Question 1

Can being bitten or scratched by an Indian bat give someone rabies? Should I get a post-exposure prophylaxis if I've been near bats? I'm really worried about this whole bat thing and would love some advice.

Accepted Answer

Possible Causes*

1. *Cervical or vaginal injury*: The sensation of hitting something during fingering could indicate a cervical or vaginal injury, leading to pain and discomfort.
2. *Cervicitis*: Inflammation of the cervix can cause pain, especially during or after intercourse.
3. *Vaginal infections*: Bacterial vaginosis, yeast infections, or other vaginal infections can cause pain, discomfort, and irregular discharge.

*Recommendations*

1. *Consult a gynecologist*: Your girlfriend should schedule an appointment with a gynecologist to determine the cause of the pain and receive proper treatment.
2. *Abstain from intercourse*: Avoid any form of intercourse until the gynecologist has evaluated and treated the underlying condition.
3. *Practice safe sex*: In the future, use protection and practice gentle, consensual sex to minimize the risk of injury or infection.

Question 2

I had sex for the first time with a guy on Saturday night, and by Sunday afternoon, I had a fever that lasted about a day. Im worried because I know a fever can be a symptom of HIV, but isnt that too soon for symptoms to show up? It was less than 18 hours after we had sex. We did use a condom, although we had about 5 seconds of skin-to-skin contact without it. Could this mean I dont have HIV, or should I be concerned?

Accepted Answer

Given your situation, medication can be explored as an alternative to ureteroscopy, but it's essential to consult your urologist for personalized guidance.

*Medication Options*

1. *Alpha-blockers*: Medications like Tamsulosin (Flomax) can help relax the muscles in the ureter, allowing the stone to pass more easily.
2. *Pain management*: Your doctor may prescribe pain medication to manage discomfort and pain associated with the stone.
3. *Muscle relaxants*: Medications like Diazepam (Valium) can help relax the muscles in the ureter and reduce spasms.

*Monitoring and Follow-up*

1. *Regular ultrasound*: Schedule regular ultrasound check-ups to monitor the stone's movement and kidney function.
2. *Blood tests*: Regular blood tests can help monitor kidney function and detect any potential complications.
3. *Symptom monitoring*: Keep track of your symptoms, including pain, nausea, and vomiting, and report any changes to your doctor.

*When to Consider Ureteroscopy*

1. *Severe pain*: If your pain becomes unbearable or persists despite medication.
2. *Infection*: If you develop signs of infection, such as fever, chills, or burning during urination.
3. *Kidney damage*: If your kidney function deteriorates or you experience severe hydronephrosis.

Question 3

I had sex with someone new last night and during it the condom broke. It took me about a minute before fixing it and switching to a new one. Now I'm stressed about the risk of getting HIV from this. Is there a real chance I got infected? What should I do now if there's a possibility of having caught something?

Accepted Answer

Hi, I understand your concern. There's a potential risk of HIV transmission if the other person is HIV positive. I recommend starting **PEP (post-exposure prophylaxis)** within 72 hours and getting tested. Please consult a doctor immediately for evaluation and guidance.

Yes you can have it no problem

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Can being bitten or scratched by an Indian bat give someone rabies? Should I get a post-exposure prophylaxis if I've been near bats? I'm really worried about this whole bat thing and would love some advice.

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