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    Ask Dr. Gian   ....but read this first

HERPES

SYPHILIS

HPV

FUNGUS

HIV

HEPATITIS

MOLLUSCUM

VAGINITIS
 GONORRHEA CHLAMYDIA

FOLLICULITIS

MISCELLANEA

HERPES

From:
Sent:
To: drgian@stdweb.com
Subject: please help I am really losing it now!!

Hi Dr. Gian,

I am a 38 year old married woman, I have been with my husband faithfully for the past 21 years. I have a host of problems since I moved into my new home 2 1/2 years ago. About 1 month after we moved in I had become really ill. It started with the onset of pain and aches in my legs, thighs and also consisted of headaches and general tiredness. Then it progressed into pain in my left thumb traveling up into my arm. I had these symptoms for about 2 weeks and then blisters popped out on my thumb. Severe pain radiating up my arm landed me in the ER. they diagnosed me with shingles without taking any tests. The dr prescribed valtrex and bextra at this time. About a few days later I had been in such severe pain again and I noticed a red streak going up my arm from my thumb area. Again I ended up in the ER and they determined that I had a secondary bacterial infection which they then prescribed keflex. This infection and treatments caused a host of further issues gynecologically. I ended up seeing numerous doctors for recurring vaginal yeast and bacterial infections. I also was diagnosed a few times with folliculitis on buttocks and thighs. At times I was presented with what I think are prodome symptoms of recurrence. I immediately started taking the Valtrex again and the symptoms subsided within a few days. Just this month I found out that my house has been contaminated with black toxic mold, a pretty bad case of it I might add. We had the entire house cleaned of the mold and was given the thumbs up by the remediation company that things would be fine now. Now almost all of my symptoms are starting again and I am scared to death I will fall back into this pattern of problems. I again started taking the Valtrex and I really am about to lose it completely. I am at the end of my rope. After the first episode I had been tested for every STD known to man. But since I have the history of cold sores the Drs claim that they could not test for hsv because it would automatically come back positive. Please guide me in the right direction.

My questions are: with shingles is there this type of recurrence? or was this more a herpetic whitlow infection?

With hepetic whitlow or shingles do you normally feel symptoms in the thighs and buttocks as I do?

What tests can I have done to finally determine what the heck is really the problem at hand here?

I know that I am not just going insane but this unsurity isdefinately driving me to that state of mind.

I really need your help please answer asap thanks. lost & confused.

 

Hi,

your email gives us the opportunity to review several issues.

1. Herpetic whitlow which is infection due to herpes virus inoculation through exposure to infected body fluids via a break in the skin, most commonly a torn cuticle. Herpes simplex virus 1 (HSV-1) is the cause in approximately 60% of cases of herpetic whitlow, and herpes simplex virus 2 (HSV-2) is the cause in the remaining 40%. Usually this responds well to antiviral medications. I would favor this possibility from your description.

2. Shingles . The first sign is often a tingling feeling on the skin, itchiness or a stabbing pain. After several days, a rash appears beginning as a band or patch of raised dots on the side of the trunk or face. It then develops into small, fluid-filled blisters which begin to dry out and crust over within a few days. When the rash is at its peak, symptoms can range from mild itching to extreme and intense pain. The rash and pain usually disappear within three to five weeks.

3. Toxic Mold Contamination of residential properties by toxic mold and mildew is becoming more and more prevalent and affect both old and new buildings.. Although we have been aware for thousands of years that mold thrives in damp conditions, only recently have we begun to understand how dramatically its presence can impact us. Toxic mold and mildew are very similar. Here are some names of common molds: stachybotrys atra, penecillium, cladosporium and several strains of aspergillius, and here are some symptoms such as asthma, pneumonitis, upper respiratory problems, sinusitis, dry cough, skin rashes, stomach upset, headaches, disorientation and bloody noses. Severe exposures can lead to internal bleeding, kidney and liver failure and pulmonary emphysema. and even cancer.

