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Rashes, possibility of STD - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: HIV and AIDS
Answered by

General & Family Physician
Practicing since : 2009
Answered : 630 Questions
User :   hello
Doctor :   Hi
User :   i was just online with another doctor
Doctor :  
Yes it is me again
User :   ok great
Doctor :  
yeah, as I have told you about the possibility of the HIV
Doctor :  
in case of unprotected vaginal intercourse
User :   i thought you needed to have a tear
User :   or some sort of bleeding
User :   to catch it
Doctor :  
No need
User :   oh my god
User :   so i must have it
User :   why else would i get a rash?
Doctor :  
Herpes
User :   could this be a yeast infection?
Doctor :  
Syphilis
User :   oh my god
User :   i really went and did it to myself didnt I?
Doctor :  
Do not panic
Doctor :  
to hear all this stuff
User :   but it has to be one of these nasty things
User :   how about yeast?
Doctor :  
I am not sure about that as you do not have other symptoms
User :   what would they be?
Doctor :   A Dermatologist can help you
User :   is there one available here?
User :   are you in Canada?
Doctor :  
You can take as an E opinion
User :   what is an E option?
Doctor :   WWW.WWWW.WW
Doctor :  
You will get the reply
Doctor :  
within 24 hours
User :   so doctor do you think
User :   that when my cbc results come back if i have hiv it will show something?
User :   that will prompt my fammily doctor to do further testing?
Doctor :   No it may not show up
User :   i see
Doctor :  
unless you do specific ELISA for HIV
User :   i see
User :   i want to cry
User :   and it would not show symptoms for 4 years?
Doctor :  
No no
User :   or even better 9 years?
User :   no no meaning
User :   no
User :   ?
Doctor :   You do not panic
Doctor :  
You should not even till the time you have the CBC results
Doctor :  
if there is an infection it shows up
Doctor :  
but may not be HIV specific
Doctor :  
If the Cbc shows infection
Doctor :  
then the Doctor might probe in for ELISA for HIV
User :   i have applied the cream already
User :   it says 4 times per day
Doctor :  
Ok
Doctor :   What is your name?
User :   Rick
Doctor :  
Rick, let me say you one thing
User :   ok
Doctor :   The problem is not identified yet, many are fortunate to escape from these disease even though they have had high risk sexual encounters
User :   are you in canada?
Doctor :  
No I am in India
User :   ok
User :   go on doctor please
Doctor :  
Now let the lab reports come
Doctor :  
which will tell us if you have an infection or not
User :   ok
Doctor :   let me know the results and then we will decide further
Doctor :  
how to go about it
User :   i should tell my partner that I have a bit of a rash
User :   im so scared
Doctor :  
Abstain from the sex
Doctor :  
for sometine
Doctor :  
not even the protected one
User :   of course
User :   i only had sex once in the last year and a half
User :   honestly
User :   i have been single for a long time
Doctor :  
Ok
Doctor :  
No problem
User :   so you dont think there is a possibility that the antibiotic could have caused this
Doctor :   What is the antibiotic?\
Doctor :   I do not think so
Doctor :  
because if the antibiotic causes, it is a generalized rash on the entire body
User :   i see
User :   dont remember the name but it was for my strep throat
User :   and online i found it was also used to cure gonorrhea
User :   :(
Doctor :  
usually it is pencillin class
Doctor :  
if for strepthroat
User :   it was APO something
Doctor :  
Pencillin has the side effect of rash but it is not localised
Doctor :  
Ok when are the lab reports to arrive?
User :   i took blood test two weeks ago
User :   not last tuesday, the tuesday before that
Doctor :  
The lab results come within days of the test
User :   i called my doctor 3 days ago and they were not in yet
Doctor :  
I do not know the reason why yur doctor is not revealing them
User :   the secretary told me they were not in yet
Doctor :  
Anyway if there is a problem he will let you know
User :   im sure
Doctor :  
I do not think there is any abnormality in them
Doctor :  
that is why they have not called you
Doctor :  
What do you say?
User :   and if there is no abnormality do i assume i dont have either herpes or HUV?
User :   HIV
User :   HIV
Doctor :  
You may not safely do that but that clears one thing
Doctor :  
that you do not have a current disease
User :   which one thing doctor?
Doctor :  
I do not know if your Doctor has asked for HIV test or not
User :   not sure
Doctor :   so we cannot comprehend anything now
Doctor :  
unless we know the report
User :   it did say immunology
User :   immunology, Hep a b and C
User :   why would he check Hep C and not HIV?
Doctor :  
Immunology test have ELISA for HIV generally
Doctor :  
I am not sure of
User :   I sincerely dont know what to think
User :   and it kills me that my doc office is closed till tuesday
User :   so you dont think vaseline could have triggered a reaction?
Doctor :  
might be
Doctor :  
but do not use it
Doctor :  
again
User :   i wont
Doctor :  
I wish you use LACTOCALAMINE lotion instead
Doctor :  
to ease the itching
User :   its more a slight burn then an itch
User :   im not tempted to scratch
User :   at all
User :   very very slight
User :   i would call it more like a "discomfort"
User :   will LACTOCALAMINE get rid of the red dots?
Doctor :   it helps reduce the burn
User :   ok i will go buy some right now
Doctor :  
I guess you have to take an opinion from Dermatologist

Doctor :   Hi
User :   im back doctor
User :   still you?
Doctor :  
Hi
User :   hi
User :   is it still the same doctor?
