Symptoms After Kissing: What Could They Indicate? - Internal Medicine

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Hello Doctor: I kissed my boyfriend, including French kissing.
On the first to third day, I felt fine, but by the fourth day, my throat started to feel uncomfortable, and I experienced pain on both sides when swallowing saliva.
After that, I developed dizziness, fatigue, nasal congestion with a little runny nose, joint pain when exposed to wind, and I noticed small blister-like bumps near my throat.
I also feel a foreign body sensation in my throat and difficulty breathing.
What could these symptoms indicate?

Xu, 20~29 year old female. Ask Date: 2023/07/16

Dr. Liao Zhongxin reply Internal Medicine


Hello, based on your symptom description, it is recommended that you visit an otolaryngologist, as it could be an upper respiratory infection or another type of infection.

Reply Date: 2023/07/16

More Info


The symptoms you are experiencing after kissing, particularly the sore throat, dizziness, fatigue, nasal congestion, and the sensation of having something in your throat, can be indicative of several potential issues. It's important to consider that kissing can transmit various infections, especially if one partner has a viral or bacterial infection.

1. Infectious Causes: The most common cause of sore throat and related symptoms after kissing is a viral infection, such as the common cold or influenza. These infections can lead to inflammation of the throat, causing pain when swallowing, and can also cause systemic symptoms like fatigue and dizziness. Additionally, kissing can transmit other viruses, such as Epstein-Barr virus (which causes mononucleosis), or even bacteria like Streptococcus, which can lead to strep throat.

2. Allergic Reactions: While less common, allergic reactions can also manifest after close contact. If you or your partner have recently changed any personal care products (like lip balm, mouthwash, or even food), it could trigger an allergic response, leading to symptoms like throat discomfort and swelling.

3. Oral Health Issues: If either partner has poor oral hygiene or existing dental issues, bacteria can be transferred during kissing, potentially leading to infections or irritations in the throat. This could explain the sensation of having "bumps" or "blisters" in the throat, which might be due to irritation or infection.

4. Psychosomatic Responses: Sometimes, anxiety or stress related to intimacy can manifest physically. If you were feeling anxious about the kiss or its implications, this could lead to symptoms like dizziness and fatigue.

5. Post-nasal Drip: The nasal congestion you mentioned could lead to post-nasal drip, where mucus drains down the back of your throat, causing irritation and discomfort. This can also contribute to the sensation of having something stuck in your throat.

Given the range of potential causes, it is advisable to monitor your symptoms closely. If they persist beyond a few days, worsen, or if you develop additional symptoms such as fever, rash, or difficulty breathing, it would be prudent to seek medical attention. A healthcare provider can perform a thorough examination, possibly including a throat swab or blood tests, to determine the underlying cause of your symptoms.

In the meantime, here are some general recommendations to alleviate your symptoms:
- Stay Hydrated: Drink plenty of fluids to help soothe your throat and keep your body hydrated.

- Gargle Salt Water: Gargling with warm salt water can help reduce throat inflammation and discomfort.

- Rest: Ensure you are getting adequate rest to help your immune system fight off any potential infection.

- Over-the-counter Medications: Consider using over-the-counter pain relievers or throat lozenges to manage pain and discomfort.

In conclusion, while your symptoms could be related to a variety of causes, including infections or allergic reactions, it is essential to consult with a healthcare professional for a definitive diagnosis and appropriate treatment.

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