4. Recurrent vaginal yeast infections. Yeast infections are due to an imbalance of yeast in the vagina caused primarily by an overgrowth of the yeast fungus, Candida albicans. Candida live in small numbers and is always present in women's bodies (men's too). It's also the same fungus that causes diaper rash. Sometimes the normal balance of the vagina is disturbed. When that happens, Candida albicans can multiply, resulting in a vaginal yeast infection

5. Folliculitis on buttocks and thighs. Folliculitis are multiple small pimples or pustules around hair follicles on many parts of the body such as the chest and back, face, scalp, legs and buttocks. This acne-like skin rash can also be very itchy, and like hives, can cause one to scratch enough to cause bleeding and secondary infections.

6. Moving into a new home. Moving is the third most stressful life event, following death and divorce according to the Employee Relocation Council.. Moving disrupts your normal routine and generates feelings of uncertainty as you enter uncharted waters. It is interesting that you and your doctors have not focused on this issue at all. I would have done so and if indeed stress was there I would have wanted to find out why and possibly prevent getting physically involved....and since you say" please help I am really losing it now!!" I urge you to regain control and also consider some talking therapies.

In good health.

Dr. Gian
 

Thanks Dr Gian,

I really appreciate you getting back to me. I am seeking the professional help you describe and other options as well. I'm really grateful for all you do with your helpful informational site. Thanks for being out on the battlegrounds with all of us instead of, like many other doctors, hiding behind their books and degrees all safe and cozy in their fancy offices. It is really refreshing to know that true medical help is only a mouse click away.

Sincerely,

"Losing It"

 

 
From:
Sent:
To: drgian@stdweb.com
Subject: herpes

I have been getting cold sores since I can remember and have always avoided any kissing or oral sex while I've had an actual sore. Last week I had the flu and developed a sore on my bottom lip two days ago. Three nights ago I didn't realize I was getting a cold sore because I always get them in the exact same place, Well I gave my boyfriend oral sex and became concerned the next morning when I realized it was a sore even though it was in a new location on my mouth. I started doing research for the first time about herpes and have come to find out that soooo many people get genital herpes this way. I know at this point from reading that my boyfriend should definitely get a blood test for antibodies, but I have a few more Q's

1: How long should my boyfriend wait to get the blood test, given he doesn't get an actual breakout?

2: If he tests positive, will I always have to use a condom with him to avoid getting this virus genitally? (we haven't had intercourse since the oral sex)

3:Is it possible that I could've been "shedding" in the past and already given him herpes by oral sex? If so Could I have HSV 1 orally AND genitally already?

This last question is really important to me because if I get tested for HSV 1 I'm sure I will test positive because my cold sores, but how will I know if I have it genitally if I've never had a breakout? Thank you so much for taking the time to help others in great need for answers!

D

 

Greetings,

Type 1 Herpes is a very common and easily shared virus. Medically speaking is of no significance. In addition, it has been observed that having antibodies for type 1 Herpes may have a protective effect on having Primary Herpes 2 infections. However when the anatomy changes and the infection occurs in the genitals (over 30% of genital Herpes is of type 1) its meaning and social acceptance dramatically changes.

Question 1: Since there is no breakout you need to establish an arbitrary time zero and than take an IgG antibodies type specific 4 months after that date. Obviously any sexual intercourse may reset the clock.

Question 2: A positive antibody test does not tell you the anatomical location of the virus. However if someone is positive for type 2 antibodies and has never had any symptoms it is likely to have b been infected in the genitals.

Question 3: Yes it "is possible" and yes you "Could"

Question 4: You will not know and....so what?

 

In good health

Dr. Gian

 

From:
Sent:
To: drgian@stdweb.com
Subject: Possible Herpes

Dear Doctor

About three weeks ago, I developed a rash just below my waistline. It is red & developed into pimples. I had been trimming the hair down there as well. I had been working out a lot & sweating down there & often put back on shorts that had not been washed. Since then I have not worked out as much & have been trying to keep area as clean as possible. The outbreak is going down slowly> There has been no pain on the area. I had had protected sex with a partner about a month before this occured. Is this likely a normal rash or could it be a Herpes outbreak?

Thank You

 

Hi,

It could be a Herpes infection. I have seen cases very similar to your description. In such case you should take a culture at the "pimple" stage which can give you a diagnosis and an answer on the typology issue. Do not see a relation to you unwashed shorts. Do an antibody test for Herpes and if the rash reoccurs see a physician.

