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About Mark Behar
Expertise
Almost any question or concern about sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), gay men's health issues. There is no such thing as “d/d free” or “clean” (free of infection), so why do so many of us deceive ourselves into thinking that some people are indeed totally free from a potentially infectious disease, like HIV, herpes, hepatitis, syphilis, chlamydia, warts, gonorrhea, etc., just because they say so? Clinical laboratory tests are not perfect, and having a “negative” or “nonreactive” test does not mean that a person is free from infection. Perhaps at the moment the test was taken, the person was uninfected; or, perhaps, the test wasn’t sensitive enough to detect presence of the infection. There is really no way that anyone can determine that they are truly “disease free,” and there are over a hundred of infectious conditions that can be spread without your knowing anything. Rather than trying to “prescreen” or “serosort” a potential sex-mate with deceptive questions that are impossible to know by today’s technologies, a wiser option may be to consider everyone infected with something, and either use appropriate protective measures (“safer sex”), or accept the responsibility and conseqences of possibly “catching” something from someone who’s hotter than expected (pun intended!). There is much research that supports the contention that an HIV positive person reliably taking HIV medications, and having an undetectable viral load, presents a lower risk for transmission of HIV than people who may think or say they are HIV negative, but are not. Food for thought!

Experience
Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answer STD questions submitted to their web site. Professionally lectured at national and regional Physician Assistant and Nurse Practitioner conferences, and at national gay & lesbian health conferences on topics including HIV/AIDS, herpes, hepatitis, STDs, human papilloma virus (the cause of venereal warts), abnormal Pap smears, gay and lesbian health issues, among others.

Organizations
Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; Wisconsin Academy of Physician Assistants; American Society of Colposcopy and Cervical Pathology (ASCCP); Board of Directors, National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Publications
Journal of the American Academy of Physician Assistants (JAPA)

Education/Credentials
Physician Assistant Certified, since 1982; Masters in Physician Assistant Studies; Colposcopy Recognition Award, American Society of Colposcopy and Cervical Pathology (ASCCP);

Awards and Honors
Colposcopy Recognition Award (CRA), from the American Association of Colposcopy and Cervical Pathology; Distinguished Fellow, American Academy of Physician Assistants; Fellow, Wisconsin Academy of Physician Assistants

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI

 
   

You are here:  Experts > Teens > Health for Teens > Sexually Transmitted Diseases > possible hiv infection

Sexually Transmitted Diseases - possible hiv infection


Expert: Mark Behar - 10/25/2009

Question
Hi mark I'm a 36 years old male living in Boston. In mid of August I received oral sex from a female, 2-3 weeks later a got diarhea for 3days and light fever.
That went away, than came a mild headache and sore throat that won't go away.
The headache and sore throat is very mild and some days I don't feel it.
Also sometimes it comes and goes in few minutes and northing is swollen.
My other concern is my abdominal since the diarhear is been disconforted, passing gas, grulling and also blurping often.
I have butterfly in my stomach some due worries. I'm not concentrating or sleeping well when I think what I have done to myself
Specially my wife and family.
Thanks for your time

Answer
Hello Jose,
Oral sex, even if it transmitted a sexually transmitted infection, would not cause abdominal symptoms that you are experiencing. However, whenever anyone gets diarrhea, from any reason, it can take awhile for things to get back to normal. And food that you eat, such as dairy products, may interfere with "getting back to normal."

It sounds like you may have gotten some sort of upper respiratory infection and gastroenteritis probably from a virus, but NOT from the oral sex. You may have some sinus drainage from fall allergies, as well.

The dairy products may bloat you and make your stomach not right.  Diarrhea, gas, the gurgling stomach sounds, etc., all are the response. And worry about your sexual infidelity also may contribute to that!

What I would do is attend to your sinus drainage with allergy medications and possibly decongestants if you're real stuffed up; avoid all dairy products, for a few days, and then slowly reintroduce them into your diet.

You didn't mention if your penis was sucked off, or whether it was your mouth and the other female's genitalia. But in either regard, your stomach symptoms do not seem to be associated.

The last thing to consider is your relationship with your wife. If things are not going well emotionally, sexually, or any other way, then you may wish to seek counseling. There is a reason for your having sex with another person outside of your relationship. A counseler may help you understand what needs to be worked on.

Good luck!
--mark  

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