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Oral Infection after having oral sex - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Ear, Nose and Throat Problems
Answered by

General & Family Physician
Practicing since : 2004
Answered : 1777 Questions
Doctor :   Hi
Doctor :   I am Dr. here
User :   Hello Doctor
Doctor :   Proceed with your query
User :   Doctor I am contacting you cause I want to understand a symptom I have
Doctor :   Ok
User :   I have been feeling for the last couple of days a stingy sensation in my nose, sometimes in my ear- like it was is mild but sometimes I feel it more
Doctor :   Ok
Doctor :   It is like a feel of congestion I suppose
User :   No at is jujst when I breath feel like I was breathing is not congestion but a feeling of bitterness
User :   I dont know how to describe it
Doctor :   Ok
Doctor :   Have you had any episode of cold recentlty?
User :   no..I have not
Doctor :   Ok
Doctor :   Bitterness can be due a mild infection in the area
User :   what kind of infection doctor?
Doctor :   It could be a viral or a bacterial
Doctor :   like normal rhinovirus
Doctor :   which is the most common cause of Upper respiratory tract infections
User :   Doctor..the thing is this is more complex..last Saturday I met a girl at a bar and unfortunately I was not smart enough and had sex with her...I used a condom but had a few seconds of oral sex...I am very worried...
Doctor :   Ok
User :   I think it can be related...
Doctor :   Yes, that can result in a oral infection
Doctor :   meaning the upper respiratory tract
Doctor :   which involves the throat
Doctor :   and has connection to the ear and nose as well
User :   but I don't have a soar throat as I remember them
User :   it is just this mild feeling..
Doctor :   do you have fever?
User :   it comes and goes....
Doctor :   Ok
Doctor :   if it is along with fever
Doctor :   then it is more inclined towards an infective cause
User :   so far no fever however I took some cold medicine thinking it was this..I might been hiding the fever
Doctor :   Ok
Doctor :   Could you check your temperature?
User :   yes...
User :   give me a sec
Doctor :   Sure
User :   the problem is that I took medice a few hours ago...
User :   so I dont know what is really going on..
Doctor :   Ok
User :   it is 36.3C
Doctor :   If you have taken paracetamol
Doctor :   then the reading cannot be relied upon
Doctor :   anyway 36.3C is within normal limit
User :   yes....
User :   thats the one I took..
User :   should I stop right away?
Doctor :   No need to stop it
Doctor :   You can take it when you have fever
User :   but how would I know if I have fever?
Doctor :   I would suggest you to take paracetamol
Doctor :   for 3 days
Doctor :   and if the fever continues later
Doctor :   then it is better for you to consult a doctor
Doctor :   as it might require certain antibiotics
Doctor :   which have to be taken on prescription
User :   the problem Doctor is that I dont know if I have a fever or not...
Doctor :   Ok
Doctor :   It can be felt and measured
Doctor :   Even feverish feeling is a significant sign
User :   I started taking the cold medicine as soon as I started feeling the sensation I told you..
Doctor :   and cannot be ignored
User :   I dont know the feeling
Doctor :   Ok
User :   What about STDs or even HIV?
Doctor :   I shall explain
Doctor :   HIV is mainly through penetrative intercourse
Doctor :   orally, there are not any cases reported
Doctor :   as the virus cannot survive for long in the mouth
Doctor :   STDs means bacterial, fungal and other viral infections as well
Doctor :   but if it is the normal commensal, that is the vaginal fluid
Doctor :   which can be handled by the immune system
Doctor :   but if it is getting aggravated
Doctor :   then you shall need a good antibiotic
User :   Doctor I didnt understand the normal commensal / vaginal fluid...can you explain a little more please?
Doctor :   the normal bacteria present in the vagina
Doctor :   can cause such symptoms as well
User : I got it....
Doctor :   not just infective bacteria
Doctor :   commensal means normally present
Doctor :   but that is foreign to your body
Doctor :   hence you shall have a reaction
User : what do you think based on my it the bacteria?
Doctor :   it is mainly bacterial
Doctor :   fungal and viral cannot be ruled out as well
Doctor :   but most of the times it shall be bacteria
Doctor :   Hope you are not getting confused
User :   to be honest Ive had the worst days of my life...I am very scared..
