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    Ask Dr. Gian   ....but read this first

HERPES

SYPHILIS

HPV

FUNGUS

HIV

HEPATITIS

MOLLUSCUM

VAGINITIS
 GONORRHEA CHLAMYDIA

FOLLICULITIS

MISCELLANEA

GONORRHEA

From:
Sent:
To:
drgian@stdweb.com
Subject:

Doc. How do one know if he/she has a STD specifically Gonorrhea???I am havin an unusual amount of discharge. Its yellow and thin and it has an awfull smell. when it accumulates its worse, it has i think a little greenish colour to it. my clothes are stink every time i reach home (trousers). What is the cost of doing a STD test? Oh and i think i may have yeast infection also cause am always havin discharge. am aware that you cant diagnose the problem without havin seeing it, but i NEED a response, opinions and all possible suggestion.

 

HI,

You can check for gonorrhea and chlamydia with a simple urine test but for Trichomonas, which is possible given your description, you need to have a swab taken. All three are treatable and curable conditions but you must act. We do GC + Chlamydia very affordably and you could use a vaginal swab to distinguish between yeast and Trichomonas. We could also help you for Trichomonas if you really do not want to see your physician but you need to call us

Be well

Dr. Gian

 

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

 

From:
Sent: Tuesday, November 30, 2004 11:00 PM
To: drgian@stdweb.com
Subject: Confused about treatment

 Dr. Gian:

 I was recently told my by doctor that I tested positive for Gonorrhea. I have been in a monogomous relationship for almost 2 years. I have no symptoms at all and niether does my boyfriend. My doctor prescribed Metronidazole vaginal gel (Metro-gel). I read the information included with the product and did some research online and I have found nothing that says this gel is used to treat gonorrhea. Are my findings right? And in the case of my boyfriend, what would his treatment be?

Hi

The Centers for Disease Control and Prevention (CDC) recommends that broad-spectrum cephalosporins and fluoroquinolones be used to treat uncomplicated gonorrhea .

CDC-recommends for the primary treatment of uncomplicated gonorrhea a single-dose, oral therapy with  antibiotics of the calss of fluoroquinolones such as: Ciprofloxacin [500 mg] and  Ofloxacin [400 mg])

Here are alternative treatment for gonorrhea: 

Ceftriaxone 125 mg injected into a muscle, one time                      Cefixime 400 mg by mouth, one time                                   Spectinomycin 2 g injected into a muscle, one time                    Cefuroxime Axotal 1 g by mouth, one time                                Cefpodoxime proxetil 200 mg by mouth, one time                                 Cnoxacin 400 mg given by mouth, one time                                   Erythromycin 500 mg by mouth, four times a day for one week

You partner should also be treated..  

Be well.

Dr. Gian

 

 

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Please remember that the purpose of  these conversations with Dr. Gian  is  that of  information and education only, and that STDWeB.com, its staff  and Dr. Gian  are not engaged through this forum in rendering legal or medical advice or professional services. The information provided is of the general type  only and should not be used for diagnosing or treating a health problem or a disease, or relied upon as legal or other professional advice. This information is not a substitute for professional advice or care. If you have or suspect you may have a health or legal problem, you should consult your own health care provider or your attorney