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Diagnostic test for Syphilis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Sexually Transmitted Diseases
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Hi,
About a month ago, I had intercourse with a girl i didn't know well. During part of intercourse, we didn't use protection (about 5 minutes). At about three weeks from the encounter, i noticed some minor swelling in my groin on the right side, more-so. Over the progression of the week, the swelling didn't change much, however, i began to have lower abdominal pains that were exacerbated by bloating (and relieved by passing gas). I have and continue to examine myself profusely for swollen lymph nodes in fear of having contracted HIV. However, i'm not sure how they would feel differently than regular lymph nodes. None of them are sensitive to the touch, but I can feel several in the inguinal and femoral region that are about pea size or so. I have also examined my neck and throat and I think I can feel a few, but once again, I don't know if that's normal. Would swollen nodes be bigger or more sensitive or should I not be able to feel them at all? Please advise. Thank you!
Doctor :   let me read your query
Doctor :   do u have any discharge, etc from the penis ?
User :   none, and i have had tests for all other stds and they came back negative (chlamydia, etc)
Doctor :   ok
Doctor :   and how large were these nodes in question
User :   well, not large...pea sized or so
Doctor :   and how many do u have ?
Doctor :   have u got any painless ulcers etc ?
Doctor :   and did u get a vdrl TEST done ?
User :   maybe five or six that I can feel, but I've never searched for them before so I dont know how they usually are
User :   no ulcers
User :   what is a vdrl test?
Doctor :   its a test for syphilis
User :   i have not had a test for syphillis...
User :   but i have not had any chancres
Doctor :   then i think , its better to have it
Doctor :   since the nodes indicate sec syphilis
User :   what are the other symptoms of syphillis?
Doctor :   ulcers, and discharge,
Doctor :   and then occasional fever
User :   what about hiv?
Doctor :   hiv, has a long duration of appearance
Doctor :   fever, diarhea, weifht loss
Doctor :   etc
User :   long duration meaning that it lasts for a long time? and what indicates to you that this is syphillis?
Doctor :   the lymph nodes indicate that this could be syphilis
User :   based on their size or number?
Doctor :   size and no - both
User :   it it were hiv, what would be different about them?
Doctor :   yes, i would be large and all over the body
User : I stated in my original post, i have some abdominal swelling in the groin. more so on the right this also indicative of syphillis?
Doctor :   yes
Doctor :   thats a point that made me ask for A aVDRL
Doctor :   TEST
User :   ok, thank you for your help
Doctor :   you are welcome
Doctor :   Do u have any other query?

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