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CHLAMYDIA |
From: Justin--------- l
Date: Monday, November 03, 2003 10:37:41 AM
To: info@stdweb.com
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 |
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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