Unexplained anal pain and ulceration.

Patient : 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.
Doctor :   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: Are you able to look at a photo of my friends lower body - and tell me if you see any worrying skin areas - such as e...

Q: I fave a few small blood blister type bumps on the edge of the head of my penis. Can't figure out what it is called. ...

Q: Hi. I am a 56 yr old female. I went to the doctor because I was having a little discharge, no noticeable odor, (to me...

Q: I have a red patch beneath the penile head under the foreskin, and there is a red spot at the lower end of the penile...

Q: Hi Doctor, I am 37 year old male and I have been in a relationship for 7 years. I had an sti test at the start of the...


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