Specify the exact test to be taken to rule out possible yeast infection?
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Hi, In relation to response that I received from Dr. XXXXXXX I've few follow up questions, 1. what tests should I do to rule out possible Yeast infection that you've mentioned? Could you please specify exact blood test/urine test that I can ask my GP to do for me? 2. The other thing is, it was quite substantial time since I received the antibiotics first time after my exposure, was almost like 15 days or so I took the antibiotic after my exposure, as I did not see the GP thinking drinking water will flush out bacterias. so just wondering, is there anything to do with my current symptoms, could have done any damage to postage gland or something? How just I rule out that there is no kind of infection still present in my body because of that exposure? Here is our past conversation. thanks ! ------------------------ Hi, I believe my query needs to go to STD Sexual Disease specialist please.. ================================================================= I’m 32 yrs old male. I encountered an accident with a masseuse/prostitute on 3 May. We had a naked massage body to body, all over to my body, then something unplanned happened, she licked my anus, gave me oral sex- which was unprotected. We then had sex for 5 min but that was with condom. In about 3-4 days, I was starting to feel pain when urinating, burning sensation etc. somewhat whitish surface on top surface of penis, had unwanted smell on that surface area - no fluid discharge or blood though. I just relied on drinking plenty of water, lots of cranberry juice and did not see GP for about a 10 days. I realized that I might have some sort of infection as pain did not go away and then saw GP finally. She asked for urine test, STD blood test, ultrasound for kidney etc.. and gave me some sort of antibiotics for UTI. Reported attached. No STD infection was found. Kidney ultrasound report looked normal. My major complaint about pain did go away, however I still had some sort of strange tingling and somewhat urine burning feeling. My GP said, things are normal and it is just in my brain, but I still preferred to see a Urologist as I’d a strong feeling that something is not seeming right. And lucky that I saw him. Urologist physically examined me (entered his finger into my anus), on 21 XXXXXXX He suggested, I had some swelling in my prostate grand, he prescribed me Ciprosloxacin 500Mg 14 QTY (2 times/7 days) I did then felt normal and all remaining complaints, pain in urinating, was gone. I was asked to do urine test 7-10 days following the completion of my medicine, it came normal. 26 July, I saw him, he pointed, the Leucocytes got reduced down to 1 from 8 – in two urine tests that I’d done by this time, which he said is a good thing. He declared, I’m all good, also I’m safe to have sex with my wife. So this is the background… From about XXXXXXX I also had a strange tingling feeling in my anus, bit hard to describe but it catches my attention few times in a day. It is not going terrible but I feel like, never ever in my life it caught up my attention at anus. No itchiness, no pain, no burning, no blood evidence in tissue, I can feel skin appears to be normal, but feels like a worm coming out or something. I know it’s not worm but kind of tingling sensation. At early stage in XXXXXXX I’d thought it’s all related, so I did not mention to Urologist. But on 26th July, I mentioned him about this, he said, he can’t think of anything else, I’m all good. I let time go, no change in this anus sensation, I saw him again, 4 Nov, his response stays the same. The other thing is, I have a chronic sinus condition from many years, but in general sinus problem was ok up until, May. From about mid May, I noticed that I seem to continue get post nasal drip (sticky cough, sometimes yellow but generally white) and may be my sinuses are inflamed I think. I observe pain surrounding my eyes. I do have blockage in left frontal sinus from 2 yrs but despite, I did not have post nasal drip before May. I suspect that I’m still somewhat infected, somewhere, it’s just hasn’t been diagnosed properly. When I had flu or viral infection in winter season in past, that is when I used to get post nasal drip. This also makes me feel, some bacteria is still in my body because of this exposure. I don’t have discharge, no marks on penis, no burning pain when urinating but I observed, these days, if I wipe penis tip after urinating, it doesn’t smell so good. I still have a feeling that I might still have some sort of dormant or active bacteria in my body. Per my Urologist, it is just body’s natural bacteria smell, so nothing to worry. Per him, it got to be like a fish smell, with a discharge, etc., which I’m not experiencing so he reckons I don’t need to worry about, and I’m good. But I don’t recall even such smell before the exposure. From 26th July onwards, since Urologist gave me ok, I’ve been having sex with my wife and we don’t use condoms. Beginning Oct, my wife reported, she has been having pain above waist, very bad pain which lasted few days, she then did ultrasound for kidney and urine test per GP but it came normal. No possibility of kidney stone. She experienced warm body for few days, but wasn’t warm enough to be considered as fever. GP said, she is all ok. Currently, she is sort of ok but sometimes I can feel her body warm. Since there was no evidence in her urine, GP didn’t prescribe anything. I don’t know if this means anything to you? Any hint etc.? Note: I experienced warm body in first week of May following exposure but these days, I don’t feel warm and also no fever. No headache, no pain in throat. Based on my blood reports of 26 July, my GP suggested to take 3 injections of Hepatitis B vaccination (20mcg), I’ve already completed 2 so far, next one is due in few months. I’ve repeated HIV 3 times, all negative. Last test was 31 Oct. I've attached all reports that I've done so far. My questions are: 1. How do I find out I’m not still infected in any way with this exposure? What tests can I do? Is there anything should I repeat? What if any blood or urine tests you suggest comes normal? My GP and Urologist suggests that I’ve already had STD tests and they don’t think need of repeating it. I've attached all my reports here that I've done so far. 2. That strange tingling anus feeling, kind of bacterial smell on tissue after wiping the penis tip and my post nasal drip in sinus gives me warming signs, I feel, I should not keep ignoring this and do some tests. Basically eliminate any possibilities of any kind of infection present in body. Please suggest me, how do I eliminate this? 3. If I have any kind of STDs then shouldn’t I get fever? I don’t get fever. 