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Anal infection

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Very embarrassing, however I was called by Health Department to get tested for chlamydia and I went immediately for testing because I just started experiencing anal discomfort/itching the day before. I was given 1g of azithromycin, and after taking it I started experiencing "symptoms" anal discomfort got worst and started having a weird discharge from my anus and a soggy testicle feeling occasionally. Now the discomfort has gotten so bad I can no longer use the bathroom because it burns, my test results came back negative for STDs (chamydia, syphyllis, gonorrhea) but I still have discharge and my anus area is looking very different, as if i did indeed contract an std. I've attached a pic, what do you think is wrong with me?

Category: Sexually Transmitted Diseases(STD)Specialist

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Category: Cosmetic and Plastic Surgeon
 28 Doctors Online


Thanks for posting your query at I can understand your concern.

The anal area looks very infected. It might be a bacterial infection caused by staphylococcus aureus which would be common after an anal intercourse, there are some micro abrasions which allow the bacteria to enter and hence cause the infection. The second possibility is a contact dermatitis with the infection. The contact dermatitis might be due to the condom or the lubricant used.

I would recommend application of neosporin and cortisone cream twice a day for two weeks. In case there is no improvement within three days you will need to get a prescription for a higher strength steroid cream like mometasone and mupirocin cream. Also I would recommend a course of an oral antibiotic for ten days like doxycycline.

This will help in resolving the condition.

Hope this helps, please let me know if you have any queries.

Take care

Dr. Kruti Jobanputra Banodkar
Category: Cosmetic and Plastic Surgeon
Diploma in Dermatology - Royal College Of Physicians & Surgeons Of Glasgow, UK , 2010
Residency - DNB, Dermatology -  K.J Somaiya Hospital, Mumbai, 2009
Medical School & Internship - MBBS - Dr. D . Y . Patil Medical College, Mumbai, 2004
Dr. Kruti Jobanputra Banodkar and 4 other Medical Specialists are ready to help you

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