How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Tim, MD Your Own Question

Dr. Tim, MD
Dr. Tim, MD, Board-Certified MD
Category: Health
Satisfied Customers: 870
Experience:  I can help you with General Health questions.
62949540
Type Your Health Question Here...
Dr. Tim, MD is online now
A new question is answered every 9 seconds

29 years old male. ( married one kid) Received unprotected

Resolved Question:

29 years old male. ( married one kid)

Received unprotected Oral Sex for 5 minutes did not ejaculate from unknown person. (4 July 2012)



Here is the symptom history


Tingling in feet hands head and other parts of body (starting day 1 for 7 days) Resolved after taking additional Anxiety medication Neuxam

1- Itching in Testes and Urethera (on and off in first 6 weeks)

2- Inflammation in testes or penis (3 weeks later)

3- Premature ejaculation (3 weeks to 6 weeks)

4- Severe Inflammation in Penis and Scrotum (at 7 weeks ) resolved after taking Novidat (Antibiotic for UTI) and Falgyl in 2 days

5- redness of scrotum (at 8 weeks) taking Ciproxin (Taking Sitz Bath) and resolved after one week also took voren (anti Inflammatory)

6- Inflammation of Rectum (difficulty passing stool (at 9 weeks) continued for one week and reduced itself treated with a Cream

7- Pain on ejaculation (at 9.5 weeks) happened for 3 to 4 times by performing sex or masturbation

8- Inflammation of Knees and joint pain (at 10 Weeks) resolved itself

9- Feeling of tiredness and fatigue (at 11 weeks) continued increases after ejaculation

10- Chest( on heart side) and back pain (at 11 weeks) some times mild, some times increases (I have a history of Panic Attack with chest pain in feb 2011)

11- Hip Joint pain (at 11.5 weeks) continued

12- Heel Pain (at 12.5 weeks)


at almost 3 months (on 1 October 2012) following symptoms are happening (others symptoms are not recurring)

1- hip joint pain, Feeling of mild paralysis in hips
2- knee joint pain, light inflammation after ejaculation

3- chronic fatigue which increases after ejaculation feeling very heavy while standing

4- Heel Pain

5- Chest( on heart side) and back pain (Probably due to anxiety of non Diagnosis, but may be some other reason as it is not going away after taking anxiety medicine)

Urine Analysis clear at 1 week and 3 weeks

HepA/B/C/ HIV clear at 1 week and also again clear at 12 weeks

Uretheral Swab and culture, and Semen analysis and Culture Clear or normal at 8 weeks

Consulted with two urologists (for Penis/ Scrotum/ Prostrate issues) and one Gastroenterologist for Rectum inflammation

No Diagnosis by any of the doctors! Please advise What doctor to see, what further tests to perform, what type on infection or disease this is. Please Help

Have mental Issues
panic attack ( chest pain ) in Feb 2011
Delusions in March 2012
taking medication Zeldox/ Ziprawin, for delusion
anti depressants
anxiety medication Neuxam
Submitted: 2 years ago.
Category: Health
Expert:  Dr. Tim, MD replied 2 years ago.

Dr. Tim, MD :

Hello, I would be happy to help you today - please give me a minute to review your question.

Dr. Tim, MD :

Please give me a minute to review your question.


 

Customer:

hello


 

Customer:

I cant see any answer


 

Expert:  Dr. Tim, MD replied 2 years ago.
Please tell me, were ANY of these symptoms present BEFORE the oral sex?
Expert:  Dr. Tim, MD replied 2 years ago.
Please see my question above - we will continue in this different format.
Customer: replied 2 years ago.

Only chest pain used to happen rarely


 

Customer: replied 2 years ago.

Hello Sir, any idea what kind of infection I am having

Customer: replied 2 years ago.

Please do Give a reply thanks, XXXXX XXXXX a relevant doctor

Expert:  Dr. Tim, MD replied 2 years ago.
I am trying to post an answer, but it keeps blanking out when you post a reply - please give me a minute!
Expert:  Dr. Tim, MD replied 2 years ago.

I agree, there is definitely a concern about an STD from this encounter. One thing that I am thinking might be a possibility is related to gonnorhea. I know that you were tested for this, but it might very well fit. It can become disseminated and go to other parts of the body, and there is a description of it causing a type of arthritis. If you were googling it, you would put in "disseminated gonococcal infection". Here are the test that might be done to diagnose this:

 

1. At least two sets of blood cultures should be obtained from all patients with suspected DGI. Cultures are diagnostic when positive, and are also helpful in separating DGI from other conditions.

