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Suggest Treatment For Painful Urination, Swollen Lymph Nodes And Red Sores

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Posted on Wed, 22 Oct 2014
Question: I have reddish sores on penis notices after having sex with a girl who's 18. I had swollen lymph nodes and pain in urination. She got checked and had a uti. I got checked and had a negative test and negative cat scan
doctor
Answered by Dr. Karen Steinberg (3 hours later)
Brief Answer:
It could be herpes.

Detailed Answer:
Hi, thank you for using Healthcare Magic. The sores look like herpes. You said you had a negative test, but you don't say what the test was for. There are specific tests for each type of STD. Also, sometimes you can get more than 1 STD at the same time. The doxycycline could be treating something like chlamydia but wouldn't do anything to help herpes.

What was the CAT scan for? This is not commonly done for possible STDs. There are other less common STDs that can create sores and swollen lymph nodes. Were they looking for lymph nodes inside your pelvis?

I'd recommend you get tested for herpes, syphilis, and other less common STDs. Ask about lymphogranuloma venereum and chancroid. This will involve more specific testing and different treatment. Hope this answers your query. If you have further questions, I would be happy to answer them.
Above answer was peer-reviewed by : Dr. Yogesh D
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Follow up: Dr. Karen Steinberg (1 hour later)
The spots don't hurt. I never had discharge. The girl had a uti

I had a urinalysis. He said he was checking for herpes and it came back negative
doctor
Answered by Dr. Karen Steinberg (14 minutes later)
Brief Answer:
Check for the other STDs I mentioned.

Detailed Answer:
If all you had was a urinalysis, it is not adequate to test for herpes or the other infections I mentioned. For syphilis you need a blood test. Herpes can be tested by taking a sample from the sores to see if it is present. A blood test can also be checked. The other infections need special culturing techniques. It doesn't sound like you had these.

Also, it is possible the girl had a UTI, but some STDs like chlamydia can appear just like a UTI, with the same symptoms and urinalysis results. If they did not check specifically for these (gonorrhea and chlamydia can be checked with a urine test, so maybe they did that), then she also might need further testing.

People can carry the chlamydia and gonorrhea bacteria without having symptoms such as discharge. So unless these were specifically tested on the urine sample, you could still have one of them. However, the spots on your penis are not typical of those infections.

Consider getting checked for the other infections I mentioned. Untreated syphilis can stay in the body and cause damage months or even years later.
Hope this helps.
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
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Dr. Karen Steinberg

Internal Medicine Specialist

Practicing since :1981

Answered : 824 Questions

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Suggest Treatment For Painful Urination, Swollen Lymph Nodes And Red Sores

Brief Answer: It could be herpes. Detailed Answer: Hi, thank you for using Healthcare Magic. The sores look like herpes. You said you had a negative test, but you don't say what the test was for. There are specific tests for each type of STD. Also, sometimes you can get more than 1 STD at the same time. The doxycycline could be treating something like chlamydia but wouldn't do anything to help herpes. What was the CAT scan for? This is not commonly done for possible STDs. There are other less common STDs that can create sores and swollen lymph nodes. Were they looking for lymph nodes inside your pelvis? I'd recommend you get tested for herpes, syphilis, and other less common STDs. Ask about lymphogranuloma venereum and chancroid. This will involve more specific testing and different treatment. Hope this answers your query. If you have further questions, I would be happy to answer them.