Syphilis

Syphilis is a bacterial infection, which causes painless sores in the genitals, rectum, and mouth. It is commonly spread through sexual contact. Once infected, the bacteria can be dormant for years without causing any symptoms before getting active.

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What are the risks of treating a dental patient with a red syphilitic rash?

Query: Hello doctor, I am a dentist, and I had a patient with a secondary syphilis stage two days ago. I only saw it after the procedure that he is affected. What I did was merely an examination of his teeth, and no drilling, wind, etc. But I touched his saliva, and from what I understood later after seein...  Read Full »


Dr. Peter Grutas

Internal Medicine Physician, General Medicine Physician

Answer: Hello, Welcome to icliniq.com. Thank you for reaching out. I understand your concern. Based on what you presented, your risk is very low since you did not touch the lesion itself, and you were wearing gloves; therefore, there was no skin to skin contact. It is least likely you could have gotten s...  Read Full »

Why is there a white round patch in the tongue with reflux symptoms?

Query: Hi doctor, I am very healthy, 36 years old, with 180 lbs and a height of 6.4 feet. I usually exercise regularly. Three years back, after a stressful year, and switching to a vegan diet for several months, I had nagging reflux symptoms (sore throat, sore tongue, colored tongue, and bitter taste). So...  Read Full »


Dr. Zubayeralam

Family Physician, General Medicine Physician, General Practitioner, Pulmonologist, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. Thank you for the query. I can understand your concern. According to your statement, you may be suffering from nagging reflux symptoms like sore throat, sore tongue, colored tongue, and bitter taste with a white patch on the tongue. According to the picture (attachmen...  Read Full »

I am concerned about my reactive TPHA result. Does it indicate STD?

Query: Hello doctor, In a routine VDRL test, I tested positive. We checked for HIV and syphilis. HIV was negative, while the TPH test was reactive. I underwent a therapy of penicillin two shots before ten months, one the next month and one more the following month with three weeks gap between each. I r...  Read Full »


Dr. Zubayeralam

Family Physician, General Medicine Physician, General Practitioner, Pulmonologist, Internal Medicine Physician

Answer: Hi, Welcome to icliniq.com. I can understand your concern. According to your statement you have recently done TPHA (treponema pallidum hemagglutination assay) test and shown reactive (1:80). A reactive TPHA test most likely indicates infection by T.Pallidum but is not sufficient to determine dise...  Read Full »

Do small lesion in anus suggesting syphilis needs immediate medical attention?

Query: Hello doctor, I have been having rashes on my hands, forearms, trunk, and feet for four weeks now. The rashes on my hands and feet have lesions. The rashes are not itchy, except for those with lesions. I also have a small wound (or sore) on my anus, which has been there for three weeks now. I beli...  Read Full »


Dr. Aleph

General Practitioner, Family Physician

Answer: Hello, Welcome to icliniq.com. Prior to the onset of rashes did you observe any lesion or wound on your penis? Or sexual encounter with someone who had such? May I ask questions about your sexual history? How many sexual partners have you had? Male or female? Are you aware of your partner's promiscu...  Read Full »

What could be the lump in vagina with itching, soreness and discharge?

Query: Hello doctor, I am a 33-year-old female. I am concerned about a lump on my genital area and I am very worried it is a wart. I have had this problem on and off for about eight months now. I also have vaginal itching, soreness, and discharge. I visited a sexual health clinic and they said it was not...  Read Full »


Dr. Hari Pathave

Dermatologist, Venereologist

Answer: Hi, Welcome to icliniq.com. Please provide me dome details. Do the blisters appear first then this type lump? Is it painful? Does every time you get only one such lump or multiple also? Do you have any fever? Have you noticed small blistering anytime? It will help me figure out your problem. For ...  Read Full »

Can kissing cause syphilis?

Query: Hello doctor, I have a question about syphilis. I am 29 years old, female. I am not sexually active but I got engaged recently and my fiancé had previous relationships. He only kisses me sometimes which I am worried that by kissing some disease might be transferred to me from him. I got ...  Read Full »


Dr. Peter Grutas

Internal Medicine Physician, General Medicine Physician

Answer: Hello, Welcome to icliniq.com. Syphilis cannot be transmitted through kissing. It is only transmitted through oral, anal and genital sex. However, syphilis can cause oral ulcers. If you kissed someone with an active oral ulcer, then the risk of getting syphilis through kissing may occur. Is there ...  Read Full »

What are the possible infections occur from anilingus?

Query: Hi doctor, I visited an Asian massage parlor and received anilingus and a whole body tongue massage on an exposed pimple on my back that was slightly bleeding from irritation during the massage. After the massage, I immediately showered with soap. Am I at risk for any STDs or STIs? I do not current...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Rabies can only be transmitted only if she is infected and her saliva is having rabies viruses. So rabies is not a concern because probably she is not infected as she is not having any symptoms. If she does not develop any symptoms for another ten days then it is hig...  Read Full »

What does a genital wart look like?

Query: Hi doctor, I had a protected sex with escort 15 days ago. We did not kiss or do anything without a condom. Today, I noticed a bump next to my scrotum that looks like a wart. I cannot remember whether it was there before. I just noticed it today and it seems to burn. It terrifies me that it may be a ...  Read Full »


Dr. Rashmi Singh

Cosmetologist, Dermatologist, HIV AIDS Specialist, Venereologist

Answer: Hello, Welcome to icliniq.com. I went through your query and picture (attachment removed to protect patient identity) and honestly it does not seem to be anything related to sexually transmittable disease. It is not a wart too. You did not mention whether it is painful or exhibiting any other sym...  Read Full »

Can you get STD from a handjob?

Query: Hi doctor, I had a sexual experience with a massage worker. I am not sure exactly, but she seemed to kiss or maybe spit on to the top of my penis during a hand job. Later she rubbed her vagina across my penis. I moved away but it is completely possible that the end of my penis touched her vaginal l...  Read Full »


Dr. Atishay Bukharia

Cosmetologist, Dermatologist, Family Physician, General Practitioner, HIV AIDS Specialist, Venereologist

Answer: Hi, Welcome to icliniq.com. The exposure you described was practically not sufficient to transmit HIV virus. Even after having a full-blown penovaginal sex with HIV positive women, the chance of acquiring HIV is less than 0.05 percentage and by this you can calculate your risk. Cannot say ...  Read Full »

What is the conclusion when VDRL positive and RPR negative?

Query: Hello doctor, Actually my friend's wife while checking the VDRL test in the first trimester got a positive result, but her husband got negative at the same time, and the doctor told her to do the RPR test then it is negative. What it means? I have a doubt weather she is positive or negative? Plea...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to icliniq.com. The VDRL (venereal disease research laboratory test) and RPR (rapid plasma reagin) are a screening tests for syphilis. Some nonspecific antibodies sometime might give false-positive results. Your RPR, however, is negative. So syphilis is less likely. But you cannot ...  Read Full »

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