 

2. Patients with the clinical features of DGI should have synovial, skin, urethral or cervical cultures, and rectal cultures submitted on Thayer-Martin media. Approximately 50 percent of patients with DGI have positive cultures from one of the last three mucosal sites. If associated urethritis (pain in the urethra) is simultaneously present, a Gram stain of the urethral exudate should be obtained and examined for the presence of the gram negative diplococci characteristic of N. gonorrhoeae infection.

 

So in other words, you need further evaluation. This might involve going back to RE-SWAB the urethra and LOOKING AT IT under a microscope to see if these bacteria are present. If there is significant joint involvement, there might even need to be sampling of fluid from a joint. My strongest recommendation is that you seek an opinion from an INFECTIOUS DISEASE specialist.

 

I hope this is a good start - please let me know if you have more questions and I will continue to help you through this!.

 

Dr. Tim, MD, Board-Certified MD
Category: Health
Satisfied Customers: 870
Experience: I can help you with General Health questions.
Dr. Tim, MD and 5 other Health Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
< Last | Next >
  • I can go as far as to say it could have resulted in saving my sons life and our entire family now knows what bipolar is and how to assist and understand my most wonderful son, brother and friend to all who loves him dearly. Thank you very much Corrie Moll Pretoria, South Africa
  • I thank-you so much! It really helped to have this information and confirmation. We will watch her carefully and get her in for the examination and US right away if things do not improve. God bless you as well! Claudia Albuquerque, NM
  • Outstanding response time less than 6 minutes. Answered the question professionally and with a great deal of compassion. Kevin Beaverton, OR
  • Suggested diagnosis was what I hoped and will take this info to my doctor's appointment next week.
    I feel better already! Thank you.
    Elanor Tracy, CA
  • Thank you to the Physician who answered my question today. The answer was far more informative than what I got from the Physicians I saw in person for my problem. Julie Lockesburg, AR
  • You have been more help than you know. I seriously don't know what my sisters situation would be today if you had not gone above and beyond just answering my questions. John and Stefanie Tucson, AZ
  • I have been dealing with an extremely serious health crisis for over three years, and one your physicians asked me more questions, gave me more answers and encouragement than a dozen different doctors who have been treating me!! Janet V Phoenix, AZ
 
 
 

Meet The Experts:

 
 
 
  • Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
< Last | Next >
  • http://ww2.justanswer.com/uploads/NU/nursescare4u/2013-3-31_03429_JApic.64x64.jpg Nurse Milli, RN's Avatar

    Nurse Milli, RN

    Nurse (RN)

    Satisfied Customers:

    4043
    20 years experience in many areas of Nursing. Both Hospital and Private Practice experience.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Doctor

    Satisfied Customers:

    102
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor (MD)

    Satisfied Customers:

    5622
    Emergency Medicine and Family Practice for over 26 years
  • http://ww2.justanswer.com/uploads/drphophalia/2007-08-23_095626_dr._arun_phophalia.jpg Dr. Arun Phophalia's Avatar

    Dr. Arun Phophalia

    Doctor (MD)

    Satisfied Customers:

    17025
    MBBS, MS (General Surgery), Fellowship in Sports Medicine
  • http://ww2.justanswer.com/uploads/VA/VANP/2012-6-6_235535_Skye2.64x64.jpg A. Schuyler, NP's Avatar

    A. Schuyler, NP

    Nurse Practitioner

    Satisfied Customers:

    12170
    Board Certified NP, MS, RN. Private practice & hospitalist
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Doctor (MD)

    Satisfied Customers:

    10029
    Over 20 yrs of Family Practice
  • http://ww2.justanswer.com/uploads/neurosurg/2009-10-06_120923_profile.jpg Dr. Mark's Avatar

    Dr. Mark

    Doctor (MD)

    Satisfied Customers:

    6234
    U.S. Physician/Surgeon in Neurosurgery
 
 
 
Chat Now With A Health Professional
Dr. Tim, MD
Dr. Tim, MD
Board-Certified OB/GYN
28 Satisfied Customers
I can help you with General Health questions.