In good health

Dr. Gian

 

From:
Sent:
To: drgian@stdweb.com

Subject: Question

Dr. Gian,

I am a 35 year-old heterosexual man and I've made a big mistake. I don't want to risk making a second mistake by doing nothing. I've been in a committed 10-year monogamous relationship. However, 48 hours ago I had unprotected sex with a woman acquaintance. She gave me oral and we had intercourse three times over the course of a six hour period. We both feel asleep and I did not urinate until a few hours later.

I am now racked with guilt and perhaps my imagination and guilt is getting the best of me. She is in excellent health and takes great care of herself. With all the STD's that can go unnoticed, I am fearful that there is the possibility that she could have had one that may have been passed onto me. Today, 48 hours after this encounter, I noticed two very small red dots on my abdomen - halfway between my naval and genitals. I have no signs of anything else anywhere else. I have very sensitive skin and have seborriac dermatitis (spelling?) on my chest and back since I was a teenager. A dermatologist has prescribed hydrocortisone cream as needed and it helps a lot. These spots look very similar to the ones on my chest. Should I try the cream on these spots to see if they go away? Is it possible that these spots on my abdomen could be an STD? Like herpes? Would that show up that quickly? I want to be sure so I don't make a second stupid mistake.

Please provide me your thoughts. Thank you.

Hi,

you do not describe other symptoms associated with the "red dots". You need to see the evolution of the dots. Keep herpes in mind. Ask your partner if there is history of fever blister and/or genital herpes and, if you wish take an Herpes IgM test followed later on (3-4-months) by an IgG antibodies test. Using hydrocortisone may decrease the inflammatory response in either the seborroic dermatitis and also in herpes but it si not an antiviral. You could consider also seeing a physician and obtain a swab of the dots and a Herpes PCR test..

Wish you well

Dr. Gian

 

From:
Sent:
To: drgian@stdweb.com

Subject: Hello Doctor

Hi Dr.
I am some one ashamed I suppose because I think I have something but I am unsure and afraid to be told I do.  I am going to get blood work done later in the week, but perhaps you can clear it up for me a little ahead of time?
I have only had unprotected twice, the first time I did this way was with a
partner I had been with for some time, how ever the day after I work with
slight irritation in the penis, however I had not showered because we feel
asleep together.  I cleaned up and never had another problem since. This was almost 4 years past now, but I remember it because I got very nervous from the irritation.

I started a new job and I work very hard and sweat a lot during the hot
days here.  I am uncircumcised so it can get uncomfortable sweating all day long for 8 hours with out taking a shower.  Since I started this job
pervious I had noticed the head of my penis seems to look dried out and
unhealthy.  However now that I work this job I also notice I seem to get a

slight break out of what appears to be small red pimples, maybe the size of a pin head, all around the head of my penis and they seem to last for
extended periods of time when I work harder, and when I don't they go away.  I unload trucks and sweat moving the parts.  When I work unloading a truck this seems to happen no matter if I shower morning and night, or just once, no matter how hard I try to stay clean it seems to break out.  I have been reading up on herpes, and aside from the shedding of skin, which I never have, the bumps seem to sound like herpes.  However the time frame seems irrelevant.  This outbreak or irritation seems to last until be have a week where we don't work hard at all, and within three to four days I look clear of the irritation, and back to the dry looking head.  Due to the irritation sometimes I feel a slight itch, but not very strong, when its clear, it feels normal.
  Does this sound like herpes to you? Possibly something else? Any
suggestions?

Thank you for your help

Hi,

it very much sounds like herpes and I suggest to get tested and see your Dr. for treatment.

In good health,

Dr. Gian

 

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Please remember that the purpose of  these conversations with Dr. Gian  is  that of  information and education only, and that STDWeB.com, its staff  and Dr. Gian  are not engaged through this forum in rendering legal or medical advice or professional services. The information provided is of the general type  only and should not be used for diagnosing or treating a health problem or a disease, or relied upon as legal or other professional advice. This information is not a substitute for professional advice or care. If you have or suspect you may have a health or legal problem, you should consult your own health care provider or your attorney