4. I haven’t told my wife about my exposure, so I’m reluctant to tell her doing any STD tests. I feel, if all of my tests comes negative then how come she can get infection from me? 5. In next 3 months, we are also planning for a baby but I wanted to get back to my normal life and get well first. If any precautions that I need to take at this stage before we plan – Ie, doing specific blood test, urine test etc. either for me or for my wife then please advise. 6. Is that okay not to use condom during sexual intercourse with my wife just now ? In fact, I'm not using condom from past few months since Urologist gave me ok that I'm all good. I’m little bit concerned now. Should we also wait for baby planning until I sort out these things. Thanks ! Asked by Me , 4 days ago Doctor's reply to your question above... ----------------------------------------------------------------------------------------- Brief Answer: Oral sex,anal licking carries low risk for STD/HIV Detailed Answer: Hi, Welcome to XXXXXXX Thanks for posting your query. Oral sex has a low risk for STD/HIV when compared to penetrative anal and vaginal sex. Your vaginal sex is a protected one. Oro-anal contact also carries negligible risk for you. Licking the anus will not cause anything inside anus. So the feeling of worms and tingling sensations are not areal one but due to your fear for STD/HIV. Oral anal licking may be likely to cause problem for the licking person rather than you. All the blood and urine tests were within normal limits except that of ANA test which is not related to any of your problem. You mentioned that you had your tests for STD around 10th day after your high risk activity. Better repeat them once again and get things ruled out conclusively. Possibility of yeast infection is there with oral sex and over anus. It can be diagnosed by simple lab investigations and easily can be managed. Sinus problem is not related to your sexual activity. Your wife's abdominal pain also not likely to relate to your sexual encounter. After having tested once again for STD you can continue your relationship with your wife and you can try for your baby. Nothing to worry. Dr S XXXXXXX
Posted Sun, 15 Dec 2013 in Sexually Transmitted Diseases
Answered by Dr. S. Murugan 6 hours later
Brief Answer: KOHmount foryeast,prostaticmassage for prostatitis Detailed Answer: Hi, Welcome back. Yeast can be tested by 1. wet film mounted in KOH . 2. Gram stain dry smear examination 3.culture in Sabraud's medium for yeast fungi. Smears can be take from the surface of glans penis and anus. Regarding prostatitis, your physician can do a prostatic massage and get the prostatic fluid. Examination of prostatic fluid for the presence of bacteria and pus cells by microscopic examination and send the same for culture and sensitivity test will reveal the problem. Semen and urine also can be subjected for microscopic examination for pus cells and for culture and sensitivity test to rule out prostatitis. Consuming plenty of water will wash away the organism if the infection is mild. Get well soon. Dr S.Murugan
Follow-up: Specify the exact test to be taken to rule out possible yeast infection? 10 hours later
Hello Doctor, thanks for your response. Until I get sorted for yeast infection - could you please advise what food should I avoid / what food should I take that will help reduce yeast infection if I'm already having it. I'm eating dry cranberry fruits, drinking plenty of water. Is Beer, wine okay to consume? If you could please suggest home remedies that I can reply on for now then that would be great. Yogurt, Mushroom, Garlic, XXXXXXX Sugar, Tea etc..? thanks !
Answered by Dr. S. Murugan 21 minutes later
Brief Answer: No diet relation for yeast and no home remedies. Detailed Answer: Hi, Welcome once again. There is no food relation to yeast infection. Food will neither cure nor aggravate unless you are having Diabetes Mallitus. Diabetes will predispose yeast infection or aggravate the same. So a tight control of blood sugar level is a must and the diet restriction for Diabetes Mallitus is recommended. Otherwise no other diet restriction is necessary. Likewise there is no home remedy will be able to use for genital yeast infection. Just cleaning with water may be useful to reduce the intensity and the discomfort while avoid soaps or antiseptic applications. This will aggravate the yeast infection. DR S.Murugan
Follow-up: Specify the exact test to be taken to rule out possible yeast infection? 42 hours later
Hello Doctor, You'd mentioned these tests to be done, KOHmount foryeast,prostaticmassage for prostatitis for which I'm soon going to see a doctor. But besides, you mentioned to repeat the STD tests too, could you please specify which STD in particular should I do? I don't have any visibly appearing any sign, mark etc.. on tip of penis or around for your knowledge. when I observe it that looks normal. no fungus mark etc, I meant. thanks !
Answered by Dr. S. Murugan 27 minutes later
Brief Answer: Tests for STD reliable after 4 weeks. Detailed Answer: Hi, Welcome once again. Once I again assure you that oral sex and somebody licking your anus carries a low risk for HIV/STD. You had undergone so many test already. The tests done for STD 10 days after the sex contact would not be able to detect some of the infections like Syphilis, Herpes simplex or hepatitis if they were present. All these blood tests are detecting the antibodies against these infections. Antibodies against Syphilis will take not less than 4 weeks to appear, Herpes may take 3-4 weeks to appear as also with hepatitis. So there are every possibility to miss these infections even in the absence of any obvious signs (quite possible),if it had been done at 10 days after the possible high risk contact. So these tests become more reliable after 4 weeks after the possible infection either to confirm or to rule out. So only I mentioned that these have to be repeated. I hope that you got my point. DR S.Murugan