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What does burning sensation on buttocks,perenial area, and pins and needles in leg indicate?

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Practicing since : 2006
Answered : 2218 Questions
Hi, I recently had a sexual encounter with someone positive for HSV1 on the forehead. This was shown in blood work. She had no symptoms during unprotected/protected intercourse and oral sex. I'm convinced I have contracted HSV1 because of my symptoms on my genitals from this women. My current worry is the severe burning around my perenial area which lasted a week (was red and inflamed, hurt when walking). This has now moved to my buttocks. Skin is red and it burns throughout the day. No blisters have formed on my buttocks during this time, just a few pimples a dermalogist stated was folliculitis. I have also had frequent below the belt night sweats. (Waking up in sweat below the belt). I now have shooting pins and needles down my right leg (feeling like your foot is asleep). This has lasted all day. Are these HERPES Symptoms?? I recently just took a HerpeSelect IGG test for HSV1 and HSV1 (8 weeks post exposure) and they were both negative. HSV1 : 0.26 HSV2 : 0.04 I also took a IGM test at 3.5 weeks, 6 weeks, and 7 weeks. All negative. Is it just my body hasnt produced enough antibodies? If I am experiencing symptoms, wouldnt my body form an attack and show up on blood work? Do I need to wait until 12 weeks to put this behind me and test again? Again, current concern...burning sensation on buttocks, perenial area, and pins and needles going through right leg. Please advise!! What could this be that could cause these sensations. Has to be HSV1.
Posted Sun, 9 Feb 2014 in General Health
Answered by Dr. Klerida Shehu 1 hour later
Brief Answer: Kindly provide photos of your perineal area... Detailed Answer: Hi, I have read your medical history and understood your complains feeling sorry for the unpleasant moments you are passing. I'll try to help you understand what is causing such problems to you. Before running into conclusions, I'd like to have the pictures of the affected perineal area which is giving burning sensation. Those photos will help me assist you further. There are many causes to burning sensation in the perineal area including: - pinworms or other parasitic infections - candida infection (thrush) - non STDs genital infection - hemorrhoids (if not seen externally; they might be internally) for which I'd suggest to carry some other tests: - abdominal ultrasound - urine analysis - if penile discharge, can do seminal/urethral fluid testing - examination of stool for ova/parasites - culture of stool for candida/bacteria A further evaluation with proctologist is also needed to exclude anal/rectal problems. Looking forward to kindly have the requested photos! Thank you! Dr.Klerida
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Follow-up: What does burning sensation on buttocks,perenial area, and pins and needles in leg indicate? 1 hour later
Dr, please review my photos. First photo represents a penis lesion that was persistant for about 4 weeks off and on. It itched when it arrived and also dried up and peeled. This made me think herpes. But it never blistered or ulcered. Second photo is my perineum. Notice how red and inflamed it is. I two culture swabs done in the area after a single small blistered formed and both came back negative. Last photo is my buttocks. These pimples came from nowhere. They are red as i squeezed them and scratched them. They did not hurt or itch. Could this be herpes? Why are my legs tingly and having those sensations. Blood work up to 8 weeks is negative but i still fear HsV1. What is this? Could my blood work at 8 weeks be a false negative and this show up later? I also took 3 IGM herpes tests at 3.5 weeks, 6 weeks and 7 weeks. Negative. What is causing my symptoms?
Answered by Dr. Klerida Shehu 18 hours later
Brief Answer: Photos indicate mycotic infection (thrush)... Detailed Answer: Hi back, Thank you for sending in the requested photos. Now, let's go through your problems step by step: First photo - The penile lesion could be because of mycotic infection after having intercourse. Your partner should be also evaluated for vaginal infection (mycotic, thrush) and further treated. Second photo - It is also evident for mycotic infection (thrush). Last photo - The pimples are also sign of mycotic infection or due to bacterial infection. No sign of herpes noticed. Tingling legs has nothing to do with your herpes, it might be a sign of being stressed/panic or due to lack of vitamins/minerals (b complex, magnesium). As long as the tests resulted negative, and you do not have any sign of herpes, so no need to worry too much. You can repeat the test again after 12 weeks to stay safe. At the end, all your photos and clinical presentation indicate for candida infection (thrush). You should: - start taking fluconazole 1 tablet on weekly basis - keep a good genital hygiene - apply clotrimazole+metronidazole cream locally to the affected area for at least 10 days - avoid sexual intercourse while on treatment If no improvement within a week after starting therapy, should consult a dermatologist for further evaluation. All the best! Dr.Klerida
Above answer was peer-reviewed by
Follow-up: What does burning sensation on buttocks,perenial area, and pins and needles in leg indicate? 42 hours later
Dr. Klerida, your antibiotic recommendations require a prescription, will I need to see a physcian to acquire these drugs? Also, I have been having night sweats for 2 weeks now. Isnt that a indication my body is fighting something? What is your explanation behind the soaking sweats at night?? I tested negative for HIV at 8 weeks. Also, what feels like my prostate has been throbbing and making me feel discomfort the last few days. Could my prostate being infected cause these symptoms and the ones described?? Finally, i have read many claims of herpes sufferers that leg tingling and pins and needles is a direct effect of the herpes virus as it hides in nerves and can affect nerves in the legs and throughout the body. Not to discredit you, but have you heard of this before? In theory, it makes sense? Please give me your final thoughts on my still leg tingling and numbing, prostate discomfort, and daily night sweats. Are these indications of a new herpes attack? I plan on retesting at 12 weeks, i am assuming it will be negative for herpes if it was at 8 weeks, but something is really wrong with me. Im just trying to figure it out. Ill see a doctor Monday, but in the mean time, id like your thoughts on my additional symptoms and whatcould be the cause if not herpes. Thanks.
Answered by Dr. Klerida Shehu 4 hours later
Brief Answer: Following suggestions for your health problems... Detailed Answer: Hi back, Fluconazole is a systemic anti-mycotic (anti-fungal) drug used to treat fungal infections and not bacterial infections. Yes, you need to take prescription from your physician to take this drug; while, you do not need to take prescription for clotrimazole-metronidazole cream (it is otc drug). Having night sweats means that : - you have an infection at any site of your body which needs to be properly treated - you have a weak immune system (anemia) - you have oscillations in blood sugar level or blood pressure As you may see, there are many diagnosis to rule out after appropriate assessment. To run into conclusion that you have prostatitis, further tests are needed, including abdominal ultrasound, your blood tests (including blood culture), physical examination of abdomen and genitals and urine/urethral fluid analysis/culture. With regards to tingling related to herpetic infection, it can be rule out/diagnosed based on your physical examination as long as the tests for herpes are negative for the time being in your case. The work of a physician needs to have patience and sagicity to take into account the medical history of the patient, related test results and physical examination. The work of an online physician becomes more difficult as it is based on the medical history only (where many data might be absent) and few reports provided. We do our best to assist you find out what might be the causes of your problems, so, it will be much more easier for you to get treatment in time by your physician. At the end, my final notes include as following: - all your medical data and the photos you provide are strongly indicating fungal infection, which might have involved prostate or your genital tract too. - However, further tests including urine analysis, urethral fluid/seminal fluid analysis/culture, abdominal ultrasound, physical examination of your genitals are needed to run into final conclusions. The determination of the herpetic attack would be based on the above-mentioned tests results. Thank you! Dr.Klerida
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