Is abdominal pain a sign of a sexually transmitted infection?
I had an encounter with a female online friend in March of this year.
We did not have sexual intercourse; I engaged in digital penetration for about 30 seconds, touched my own genitals, and she performed oral sex on me without a condom.
We also kissed afterward.
If the female partner has vaginitis, candidiasis, or other sexually transmitted infections, can these be transmitted orally to the stomach and intestines? I have been experiencing abdominal pain for six months with ongoing weight loss, and I have seen a doctor for tests, but they did not inquire further.
I have read that amoebic dysentery, bacterial vaginosis, hepatitis A, and hepatitis C can be transmitted through sexual activity and oral contact, potentially causing gastrointestinal discomfort.
Recently, I suddenly developed a fever and my ears feel particularly hot.
Could these issues be related? I apologize for writing so much; it’s quite concerning.
Hsiang Chuan, 50~59 year old female. Ask Date: 2021/10/17
Dr. Lin Wufu reply Internal Medicine
Hello: Indeed, some infectious diseases can be transmitted through sexual contact or oral contact (mainly the ones you mentioned), but they would not typically present with abdominal pain lasting six months.
Abdominal pain has many differential diagnoses and is likely unrelated to that instance of sexual activity.
If you are concerned, it is advisable to visit an infectious disease specialist or a gastroenterologist for further examination and screening.
Reply Date: 2021/10/17
More Info
Abdominal pain can indeed be linked to sexually transmitted infections (STIs), although the connection may not always be direct. In your case, it’s important to consider several factors regarding your symptoms and the potential risks associated with your sexual activities.
Firstly, while you mentioned that there was no penetrative sexual intercourse, the act of digital penetration and oral sex can still pose a risk for STIs. If your partner had an active infection, such as bacterial vaginosis or a yeast infection, there is a possibility of transmitting certain pathogens. However, common STIs like chlamydia, gonorrhea, and trichomoniasis are primarily transmitted through genital contact, and their transmission through oral sex is less common but still possible.
Regarding your concerns about infections such as amoebiasis or hepatitis A and C, these are typically transmitted through fecal-oral routes or through blood, respectively. Hepatitis A can be transmitted through oral contact with contaminated food or water, while hepatitis C is primarily spread through blood-to-blood contact. The likelihood of contracting these infections through the activities you described is relatively low, but it is not impossible, especially if hygiene practices were not followed.
Your ongoing abdominal pain and weight loss are concerning symptoms that warrant further investigation. Chronic abdominal pain can arise from various conditions, including gastrointestinal issues such as irritable bowel syndrome (IBS), inflammatory bowel disease (IBD), or infections. If you have not yet undergone comprehensive testing, it would be advisable to consult a gastroenterologist who can perform necessary evaluations, including blood tests, imaging studies, and possibly endoscopic procedures to assess the health of your gastrointestinal tract.
The sudden onset of fever and increased warmth in your ears could indicate an infection or inflammatory process in your body. It is crucial to monitor these symptoms closely, as they may suggest a systemic infection that requires prompt medical attention. If you experience additional symptoms such as nausea, vomiting, diarrhea, or severe pain, you should seek medical care immediately.
In summary, while STIs can be linked to abdominal pain, the specific connection in your case may depend on various factors, including the nature of your sexual activities and any underlying health conditions. It is essential to communicate openly with your healthcare provider about your symptoms and sexual history to facilitate accurate diagnosis and treatment. Additionally, practicing safe sex, including the use of condoms and regular STI screenings, can help reduce the risk of infections in the future. If your symptoms persist or worsen, do not hesitate to seek medical attention to ensure that any potential issues are addressed promptly.
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