Brief Answer:
Not herpes; Kind of exposure never cause herpes

Detailed Answer:
Hello,

Welcome and thanks for posting your query to the forum.

I can understand your concern for the possibility of herpes after the incidence of sexual encounter with a masseur in Bangkok last week .

After reading your complete query, interpreting the information provided with diligence I reassure you fully that you do not have herpes.

Let me tell you certain important facts related to herpes:

To tell you medically - Herpes lesions manifest itself as multiple closely placed small vesicles (fluid filled blisters) which remains for just a day or two and then forms ulcers which are quite painful. These ulcers then heals in next 5-7 days.

To begin with also these vesicles are quite painful and itchy with discomfort and once the vesicles burst in a day or two then the ulcers which are formed are quite painful for next 4-5 days. So the symptoms can never go unnoticed.
In yourself I can make out that no such symptom is present matching with the above symptoms.

So you can rest assured regarding the rarest possibility of herpes. You can make out that you do not have any of the symptoms which match with herpes or its symptoms or any other Sexually Transmitted Diseases.

In my clinical experience as well as academically speaking kissing for 20 seconds or rubbing or hand job does not cause any such type of lesions which you are telling.
Even if you are worried then can send good resolution pictures of the sores. For that you have a feature on the right side of of the page.

Hope the informations will relax you, if you have any further query I will be happy to help.

Wish you good health
with regards,
Dr. Sanjay Kumar Kanodia
(MD - Skin & Sexually Transmitted Diseases)

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Brief Answer:
No need to worry

Detailed Answer:
My dear young buddy,

Welcome again and thanks for posting your pictures.

After reading your query with diligence and correlating with pictures it seems that you have the problem of "Recurrent Folliculitis". Mind it that the condition is not at all herpes.

To tell you simply about this Recurrent Folliculitis - This is a condition of inflammation and infection of the hair root and oil gland attached to it.

To explain it medically and scientifically in simple words- we have hair all over our body which have opening of the oil glands attached to it. By many a factors these hair root and oil gland can become inflamed and infected leading to folliculitis.

The reason for the inflammation and infection of the area is due to the fact that our body harbor multiple types of bacteria on the skin which are known as “Normal flora” of the skin. A bacteria “Staphylococcus aureus” is also a part of that flora, but as soon as there is some break in the skin or trivially also due to bit ups and downs in immunity, the bacteria gets access into the skin and causes the aforesaid process of inflammation and infection.

When it is superficial it heals without any problem, but when it is deep it causes lot of pain and swelling around the area. In general these persist for few weeks and heal without any problem. After a period of time our immunity prevents the further formation and inflammation.

There are certain important tips regarding your problem:

1. Do not pinch, pop or even try to touch any of the area.

2. Kindly avoid scratching any area of normal skin also, as it leads to minor entry points for the entry of bacteria.

3. Wear cotton clothes and cotton undergarments to be changed two times a day.

4. Maintain proper hygiene and take two times daily bath.

5. Avoid any kind of stress, even for this condition also as stress is one of the very important factor playing role in our immunity (making it low) so prone for infections. Yoga, meditations and simple walk do help a lot in improving immunity.

6. For the present condition now, you can do warm saline compresses (1 glass of water and pinch of salt in it) for 2-3 times a day.

If I were your treating dermatologist then would have suggested you to apply plain antibacterial cream such as fusidic acid or mupirocin (latest is retapamulin) and to take pain killer tablet such as Ibuprofen or paracetamol by mouth for reducing the intensity of pain and redness.

If these are enlarging and painful, then along with above mentioned measures you would require a course of oral antibiotics (best after culture and sensitivity of pus) under medical advice. If at all you take oral antibiotic, then do take proper dose and full course of antibiotics (as improper dosing and schedule leads to antibiotic resistance and then recurrent nature of the situation).

Eat healthy and nutritious food to improve your immunity at its best because is the most important factor in reducing and eliminating any infection from the body.

Now we come on to your point of testing- In your kind of exposure there is no chance that you would get any type of STD. I counsel so many of your kind of cases and have never found any kind of STD in other persons with your kind of exposure.

So first and foremost relax yourself and do not worry. So, as per my experience I assure you fully that you have not contracted any sexually transmitted infection. Therefore at any time if you go for any testing your tests would be negative because of your clear status.

Just relax yourself and do not sit alone. Keep yourself busy, none of your symptoms are realted to any STD.
I am with you as an elder brother to take care of any of your problem and sove any issues related to health.

Just relax young buddy and do not worry. If you have any further questions, I will be happy to help.
Wish you good health.

Regards,

Dr Sanjay Kumar Kanodia
MD- Dermatology & Sexually transmitted diseases

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Brief Answer:
Your test results would be cent percent negative.

Detailed Answer:
My dear young buddy,

Welcome again and thanks a lot for your swift follow up.

First and foremost just relax yourself. You are totally clean and there is nothing to be worried about.

Your testicular pain and anal pain are not related to any sexually transmitted infection. It is just coincidental that you are getting all the small problems simultaneously after the incidence.

In my opinion it is just spasmodic pain which can occur quite usually. Drink lot of water and do not sit for long hours.

for pain during pooping- avoid any spicy food and reduce your stress level.

I am fully confident that your test results would be cent percent negative. Do give me a follow up of negative test reports!!!

Just relax yourself and do not worry. Hope to hear soon form your side for your negative results.

Wish you good health.

Regards,

Dr Sanjay Kumar Kanodia
MD- Dermatology & Sexually transmitted diseases

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Brief Answer:
OD or optical density is never zero.

Detailed Answer:
Hello young buddy,

Welcome again to the forum.

I am really pleased to know that your reports are normal and negative. As i said previously that in my clinical experience all your reports would be negative. The same thing applies to all the tests if done at 5 weeks period.

For declaring you completely negative there is no time better than this. But even if you academically ask then there are different of the time periods for each test. I suggest you to calm down you nerves and relax yourself. In a roughly estimated time we consider 5 to 6 weeks of time for testing most of the issues.

I again firmly declare that in your type of exposure it would be cent percent negative even at 5 weeks testing.

Now for your further query of OD values in herpes- An OD value is an optical density of the test by which we declare the test positive or negative. The serum and the test contents illuminate a light according to its presence or absence of antibodies against particular virus. Even if it is negative then also there is some illumination if light by the test contents which is a normal natural scientific fact. It can not be negative because of the above fact. If the optical density is zero (which actually never happen) then the test is considered invalid.

So you got that it is quite obvious to find your kind values in normal negative test. So do not worry about these values and I assure you fully that the are totally correct and declare you negative.

I hope these informations will relax your mind. I will be glad to answer any further queries.

With regards,
Dr Sanjay Kanodia

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