health STD & AIDS

[peterparker]

Doc Peter,

 

Pasensya na po sa pagiging makulit pero bakit po kaya may discharge pa rin ako? saka pag nagmanifest po ba yung side effect nung gamot ibig sabihin di sya gumagana sa akin?

 

wala na naman pong pain sa bladder ko pero yun lang may discharge pa rin na konti.

 

 

pag nagkaroon ka ng mga side effects, it does`nt necessarily mean na di gumagana yung gamot... reaction ng katawan mo to the meds ang mga ito, and the important thing is hindi dapat lumala ang kondisyon mo and you can tolerate these...

 

i suggest that you don`t become impatient, give the meds time to work, and follow your doctor`s instructions... follow-up ka sa doctor mo if you don`t see any improvement sa condition mo after following the regimen...

 

 

:mtc:

Edited April 27, 2009 by peterparker

[TyoPaeng]

Thank you mwah and peterparker for your responses to my queries.

[mwah]

when i saw the meds, its doxycycline, cefixime, & quedox

...

im trying to convince her to see a doctor, and she's not telling me anything..

 

I don't think she's self-medicating herself with all these antibiotics. Most doctors don't prescribe third generation cephalosporins such as Cefixime for your simple cough and colds. Quite expensive too - could cost up to about P 200 for a 200 mg capsule.

 

Oh on the other hand, she might be self-medicating IF she saw an MD for a similar complaint in the past and was prescribed the same set of meds.

 

Surely you don't expect her to tell you that she's being treated for a different disease other than UTI, right? Don't be too judgmental - it's a good thing that she's trying to be responsible for her health and her actions.

Edited April 27, 2009 by mwah

[Mr. Clean]

hey docs,

 

i have this strange vibration feelings coming from below of my balls... it's been two weeks na. i dunno what is this, i dont have any contacts with any girls, matagal na..

 

any comments?

 

thanks.

[peterparker]

hey docs,

 

i have this strange vibration feelings coming from below of my balls... it's been two weeks na. i dunno what is this, i dont have any contacts with any girls, matagal na..

 

any comments?

 

thanks.

 

 

are you an athlete ba..? do you ride a bike/ motorcycle frequently..? do you drink a lot of caffeine..?

 

you could have any of the following conditions:

 

1) a compressed nerve at the perineum

2) pelvic floor muscle spasms

3) urethral spasms

 

i suggest you consult a urologist if your condition is starting to bother you...

 

 

 

:mtc:

[Mr. Clean]

are you an athlete ba..? do you ride a bike/ motorcycle frequently..? do you drink a lot of caffeine..?

 

you could have any of the following conditions:

 

1) a compressed nerve at the perineum

2) pelvic floor muscle spasms

3) urethral spasms

 

i suggest you consult a urologist if your condition is starting to bother you...

 

 

doc, di naman.. once a week my sked for basketball tapos gym lang 2x a week. how do i get these conditions? TIA

[TyoPaeng]

Hi MDs. I hope you can help respond regarding this hypothetical situation.

 

A guy has been abstaining from sex for almost a year. He recently met a girl and has been dating her for the past 5 weeks or so. They sometimes engage in unprotected sex. The girl claims to have been abstaining for quite sometime before meeting the guy too.

 

The guy suddenly got some burning sensation when peeing and a few days later noticed some discharge on his penis which is sometimes white, sometimes yellow and sometimes yellow-greenish. He went to a urologist and without doing any more test the doctor diagnosed the case as urethritis. The doctor said that they now don't usually do any more test to distinguish it if it is gonococcal or non-gonococcal urethritis and that they usualy just treat it as gonococcal since the antibioutics will also treat the non-gonococcal case. The guys was given a prescription for Azithromycin (2x250mg single dose) and Doxycycline (100mg, 2x/day for 7 days).

 

Now, the guy is almost sure that he got it from the girl since the girl has been his only partner for almost a year. However, he does not know how to approach her since he is not sure if it is gonorrhea or not. The girl has also not reported feeling anything unusual. One more thing, the guy also performed oral sex on the girl but did not smell anything foul to suggest an STI.

 

My guestions:

1. Was the doctor right in giving antibiotics without having any laboratory test done?

2. Could the guy be just having a really bad case of UTI? Can UTI result to the discharge on the penis? If yes, is it possible that he did not get the UTI from the girl?