Doctor :   I do understand
Doctor :   Ok
Doctor :   that scare itself can produce symptoms many a times
Doctor :   without any underlying problem
Doctor :   so keep your calm
Doctor :   I hope the condom did not get ruptured during the act
User :   yes..I just think of my family and can not cope with the thoughts..
User :   the condom was ok as I remember...
Doctor :   Fine
User :   however how can you be sure?
Doctor :   that is mainly if you have noticed
Doctor :   that is the way to notice it
Doctor :   and be sure
User :   Honestly I didnt check in details..just saw it and the form was ok...Doctor if I take the antibiotics how long until I start feeling better?
Doctor :   You shall feel better
Doctor :   once the infection starts getting better
Doctor :   meaning it starts clearing
Doctor :   you shall feel better
User :   2/3 days or more?
Doctor :   so for now, I suggest you to wait for that time
Doctor :   and then do get a HIV test done
Doctor :   later
Doctor :   HIV does not show up early
Doctor :   but the risk is low
Doctor :   as you had protection
User :   I am asking because I am traveling (this happened during a work trip I am right now)...
Doctor :   and there is no evidence that she was infected
User :   how can you check or get clues if she was infected or not?
User :   I met her the same night at a bar..
Doctor :   Yes, that is what I am telling
Doctor :   that is also not a confirmed one
Doctor :   and hence not to worry much
Doctor :   Did you ask her if she had multiple partners?
User :   I didn't but if she was that loose with me that night I dont expect much to be was a terrible mistake..
User :   I think she was promiscuos
Doctor :   Ok
Doctor :   But not to worry much on it
Doctor :   get it tested
Doctor :   nothing urgent
Doctor :   but get it tested as a preventive measure
User :   I am trying to recharge the account..
Doctor :   Ok
User :   Doctor, any other symptoms that I should be alert for..
Doctor :   Ok, I shall tell you
Doctor :   but not anything for HIV as such
Doctor :   I am telling it for other STDs
Doctor :   It can be discharge from the penis
Doctor :   appearance of skin lesions over it
Doctor :   pain/burning while urination
Doctor :   and continue of fever
Doctor :   which I have explained you before
User :   Thanks....any recommendations for the rest of my trip..I have still a few days before going home..
Doctor :   On a funny note, be careful
Doctor :   do not repeat it
Doctor :   as you can get more apprehensive
Doctor :   other than that
Doctor :   if the fever does not improve
Doctor :   present yourself to a doctor
Doctor :   for the need of antibiotics
User :   I understand completely...sometimes you dont think..I was very studid..I hope I didnt make the mistake of my life..
Doctor :   No problem, do not overthink about it
Doctor :   It is not that serious as per your descriptin
Doctor :   Hence relax, and sleep well
User :   I will try not to....thanks for your support...
Doctor :   And do the necessary steps
User : more this can last for a few days then?
User :   even with antibiotics?
User :   the steps?
Doctor :   After the antibiotics are started
Doctor :   then it shall subside in 3-5 days most of the times
Doctor :   steps meaning the doctor consultation if required
Doctor :   and then the HIV test which I suggested
Doctor :   but that is later
User :   ok...I understand..
Doctor :   not an urgent thing
Doctor :   you can get it done once you return home
User :   but what about my wife?
User :   how long do I have to wait for the test?
Doctor :   6 weeks by ELISA method
Doctor :   No need to wait for the PCR method
User :   Ok.....
Doctor :   you can get it even now
User :   the PCR?
Doctor :   Polymerase chain reaction
Doctor :   that is the method used
Doctor :   ELISA is one more method
User :   yes...I can take this as soon as today? 7 days after the event?
Doctor :   Sure
Doctor :   No need to wait
User :   I will do that as soon as I get back..I need to get this off my soul..
Doctor :   Ok
Doctor :   Do report back to me after the test
User : can you get back to you? I didnt have the chance to choose a doctor..
Doctor :   Ok
Doctor :   You can ask for Dr.
Doctor :   If it is someother doctor
Doctor :   they shall redirect it to me
User :   I will Dr thanks again....
Doctor :   Now it is 7:30 here
Doctor :   I shall be available from 1 to 10
User :   7.30 pm?
Doctor :   Yes
User :   7.30pm?
Doctor :   That is the time now
User :   730 pm?
Doctor :   I dint want to confuse you with am/pm
Doctor :   Yes it is PM now
Doctor :   7:30 PM
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