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CHLAMYDIA
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From: Justin--------- l
Date: Monday, November 03, 2003 10:37:41 AM
To: Dr.Gian
Subject: testing question
Hello.
I an in a unique situation here and I need some information on whether or not your service provides a certain test. I tested positive for chlamydia 2 months ago and I received treatment; however, just recently I have been experiencing the same symptoms when the disease first showed up. I have not been sexually active during this time, so I am assuming that the medication I took to treat the bacteria did not work.
Do you offer a test to determine which antibiotic would be best suited to treat my particular strand of chlamydia? I have no insurance, so I am left with few option.
I thank you for whatever information you can provide me.
J
Hello Justin,
It is not uncommon to see a Chlamydia infection not well treated and to have reoccurrence of symptoms. That is one of the reasons why it is number one STD in USA. The antibiotics recommended by the Center for Disease Control are a cycle of Doxycicline 100 mg twice a day for a week or Azythromycin 1 gm in a single dose unless one is allergic to these specific antibiotics. Doxy is available in generic and it is cheaper but its administration for a week may at times create a problem of compliance by the patient. Some people after a few days feels so much better and they discontinue the medication. This is a no-no. Of course one can have also coinfections with other bacteria associated with Chlamydia such as Gonorrhea or E.Coli.
It is always a good practice to treat Chlamydia and Gonorrhea both at the same time even if you are positive only for one of the two bugs. And sometime antibiotic resistance may appear like it has recently happened with Gonorrhea. You should also ask for a urine culture and sensitivity in case one suspects a coinfection. This test will determine which bug is in your urine and to which antibiotic it is most sensitive. Test again both for Chlamydia and Gonorrhea. Our Lab uses a PCR technology which is very advanced, very specific and very sensitive but, unfortunately also expensive. Or you may get a Chlamyida/GC Gene swab which is more economical and also highly sensitive though it requires the insertion of the swab into your penis. We at STDWeB.com offer both a urine culture and the PCR test and this may be an option for you given that you have no insurance. While you are getting tested, though, make an appointment with your Doctor and bring your testing results with you. This may help you in getting the right antibiotic prescription.
Happy Holidays
Dr.Gian
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From: A W
Date: 12/8/2003 11:29:16 PM
To: webmaster@stdweb.com
Subject: PLease Help me out!
I have been to the doctor and told them my problem but they seem to kind of just tell me some things and give me a pill and sent me on my way! And my problems are not going away! Now I am having a burning sensation when I pee and around my anus it kind of itches/hurts. Now I think this is something bad but I just need to get more info on what this could be! Could you please give some info on what you think it might be! Thank you!
AW
Hi AW,
Burning on urination (pee)= urethritis (inflammation of the urethra)You are trying to defend yourself against an offending agent, virus or bacteria. You are bringing more blood to the lining of the urethra ( the pipe between the bladder and the outside) The lining gets swollen, red and hot. Urine is usually acidy and when it travels through the urethra it burns.
You need to get a urine culture and if you suspect and STD ask for specific urine test or a urethral swab. The most common STD urethritis is due to Chlamydia. Of the non STD urethritis the bug more in vogue today is E. Coli. Therapy is different. So you need to see a physician and get a urine test and some antibiotics.
Bye
Dr. Gian |
From: Tim
Date: Monday, December 15, 2003 8:39:07 PM
To: webmaster@stdweb.com
Subject: chlamydia
Hi, My wife an I have some question. She went to get a pap.at the doctor 3 times each time the doctor said she had chlamydia each time I went to the doctor they said I did not have anything. I can find out about what is going on
Hi Tim,
PAP Test and Chlamydia test are two different tests. Her Dr. might have done a Chlamydia test because of finding some watery discharge or because of your wife's symptoms. I am assuming the test was done and that she was adequately treated. Were you tested for Chlamydia? Did you have a swab or a urine test for Chlamydia? Were you also treated for Chlamydia? You should have even though negative. It is a goof idea and is recommended by CDC. What medications did you or your wife receive??? Is this a matter of a specially resistant strain of Chlamydia or of inadequate treatment? About you no having anything...well you do not have anything. May be this is an old reactivated infection of your wife and is not coming across to you. You need to ask your Doctor and get more explanations. Scientists are scientists because they are very good and coherent in producing explanations.
Capisci???
Dr. Gian
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From:
Sent: Monday, February 07, 2005 5:39 PM
To: drgian@stdweb.com
Subject: tests
Dear Dt. Gian,
I am a kidney dialysis patient that is six months away from a kidney transplant. As part of the process, I have been tested for Hepatitus A, B, and C, HIV, CMV and RPR. I tested negative on all of these tests. They did not test me for gonnorea or Chlamydia and I am embarrased to ask them for these tests. I do not produce a lot of urine and I was wondering if theses tests can be done on the little urine that I produce. I am a CAPD patient so I have a lot of dialysis solution in my ultra bag. Can you test this? Or is there a blood test for gonnorea and chlamydia?
F
First off, do not be shy. It is your body and your health and you have permission to ask you Doctors. Yes, it is possible to run a GC and Chlamydia PCR test with a very small amount of urine and of course even with a swab to the urethral lining. These infections, even if present without symptoms, do not produce the same amount of concern in a pre-transplant patient when compared with the presence of the Hepatitis virus, or Herpes and Syphilis. And they are easily treatable with antibiotics. So go ahead and ask or call us. We’ll be thinking of you six months from now and wish you well.
Dr. Gian
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