3. Is it possible for the girl not to have symptoms if it is gonorrhea?

4. This is not a medical question but you might have some idea on how to approach this due to past patients you had who had a similar situation. How can the guy discuss this with the girl without it looking like he is accusing her? How can he convince the girl to have herself tested and what tests are needed?

 

Thanks in advance for those who will respond. This thread has really been very informative and kudos to the MDs who are giving advises here.

 

Docs, the story continues.

 

After a 1 week treatment of Azithromycin and Doxycycline, the discharge has disappeared. However, the symptom of burning sensation while urinating still persists although it is less painful now. He recalls having this kind of burning sensation while urinating for over a year now but it was an on and off thing and the pain is not really that much (maybe 3 - 4 out of 10 in a pain scale) and no discharge. He told the urologist about it. The urologist prescribed Solifenacin Succinate (5mg, 1/day) for 7 days. He also ordered a KUBP ultrasound with Dx - R/O Urolithiasis.

 

Here are my questions:

1. What could be causing the burning sensation while urinating for over a year now (w/o discharge)?

2. I read through the internet that Solifenacin Succinate was indicated for control of urge to frequently urinate. Why was the guy prescribed with this?

3. I tried searching over the internet but could not find any good explanation for a KUBP ultrasound. What is it and how is it done? Is there any preparation needed before the ultrasound is done?

 

Thank in advance.

[peterparker]

Docs, the story continues.

 

After a 1 week treatment of Azithromycin and Doxycycline, the discharge has disappeared. However, the symptom of burning sensation while urinating still persists although it is less painful now. He recalls having this kind of burning sensation while urinating for over a year now but it was an on and off thing and the pain is not really that much (maybe 3 - 4 out of 10 in a pain scale) and no discharge. He told the urologist about it. The urologist prescribed Solifenacin Succinate (5mg, 1/day) for 7 days. He also ordered a KUBP ultrasound with Dx - R/O Urolithiasis.

 

Here are my questions:

1. What could be causing the burning sensation while urinating for over a year now (w/o discharge)?

2. I read through the internet that Solifenacin Succinate was indicated for control of urge to frequently urinate. Why was the guy prescribed with this?

3. I tried searching over the internet but could not find any good explanation for a KUBP ultrasound. What is it and how is it done? Is there any preparation needed before the ultrasound is done?

 

Thank in advance.

 

 

let me try to answer your queries again...

 

1. There are many possible causes of painful urination, not necessarily caused by an STD. Some of these include:

 

- inflammation to any part of the urinary tract including the bladder, the kidney, or the urethra

- chemical irritation to the lining of the genitals and urethra, such as from soaps, bubble bath, or detergents used to

wash undergarments

- conditions or diseases of the kidney, such as polycystic kidney disease or medullary cystic kidney disease

- sudden rupture of one of the small sacs, or cysts, in the kidney

- urinary obstruction, such as kidney stones

- autoimmune disorders, which are conditions in which a person's immune system attacks his or her own body for

no apparent reasons

- certain antidepressant medications

- tumors or cancer of any part of the urinary tract

 

2. He was prescribed Solifenacin in order to help control an overactive urinary bladder, which means allowing the bladder to retain larger volumes of urine and reducing the number of micturition (urination) episodes, urgency and dysuria (burning sensation) episodes. Less peeing, less pain...

 

3. KUBP ultrasound means examining the kidneys, ureters, urinary bladder and prostate by the use of ultrasound, the procedure similar to doing abdominal ultrasound in pregnant women. The physician is trying to look for problems in the urinary tract, in particular kidney and urethral stones which can cause burning sensation during urination. Before undergoing the procedure, you will be asked to drink fluids so that the bladder will be filled and can be visualized properly...

 

 

 

:mtc:

Edited May 2, 2009 by peterparker

[NASTYMERLIN27]

ok, in the first place bro, did you ask her who gave her these meds, and why is she taking them..?

 

the only reason i can deduce from this is that she has something, most likely an STD judging from the meds she is taking...

 

something tells me that you really like this gal.. and it`s up to you how you can convince her to trust you..

 

try to tell her that you are concerned for her well-being, and convince her that it`s for her own good that she should consult an OB-GYNE if she has problems down there like you mentioned...

 

 

 

 

:mtc:

 

thank you for the headsup...peter & mwah..im not being judgemental..i just want to know...and yes i have to admit i really like this person inspite of the fact that she is really a g.r.o and that she did some "things" before that why she got it...( i was able to get a confession..and yes it does bring the hurt close to home ) anyway now im asking is it possible if i can get her disease via oral contact..intense kissing, french kissing etc. since that is the only initimate activity im able to achieve at the moment...

