What causes abdominal pain with anal discharge?

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Posted on Mon, 15 Jun 2015 in Sexually Transmitted Diseases
Question: I have had an anal discharge for about seven weeks and not sure what is causing it. I went to the ER because I was also having painful urination and abdominal pain. They did some blood work and took a urine sample and said it was just a urinary tract infection. They also did an Cat scan to try and figure out the anal leakage. Still not sure why I'm having the discharge. Could it be an STD?
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Answered by Dr. Ralf Von Seckendorff 2 hours later
Brief Answer:
Std possible test for ghonorrhoa, chlamydia, (syphillis) advisable if there was sex. contact

Detailed Answer:
Dear patient,

if you had any unprotected sexual contact, an std is possible. Have you had any? Since you have asked abot it i assume it is possible?

If yes:

1.Chlamydia and Ghonorrhea (more likely) get tested with swap/ pcr test and don't show up in normal urine culture. Azithromycin and Cefuroxim are effective antibiotics.

2. Syphillis (less likely) gets tested with blood work, antibodies show up 3 weeks after possible contact/ infection. Penicillin is the usual therapy which, if the infection is assumed, gets started before waiting the 3 weeks.

I recommend testing for those, especially under 1.), the antibiotics you have gotten so far might not have been effective.

If no:

If that doesnt't lead anywhere, a rectoskopy can be another diagnostic step to rule out non-std conditions like other kinds of inflammations.

Hope this is helping you , if you have any clarificatons you can get back to me, if this was helpful please kindly rate my answer. Best regards
Above answer was peer-reviewed by : Dr. Pradeep Vitta
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Answered by
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Dr. Ralf Von Seckendorff

General & Family Physician

Practicing since :2009

Answered : 535 Questions

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