STD Risks and Symptoms After Recent Travel - Urology

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Sexually transmitted infections (STIs) issues?


I have a history of herpes.
Last Friday (July 19), I went on vacation to the Philippines with friends and engaged the services of two women.
I used condoms throughout (including for oral sex), and both women provided services.
The night before, I ate one raw oyster and drank alcohol.
The next morning (Saturday, July 20), I woke up with diarrhea (watery), and I continued to have watery stools throughout the day.
After returning home that night, I didn't cover myself with a blanket and had the fan blowing on me.
The next morning (Sunday, July 21), I woke up with mild cold symptoms (possibly from getting chilled).
By the afternoon, I noticed a recurrence of herpes on the left side of the base, with redness, swelling, and itching.
I continued to have watery stools all day, and in the evening, I discovered slight swelling in the lymph nodes in my left groin, while the right side was unaffected.
As of today (Thursday, July 25), I still have bloating and abdominal pain (which I forgot to mention earlier), and my stools remain watery.
I have mild cold symptoms, but they are not very pronounced and are gradually improving.
I feel a bit nauseous and slightly sensitive to cold (but I don't feel cold when directly under the air conditioning).
I have a feeling of pressure in my head.
Given these symptoms, could this be caused by a sexually transmitted infection, or are there multiple factors involved? I found out that raw oysters can potentially cause norovirus, and I'm unsure how to explain my situation at a hospital abroad (my English isn't very good)...
I wanted to ask first.

Mr. N, 20~29 year old female. Ask Date: 2019/07/25

Dr. Du Shixi reply Urology


Hello: Symptoms from sexual activity, aside from urinary tract infections, typically do not appear within a few days.
It is advisable to consult with a specialist in another field.
Wishing you good health.

Reply Date: 2019/07/25

More Info


Based on your description, it seems you are experiencing a combination of symptoms following a recent trip, including gastrointestinal issues, cold-like symptoms, and a recurrence of herpes. Let’s break down your concerns regarding the potential risks of sexually transmitted diseases (STDs) and other factors that could be contributing to your current health status.

Firstly, it’s important to note that while you engaged in sexual activities, you mentioned that you used protection (condoms) throughout. This significantly reduces the risk of transmitting or contracting STDs, but it does not eliminate the risk entirely. Condoms are effective in preventing many STDs, including HIV, gonorrhea, and chlamydia, but they may not fully protect against infections that can be transmitted through skin-to-skin contact, such as herpes or human papillomavirus (HPV).

Given your history of herpes, the recurrence of symptoms in the form of redness, swelling, and itching in the genital area could indeed be related to a herpes outbreak. Stress, illness, or even changes in your immune system can trigger such outbreaks. The fact that you experienced gastrointestinal distress (diarrhea) and flu-like symptoms could indicate that your body is under stress, which might have contributed to the herpes recurrence.

Regarding your gastrointestinal symptoms, the consumption of raw oysters can pose a risk for foodborne illnesses, including norovirus, especially if they are not sourced from reputable suppliers. Symptoms of norovirus infection typically include watery diarrhea, vomiting, stomach cramps, and sometimes fever. The timing of your symptoms, starting the day after eating oysters, aligns with this possibility. Additionally, the combination of drinking alcohol and consuming raw seafood can further irritate your gastrointestinal tract.

The swollen lymph node in your left groin could be a response to the herpes outbreak or could indicate another underlying infection. Lymph nodes often swell in response to infections as they filter out pathogens. If the swelling persists or worsens, it would be advisable to seek medical attention.

Your cold-like symptoms, including mild fever and chills, could be a separate viral infection, possibly exacerbated by your recent travel and exposure to different environments. Air conditioning and exposure to cooler temperatures can sometimes lead to respiratory symptoms, especially if your immune system is already compromised due to stress or illness.

In summary, while your symptoms could be related to a herpes outbreak, they may also be influenced by gastrointestinal issues from the oysters and a potential viral infection. It is crucial to monitor your symptoms closely. If you experience worsening symptoms, such as severe abdominal pain, persistent diarrhea, high fever, or if the herpes symptoms do not improve, it is essential to seek medical attention.
If you are concerned about STDs, consider getting tested once you return home, as many STDs can be asymptomatic. Testing is the best way to ensure your health and the health of your partners. In the meantime, maintain good hydration, rest, and consider over-the-counter medications to alleviate your symptoms. If language barriers are a concern when seeking medical help abroad, consider using translation apps or seeking assistance from someone who can help communicate your symptoms effectively.

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