Unexplained anal pain and ulceration.


Q: I am a 25yo gay male with a 6 week history of anal itching and pain and associated white mucoid discharge with defecation. These symptoms began after having unprotected intercourse with a partner whose STD status was unknown. Self digital rectal exam reveals raised papules around the inner rim of the anal sphincter that are very tender to the touch. There is no associated blood, bloody stool, or lesions either on the exterior skin or in the groin area. Lab work from 2 weeks ago revealed no elevated WBC count, negative chlamydia and gonorrhea tests, and a negative herpes 1, 2, and simplex. Past medical history is positive for molluscum contagiosum, chlamydia, HIV, and HPV infection (history of anal condylomata). HIV is not currently being treated due to a CD4 count over 800 and viral load less than 1000. Other lab work is unremarkable and I have no other symptoms.


A:   This question is currently in queue and will be answered shortly by one of our doctors. In the meantime you may browse our library of answered questions by clicking here.

Related Q&A

Q: Hi, I have a friend who is claiming that she received a series of infections after we (accidentally) had unprotected ...

Q: I have blisters on the shaft of my penis? I have had a sti check after the last time I had sex and I had chalmidea bu...

Q: Was having testicul pain and frequent urination, went to urgent care the took a "clean catch" urine sample...

Q: The guy I started dating had hpv genital warts in 2011 and had them burnt off my a doctor. He hasn't seen any warts ...

Q: Will leucocytes and nitrates show up on a uti test if you have chlamydia or gonerreah?


Dr. James Obaji M.D.

  • 247 Reviews
  • Family Physician

Dr. Suneel Sharman M.D.

  • 190 Reviews
  • Family Physician

Dr. Pat Golden M.D.

  • 169 Reviews
  • Cardiologist

Dr. Kunaal Jindal M.D.

  • 112 Reviews
  • Plastic Surgeon