Doctor :   No, the previous doctor has left for the day.
Doctor :  
You may continue, I shall be able to guide you further.
User :   do you know what im calling about?
Doctor :   Yes, I have gone through your previous chat history.
Doctor :  
Have you followed what suggestion the doctor has mentioned till now.
User :   ok so the previous doctor asked me to purchase Lactocalamine
Doctor :  
Yes.
User :   i also told him that i was in possession of another cream in the meantime
User :   i already applied the other cream earlier
Doctor :   It is soothening agent,and able to relieve the itching.
User :   the lactocalamine ?
User :   or the cream i had?
Doctor :   Lactocalamine.
Doctor :   May I know who advised that cream?
User :   my family doctor
Doctor :  
Ok.
User :   not regarding this condition though
Doctor :   Ok.
User :   i had an inflamation around my anus caused by fistulae
Doctor :  
Ok.
User :   and bleeding during bowel movements
User :   should i wash the other cream off and apply the lactocalamine?
User :   or do i apply them together?
Doctor :  
Betamethasone cream is a steroid.
User :   ok
Doctor :  
It can sometime flare up the condition if the is a bacterial infection.
Doctor :  
Hence I would recommend you,
Doctor :  
not to apply the medication, if you see the condition worsening with the cream.
Doctor :   I had seen the photograph you had sent to us.
User :   ok
User :   what do you think
User :   of course my biggest fear is herpes or HIV
Doctor :  
The red rashes seems more secondary to the reactive changes.
User :   what does that mean doctor?
Doctor :  
I shall explain that.
User :   please
Doctor :  
Reactive changes can occur on the skin either due to contact with an allergen, extensive rubbing or secondary to an infection too.
Doctor :  
It is may not suggestive of a sexually transmitted infection though.
User :   thats good news
Doctor :  
But a dermatologist would be able to tell you the exact cause after an examination.
Doctor :  
Hence, betamethosone is effective in the first two causes, but if it is an infection then it may flare up.
Doctor :  
Hence I would suggest these two possible course of action.
Doctor :  
1. You may try the lactocalamine cream for the next 1 week along with
Doctor :  
the betamethasone creams.
User :   ok
Doctor :  
If the cream is helping you then you can continue with the cream for 3 days.
Doctor :  
But if there is worsening of the condition, then you have to stop it.
User :   so there is no direct link between HIV and these reactions?
Doctor :  
2. The second possible course of action would be a physical examination by a doctor.
Doctor :  
It does not seem to be related to HIV as you do not have any other symptoms and the symptoms are too short to suggest that.
Doctor :  
Hence I would suggest you to relax.
User :   i purchased this cream made by acompany called Aveeno the medical ingredients are
User :   calamine 3% and pramoxine HCI 1%
Doctor :   You can get the HIV test ELISA or the HIV DNA PCR test as a precautionary test.
User :   but you wouldnt panic if you were in my position?
Doctor :   You mean the lactocalamine cream?
User :   yes
User :   i didnt find anything that said lactocalamine
Doctor :  
Panicking will only make your symptoms more.
User :   this was the closest thing
Doctor :  
You need to understand that stress and anxiety can some time worsen the condition.
User :   how so?
User :   i suffer from anxiety
Doctor :  
hence the best would be to relax and get the test.
User :   have suffered from anxiety for the last 10 years
Doctor :  
Acute stress, anxiety and panicking can cause reflex hormonal changes
User :   doctor i just applied the calamine cream it burns
Doctor :  
that can worsen the condition.
User :   ouch
Doctor :   Lactocalamine solution initially burns for some time and will soothen soon.
Doctor :  
So do not worry.
User :   ok
Doctor :  
Apply the cream, get the test done and most importantly
Doctor :  
You need to relax and do not panick
Doctor :  
Have you followed?
User :   so you dont think the odds of contrating HIV with two encounters are high?
User :   yes i applied
Doctor :  
* I mean panic.
User :   4 and 9 years ago
User :   i mean i would have shown symptoms earlier or not?
Doctor :  
The chances that these symptoms are a sign of the HIV are only 5% may be less than that.
Doctor :  
You would have had far worse symptoms if you have been having HIV now.
Doctor :  
Symptoms like recurrent sorethroat,
Doctor :   Unexplained weight loss,
User :   i feel perfectly fine, I just had sorethorat but i get it maybe once a year
Doctor :  
Lymphnode and many more.
User :   i see
Doctor :   Yes, that is what I meant.
Doctor :  
Your symptoms may not be related to the HIV.
User :   doctor one more question
Doctor :   Please proceed.
User :   doesnt herpes have a distinctive appearance with pus filled blisters?
User :   or liquid filled?
Doctor :   I commonly appears as pus filled, clusters of blisters.
User :   ok so i should rest assure that this is not it
Doctor :   Sporadic lesions are uncommon.
Doctor :  
Yes, that is the best possible way of treating the condition.
User :   these are not lesions, they are tiny red dots surrounded by a red shoadow i guess
Doctor :  
Hence i suggest you to use the lactocalamine cream, get the test done.
User :   the Elisa test
Doctor :  
I have seen the picture and it does not seem like one with Herpes
User :   not last tuesday, the one before i did cbc
User :   i called my fam doctor last thursday and they had nothing back yet
Doctor :  
Ok
Doctor :   Do you have any other query?
Doctor :  
Are you there?
Question is related to
Diseases and Conditions
Lab Tests
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