Flu Symptoms or STD Concerns: Your Health Questions

Inquiry about sexually transmitted diseases and flu symptoms?

Hello Doctor, I had unprotected oral sex on May 26, and then on May 29, I developed a high fever (39.6 degrees Celsius).
After visiting my family doctor, I was told it was likely influenza and not related to a sexually transmitted infection (STI), and I was prescribed antipyretics and analgesics.
However, I still feel dizzy, have a sore throat, and experience mild numbness and tingling in my right limbs.
Is numbness and tingling in the limbs a symptom of influenza, or could it indicate an STI? I found information online stating that oral gonorrhea can cause fever and symptoms may appear within 2-10 days.
If I do not recover soon, when should I return for a follow-up? Thank you for your response.

Chen, 20~29 year old female. Ask Date: 2018/06/01

Dr. Ke Zhengqin reply Influenza

Hello! Dr.
Ke has retired, and I am Dr.
Lin Wufu from the Infectious Disease Department here to respond:
1.
Influenza often presents with muscle aches, typically manifesting as generalized body aches or particularly in the back.
It is uncommon for the pain to be localized to one side of the limbs.
Generally, sexually transmitted infections do not cause unilateral limb pain or numbness.
If these symptoms persist, it is advisable to consult a neurologist for further evaluation.
2.
Oral gonorrhea can indeed present with fever and sore throat.
If there was unprotected oral sex a few days prior to the onset of fever, this condition should be included in the differential diagnosis.
The distinction is that influenza symptoms usually improve gradually within about a week, whereas the likelihood of gonorrhea resolving on its own without treatment is very low.
Therefore, if your fever and sore throat persist for more than a week, it is recommended to visit a major hospital for further examination.
Dr.
Lin Wufu, Infectious Disease Department, Taipei Hospital.

Reply Date: 2018/06/01

More Info

It's understandable to feel anxious about your health, especially after a potential exposure to sexually transmitted infections (STIs) and experiencing flu-like symptoms. Let's break down your concerns regarding flu symptoms and the possibility of an STI.

Firstly, the symptoms you are experiencing—fever, sore throat, and dizziness—are indeed common in viral infections like the flu. Influenza can cause a range of symptoms, including high fever, body aches, fatigue, sore throat, and headaches. The fact that your doctor has diagnosed you with flu and prescribed antipyretics (fever reducers) suggests that they believe your symptoms are consistent with this viral infection.
As for the numbness or tingling in your limbs, while it is not a classic symptom of the flu, it can occur in some cases due to various reasons, including dehydration, anxiety, or even a viral infection affecting the nervous system. However, if this symptom persists or worsens, it would be wise to follow up with your healthcare provider to rule out other potential causes.

Regarding your concern about STIs, particularly oral gonorrhea, it is true that symptoms can develop within a few days to a couple of weeks after exposure. Symptoms of oral gonorrhea may include a sore throat, fever, and swollen lymph nodes, but not everyone will exhibit symptoms. If you are still experiencing symptoms after a week or two, or if new symptoms arise, it would be prudent to return to your healthcare provider for further evaluation. They may recommend testing for STIs, including gonorrhea and chlamydia, to ensure that you receive appropriate treatment if necessary.

It's also important to note that anxiety can exacerbate physical symptoms. The worry about potential infections can lead to heightened awareness of bodily sensations, which may cause you to feel symptoms more acutely. This is a common experience among individuals who are anxious about their health.

In summary, while your symptoms could be attributed to the flu, it is essential to monitor your condition closely. If you do not see improvement in your symptoms or if you develop new symptoms, please seek medical attention. Additionally, if your anxiety about your health continues to affect your daily life, consider speaking with a mental health professional who can help you manage these feelings.

To conclude, here are some steps you can take:
1. Monitor Symptoms: Keep track of your symptoms and note any changes or new developments.

2. Follow Up: If symptoms persist beyond a week or worsen, return to your healthcare provider for further evaluation.

3. Stay Hydrated and Rest: Ensure you are drinking plenty of fluids and getting adequate rest to support your recovery.

4. Consider Mental Health Support: If anxiety about your health is overwhelming, consider seeking support from a mental health professional.

Taking these steps can help you address both your physical symptoms and your concerns about potential infections. Remember, it's always better to err on the side of caution when it comes to your health.

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