present with very aggressive rashes and you can't just have a single rash at tip they are really aggressive and spread read quick.

There are many constitutional symptoms as well like fever, body aches joint pains,lethargy, itching etc.


Typical manifestation of a primary HSV-1 or HSV-2 genital infection is clusters of inflamed papules and vesicles on the outer surface of the genitals resembling cold sores.

Herpes is NOT usually associated with sore throat alone it comes with skin erosion in mouth and lips plus mouth ulcers and esophageal pains.Your girl friend might just be having common respiratory tract infection which commonly comes packaged with head ache.

Even just rubbing penis between her legs would have caused her genital herpes which didn't happen.

MY SUGGESTIONS:

1-Don't get anxious , this DOES NOT seem to be herpes or any STD in any way.

2- It's a good news that all your tests so far came back negative and let me assure you that in my opinion your blood test will also be negative.

3- Wear loose clothes for some days use dermatology meds to get your penis rash cured quickly and better.

4- Don;t be anxious as there is no way that this looks like herpes or any other STD.



WHAT TO EXPECT:

A negative blood test,,,plus the rash will get cured with care and loose clothes in a couple of weeks.

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!

Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Muhammad Ahmad (3 hours later)
The dr had a uninanalyss done and found no UTI. The antibiotics were by my insiting and paranoia. I still feel raw and weird .
doctor
Answered by Dr. Muhammad Ahmad (5 hours later)
Brief Answer:
Development of STD and UTI have very specific events.

Detailed Answer:
Hi,
Thanks for writing back.

I understand you concern and i will try to further explain things for your better understanding , so that you get a better clue of what is happening.




HOW STD DEVELOPS:

1-Contact.
2-Partner usually have an evidence rash or some indication.Which yours DIDN'T have.
3-FEVER ,rash, sever pain in rash and urinary tract, muscle joint pains. Which you DIDN'T have
4- Tests get positive or at least indicative, but your tests didn't show any indication that you might be having STD.
5- STD is rarely sub clinical, can a highly contagious infection like STD just end up forming a single rash at tip of penis? this is not how they present, they spread from one body to another aggressively and they spread in one's own body more aggressively.



Development stages of UTI:

1- Inflammation:

This is the first stage. in this stage there are very few germs involved so there is no big puss formation or pain , there is just a light inflammation and urine starts burning this inflammation can also spread to opening of urethra which comes in contact with inflamed urine and rubbing with clothes can aggravate inflammation.

Characteristic Features:

Urine test= Normal
Bacterial culture: can be positive but not done as it takes 7 days atleast to grow them.
Blood tests : Normal
Fever : not present.
Blood or pus in urine: Not present.


2- Infection:

In this stage bacterial infection gets sever, there is PAIN along with burning in the urinary tract and patient starts getting really uncomfortable, not just during urination, it hurts all the time.

Urine test= epithelial cells, blood cells ,pus cells may be found.
Bacterial culture: USUALLY positive, but rarely done as it takes 5-7 days.
Blood tests : Normal
Fever : Mild to moderate .
Blood or pus in urine: Starts presenting in urine.

3- Puss Formation:
XXXXXXX puss starts forming and urine colour gets turbid,

Urine test= Highly suggestive changes.
Bacterial culture: Done when resistant to meds.
Blood tests : WBC raised.
Fever : High grade fever with chills and rigors.
Blood or pus in urine: XXXXXXX pus.

4- Pyleonephritis:
Infection also involves kidneys. All other things are same except kidney pain and findings on ultrasound.

After reading these stages i am expecting that you can understand at which stage your problem was treated and probably it was your paranoia that you didn't wait and got treated before it could reach stage 2-3-4. Patients usually present to us at stage 2 or more.



>Feeling weird:
It is definitely because you don't feel being healthy, you are anxious about your medical condition and having an STD but let me assure you that there is NO supporting evidence or even a clue that you have a chance of having STD, i will ask you to stay calm and i know that after your test comes back negative you will feel well and this weird feeling will go away. Out brain,feelings and emotions have so much to do with our physical condition and as your anxiety gets going your body will feel great within no time.

SUGGESTIONS:

1- Keep calm , we are always concerned about more dangerous problems but in your case you can take a XXXXXXX of relief because you don't seem to be having any big problem.
2- By reading the above discussion you can well understand that there is nearly NO chance of you having STD.
3- Get yourself tested and you will get a negative result, that will calm you further and here i wanna mention that STD's are not life threatening conditions hey subside soon with proper treatment. But as you have nearly no chance of having STD you shouldn't even think of it's prognosis and complications , just reassure yourself. Reading further about STD and looking at rash pictures on internet will help you further.




Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!



Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Muhammad Ahmad (7 hours later)
Can you take a close look at these pics and confirm. You are helping put my mind at ease. I just am anxious to get the test results .
doctor
Answered by Dr. Muhammad Ahmad (8 minutes later)
Brief Answer:
I have seen the pictures no way this is STD.

Detailed Answer:
Hi,
Thanks for writing back and sending picture for better help.

I have seen the pictures and i can assure you that this CAN NOT be Herpes of syphilis or any other STD, it's just an inflammatory rash most probably a contact dermatitis and all it needs is a fifteen day treatment with maintenance of hygiene and protection from rubbing with cloth etc.

I will suggest you not to get anxious, your test will result in negative findings, you don't have to worry at all. If you read the whole discussion again you will realize that there is not a single reason for you to worry, i know anxiety is natural but there should be reasons for anxiety and i have discussed in detail that there is no reason for you to get anxious.

Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it.
Wishing you good health !!




Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Muhammad Ahmad (12 hours later)
Thank you. Im still skeptical. I see wrinkles and bumps as well as the redness. I suppose that could be dermititis also? But i feel my mind will only be completly at ease when i have a test to confirm .
doctor
Answered by Dr. Muhammad Ahmad (3 hours later)
Brief Answer:
Don't worry your test results are going to be -ve.

Detailed Answer:
Hi,
Thanks for writing back,
I can fully understand your concern and anxiety; I can assure you that your test results are going to be good news.

Wrinkles are just a normal finding I have seen both pictured closely they are nothing but normal skin, if that any thing, its nothing more than mild inflammation we called dermatitis ... and contact dermatitis is more suggestive in your case.

I will suggest you not to get anxious and get yourself tested on due date and hope for the best. It is going to be great news.

I hope this answers the question you can ask further questions if you have otherwise don’t forget to rate and close the discussion thanks and best of luck :)
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju
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Answered by
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Dr. Muhammad Ahmad

General & Family Physician

Practicing since :2012

Answered : 1308 Questions

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Suggest Treatment For Soreness And Redness At Tip Of Penis

Brief Answer: Doesn't look like an STD. Detailed Answer: Hello Welcome to Health Care Magic. My name is Dr Muhammad Ahmad & i will look into your problem. I have gone through your query and would try to help you in the best possible way. I understand your concern and will try to rectify the situation with all possibilities and treatment options. My opinion: Your problem DOES NOT seem to be STD related i will explain to you the reasons why i am saying so . Here is what i think happened to you>> You had sex and then got a mild UTI for which you were put on antibiotics and it got relieved but that UTI left penis tip irritated which kept making you anxious. In my opinion , Dermatologist was thinking in the right direction.It could be contact dermatitis which kept getting worse by rubbing with your boxers as you said, wasting the effects of treatment. WHY IT DOESN'T LOOK LIKE STD: Herpes and syphilis present with very aggressive rashes and you can't just have a single rash at tip they are really aggressive and spread read quick. There are many constitutional symptoms as well like fever, body aches joint pains,lethargy, itching etc. Typical manifestation of a primary HSV-1 or HSV-2 genital infection is clusters of inflamed papules and vesicles on the outer surface of the genitals resembling cold sores. Herpes is NOT usually associated with sore throat alone it comes with skin erosion in mouth and lips plus mouth ulcers and esophageal pains.Your girl friend might just be having common respiratory tract infection which commonly comes packaged with head ache. Even just rubbing penis between her legs would have caused her genital herpes which didn't happen. MY SUGGESTIONS: 1-Don't get anxious , this DOES NOT seem to be herpes or any STD in any way. 2- It's a good news that all your tests so far came back negative and let me assure you that in my opinion your blood test will also be negative. 3- Wear loose clothes for some days use dermatology meds to get your penis rash cured quickly and better. 4- Don;t be anxious as there is no way that this looks like herpes or any other STD. WHAT TO EXPECT: A negative blood test,,,plus the rash will get cured with care and loose clothes in a couple of weeks. Hope I have answered your query. If you have any further questions I will be happy to help if not then don't forget to close the discussion and rate it. Wishing you good health !!