Fever and Fatigue After Kissing: Possible Causes and Solutions

Fever

Dear Deputy Director,
I have a question that is somewhat difficult to express.
I am thirty years old, and recently, after kissing my girlfriend, I experience fever and general fatigue 1-2 hours later, although my temperature does not exceed 38 degrees Celsius.
These symptoms resolve after 4-5 hours.
This has happened many times, and I have been feeling increasingly uncomfortable.
When we do not see each other or have contact for a few days, I do not experience these symptoms.
A doctor suggested it might be an allergic reaction.
What could be the underlying issue? Do I need further examination? Are there any treatment options available? I would appreciate your guidance.
Thank you.

Xiao Zheng, 30~39 year old female. Ask Date: 2004/02/03

Dr. Zhao Chongliang reply Internal Medicine

The occurrence of symptoms 1-2 hours after the event could certainly indicate an allergy, unlike an infection.
However, due to the absence of itching, rashes, hives, chest tightness, or wheezing, this remains uncertain.
Another possibility is poisoning, which can be due to biological toxins or non-biological toxins.
The human nasal cavity and oral cavity harbor various bacteria, some of which, like Staphylococcus aureus, can easily produce toxins; while non-biological toxins, such as heavy metal vapors, can cause metal fume fever.
Both biological and non-biological poisoning can present with symptoms such as fever and generalized fatigue.
If your girlfriend works at a pharmacy or hospital, a nasal or throat culture for bacteria can be performed.
If she works in a factory, testing for heavy metal levels in blood and urine can be conducted.
Additionally, you can test for non-specific immunoglobulin E and specific allergens.

Reply Date: 2004/02/03

More Info

Experiencing fever and fatigue after kissing can be concerning, especially when it occurs consistently after intimate contact with a partner. While it might be tempting to attribute these symptoms to an allergic reaction, there are several potential explanations that should be considered.

Firstly, it is important to clarify what is meant by "fever." A body temperature exceeding 100.4°F (38°C) is typically considered a fever. Since you mentioned that your temperature does not exceed 38°C, it may be more accurate to describe your symptoms as a feeling of warmth or malaise rather than a true fever. This distinction is crucial, as it can help guide the diagnostic process.

One possible explanation for your symptoms could be a viral infection. Many viruses can be transmitted through saliva, and kissing can facilitate the spread of pathogens such as the Epstein-Barr virus (which causes mononucleosis), cytomegalovirus, or even the common cold virus. Symptoms of these infections can include fatigue, mild fever, sore throat, and swollen lymph nodes. If you are experiencing these symptoms consistently after kissing, it may be worth considering whether you or your partner have been exposed to any infectious agents.

Another possibility is that you are experiencing a form of psychosomatic response. The excitement and emotional intensity of kissing can lead to physiological changes in the body, including increased heart rate and changes in blood pressure. In some cases, this heightened state of arousal can lead to feelings of fatigue or malaise afterward, especially if you are particularly sensitive to these changes.

Allergic reactions are another consideration. While it is less common, some individuals may have allergic responses to substances that are transferred through saliva, such as food particles, medications, or even personal care products like lip balm or toothpaste. If you suspect this might be the case, it would be advisable to keep a detailed record of any products used by both you and your partner before kissing, as well as any other symptoms that arise.

Given that your symptoms have been recurring and are becoming increasingly bothersome, it would be prudent to seek medical advice. A healthcare provider can perform a thorough examination, possibly including blood tests or throat cultures, to rule out infections or other underlying conditions. They may also inquire about your medical history, any previous infections, and whether you have experienced similar symptoms in the past.

In terms of treatment, if an infection is diagnosed, appropriate antiviral or antibiotic therapy may be prescribed. If allergies are suspected, an allergist may conduct tests to identify specific triggers. In the meantime, practicing good oral hygiene and ensuring that both you and your partner are in good health before engaging in intimate contact can help reduce the risk of transmission of infections.

In conclusion, while the symptoms you are experiencing after kissing could be related to a variety of factors, including infections, psychosomatic responses, or allergies, it is essential to consult with a healthcare professional for a comprehensive evaluation. They can help determine the underlying cause of your symptoms and recommend appropriate treatment options. Taking these steps will not only provide you with peace of mind but also help ensure your overall health and well-being.

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