 

do i need to see a doctor, what do i do?

 

thanks for the help

[peterparker]

thank you for the headsup...peter & mwah..im not being judgemental..i just want to know...and yes i have to admit i really like this person inspite of the fact that she is really a g.r.o and that she did some "things" before that why she got it...( i was able to get a confession..and yes it does bring the hurt close to home ) anyway now im asking is it possible if i can get her disease via oral contact..intense kissing, french kissing etc. since that is the only initimate activity im able to achieve at the moment...

 

do i need to see a doctor, what do i do?

 

thanks for the help

 

 

the sad reality is that you run the risk of getting what she has from all your intimate activities, if ever there are any STD`s that she is presently harboring...

 

i`m not being insensitive to your feelings, but you should tread carefully with this relationship... for your peace of mind, you can have yourself tested if it`s for your own well-being...

 

 

 

:mtc:

[greatliving]

ask ko lang, may rashes na lumabas sa dibdib ko, related ba to sa sexual disease? pano mallman kung 100% safe ka na at wala ng genorrhea or chamyladia?

[mwah]

thank you for the headsup...peter & mwah..im not being judgemental..i just want to know...and yes i have to admit i really like this person inspite of the fact that she is really a g.r.o and that she did some "things" before that why she got it...( i was able to get a confession..and yes it does bring the hurt close to home ) anyway now im asking is it possible if i can get her disease via oral contact..intense kissing, french kissing etc. since that is the only initimate activity im able to achieve at the moment...

do i need to see a doctor, what do i do?

I agree with doc peterparker that you do have the risk of getting whatever she has right now. Remember that kissing involves exchange of bodily fluids too.

 

Keep yourself healthy and have yourself screened for STDs and always practice safe sex.

 

 

ask ko lang, may rashes na lumabas sa dibdib ko, related ba to sa sexual disease? pano mallman kung 100% safe ka na at wala ng genorrhea or chamyladia?

Naku, maraming dahilan ang rashes sa dibdib. Better consult a dermatologist so you can have it evaluated. AFAIK, the most common manifestation of STDs would still be urethral discharge rather than skin rashes.

[peterparker]

ask ko lang, may rashes na lumabas sa dibdib ko, related ba to sa sexual disease? pano mallman kung 100% safe ka na at wala ng genorrhea or chamyladia?

 

 

i don`t want to scare you bro, but AFAIK the STD which can manifest as a rash sa dibdib is syphilis, particularly during the secondary stage...

 

pero this is highly unlikely in your case, if you did not manifest any symptoms usually seen in the primary stage of syphilis...

 

if you are sexually active, and you have more than one partner and you don`t practice safe sex, you can have yourself tested for STD`s if you want to...

 

 

 

 

 

:mtc:

:mtc:

[greatliving]

i don`t want to scare you bro, but AFAIK the STD which can manifest as a rash sa dibdib is syphilis, particularly during the secondary stage...

 

pero this is highly unlikely in your case, if you did not manifest any symptoms usually seen in the primary stage of syphilis...

 

if you are sexually active, and you have more than one partner and you don`t practice safe sex, you can have yourself tested for STD`s if you want to...

 

Thanks, may i know what the primary stage of syphillis? how many months to qulaify to be tested on STD? thank you

 

:mtc:

:mtc:

[peterparker]

Primary syphilis is typically acquired via direct sexual contact with the infectious lesions of a person with syphilis. Approximately 10-90 days after the initial exposure (average 21 days), a skin lesion appears at the point of contact, which is usually the genitalia, but can be anywhere on the body. This lesion, called a chancre, is a firm, painless skin ulceration localized at the point of initial exposure to the spirochete, often on the penis, vagina or rectum, but any part of the body that becomes the point of entry for the bacterium may be affected. Rarely, there may be multiple lesions present although typically only one lesion is seen. The lesion may persist for 4 to 6 weeks and usually heals spontaneously. Local lymph node swelling can occur. During the initial incubation period, individuals are otherwise asymptomatic. As a result, many patients do not seek medical care immediately.

 

Syphilis can not be contracted through toilet seats, daily activities, hot tubs, or sharing eating utensils or clothing.

 

You can have yourself tested asap for STD`s but go and consult a physician first before doing so...

 

 

 

 

:mtc:

Edited May 7, 2009 by peterparker