Kissing and Fever: Allergic Reactions and Symptoms - Internal Medicine

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Hello Doctor: I have a question that is a bit difficult to ask.
Recently, after kissing my girlfriend, I experience fever and general fatigue 1-2 hours later, which resolves after 4-5 hours.
This has happened many times, and I have been feeling increasingly uncomfortable.
If we don't see each other or have contact for a few days, I do not experience these symptoms.
A doctor mentioned it could be an allergic reaction.
What could be the issue? Do I need further testing? Is there a treatment available? I appreciate your guidance, thank you.

Zhongnian Nanshi, 30~39 year old female. Ask Date: 2004/02/03

Dr. Zeng Guosen reply Internal Medicine


Hello! Your kiss is truly passionate and wonderful.
I'm not sure if the fever you experienced 1-2 hours later was confirmed by a thermometer or if it was just a sensation of heat.
These two scenarios have different implications.
If it is indeed a fever, please confirm with a temperature measurement.
In that case, please visit the outpatient clinic for an examination to determine the cause, so that appropriate treatment can be provided.
Sincerely, Dr.
Tseng Kuo-Sen, Department of Internal Medicine, Taoyuan Hospital, Ministry of Health and Welfare.

Reply Date: 2004/02/03

More Info


It sounds like you are experiencing a concerning reaction after kissing your girlfriend, which manifests as fever and fatigue shortly after the encounter. This situation raises several possibilities, including allergic reactions, infections, or even psychosomatic responses. Let’s explore these potential causes and what steps you might consider taking.


Possible Causes
1. Allergic Reactions: It is plausible that you are experiencing an allergic reaction to something that your girlfriend has on her skin, hair, or even in her saliva. Common allergens could include fragrances, lotions, or even certain foods she has consumed. Allergic reactions can sometimes cause systemic symptoms, including fever and malaise, although these are typically more localized (like hives or itching).

2. Infections: Another possibility is that you might be contracting a mild viral infection, such as a cold or flu, during your close contact. Some viruses can be transmitted through saliva, and symptoms may not appear until hours after exposure. If your girlfriend has been exposed to any infectious agents, it’s possible she could be a carrier without showing symptoms herself.

3. Psychosomatic Responses: Stress and anxiety can manifest physically in various ways, including fever and fatigue. If you are particularly anxious about the symptoms you are experiencing, this could potentially exacerbate your feelings of discomfort.

4. Environmental Factors: Consider any environmental factors that might be at play. For example, if you are in a setting with poor air quality or allergens (like pollen or dust), this could also contribute to your symptoms.


Recommendations
1. Keep a Symptom Diary: Document when these symptoms occur, how long they last, and any other relevant factors (like what you both ate or any products used). This information can be invaluable for your healthcare provider.

2. Consult an Allergist: If you suspect an allergic reaction, an allergist can perform tests to identify specific allergens. They may recommend avoidance strategies or prescribe medications like antihistamines to manage symptoms.

3. Visit a Primary Care Physician: Given the recurrent nature of your symptoms, it would be wise to consult a primary care physician. They can conduct a thorough examination, possibly including blood tests or other diagnostics, to rule out infections or other underlying conditions.

4. Consider a Dermatological Consultation: If there are any skin-related symptoms (like rashes or irritation), a dermatologist could provide insights into potential skin allergies or irritations.

5. Discuss with Your Girlfriend: It might be helpful to have an open conversation with your girlfriend about your symptoms. She may also want to consult her healthcare provider to rule out any infections or allergies on her end.


Conclusion
While it is understandable to feel anxious about these symptoms, it is essential to approach the situation methodically. By documenting your experiences and consulting with healthcare professionals, you can gain a clearer understanding of what might be happening. Remember, it is always better to err on the side of caution when it comes to health concerns. Your well-being is paramount, and addressing these symptoms with the right medical guidance will help you find relief and peace of mind.

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