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I'm 26 years old. My vdrl is positive up to 8.i regularly use althrocin tab 4 per day. Last 4 days back side of my penis seen a ulcer type. Why should I do. Please help.

MBBS, MS- General Surgery, MCH- Urology, Fellowship Minimal Access Surgery
Urologist, Mumbai
Effective antibiotic treatment is a key component of syphilis control programs. The recommended treatment for uncomplicated, early syphilis in adults is penicillin g benzathine administered intramuscularly (i.m.) as a single dose of 2.4 million units (mu). This form of the drug provides weeks of treponemicidal levels of penicillin in the blood, though it does not efficiently cross the blood-brain barrier. Because there are no proven alternatives to penicillin those who are penicillin allergic should be desensitized and then treated with penicillin g benzathine.
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Hello sir/mam my question is if the other person having syphilis. And we eat together in the same plate like rice, curry and all. Will it affect me? Can that infection transmit like this? M worried about the saliva.

Bachelor of Unani Medicine and Surgery (B.U.M.S)
Sexologist, Hyderabad
Hello sir/mam my question is if the other person having syphilis. And we eat together in the same plate like rice, cu...
My friend this is std sexual transmitted disease. If you r life partner are infected then maybe chance but not intimate involve then not infected.
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Syphilis - How To Avert It?

MBBS, MD - Community Medicine, CCIP
Sexologist, Dhanbad
Syphilis - How To Avert It?
Syphilis is a highly contagious bacterial infection that spreads mainly through sexual activities. It starts as a painless sore or rash on the skin, typically on the mouth, rectum, or the genitals, and results in long-term health complications, if left untreated. Keep reading to know more about the disease.

What are the symptoms and stages of syphilis?
The symptoms of the infection vary from person to person, depending on the stages of syphilis. Some people may also experience no symptoms at all. As the symptoms, if any, change depending on the stages of the disease, here s a quick look at the stages and the symptoms they are characterized with.

Primary stage: This is the first stage of syphilis where small, painless, round sores in the genitals and the mouth appear.
Secondary stage: In the second stage, the patient starts developing rashes, if he/she has not visited any medical expert and thus is not undergoing any treatment.
Latent stage: In the third stage, the infection may stay within the infected person; however, there will be no symptoms experienced for around 30 years.
Late stage: In this last stage, if left untreated, the bacterium Treponema pallidum subspecies pallidum starts affecting other body parts, resulting in damage to the nerves, brains, heart, or eyes.
How does one get infected?
The primary way of being infected with syphilis is through sexual activities. When one comes in contact with syphilis rash or sore during oral, vaginal, or anal sex, he or she can get syphilis. Women are not immune from syphilis, though it is the men, mainly those who are bisexual or gay, in whom the infection is prevalent. Syphilis can even spread from a mother to her baby; hence, one should be aware of its symptoms, prevention, and treatment.

What are the prevention/treatment options?
Syphilis is indeed a serious sexually transmitted disease; however, it can be prevented as well as cured. Abstaining from unprotected sex, not sharing sex toys, using condoms, avoiding drugs and alcohol, and using plastic square or dental dam during oral sex are some of the effective ways of preventing the risk of getting infected by syphilis. Once diagnosed, depending on the stage of the disease, the patient is treated with penicillin-based medications.

Remember, prevention is the best way of dealing with sexually transmitted diseases, which includes syphilis. However, it is advised to visit a sexologist immediately, if any of the symptoms are observed. If the infection spreads to other parts of the body, it may affect the vital organs, hence it is advised not to ignore the symptoms and undergo the treatment suggested by the sexologist, without delay.
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Mera vdrl positive hai ,titre 1.16 hai, kya mai doxy 1l-dr forte, 100 .le sakta hu.

MBBS, MD - Community Medicine, CCIP
Sexologist, Dhanbad
Mera vdrl positive hai ,titre 1.16 hai, kya mai
doxy 1l-dr forte, 100 .le sakta hu.
If your vdrl is positive you should for a confirmatory test like tpha or ftabs for treponema pallidum, don't take doxy s it not the first choice drug for that. And taking in dosage without doctor supervision will only compound the problems.
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Sir mera vdrl reactive 1: 2 tha or tpha 1: 1280 .3 dose injection lia 30 aug ko complete hua 15 sep ko 1: 8 ho gya usk bad 6 nov ok test kia vdrl negative hua srl lab se fir do dec ko test kia vdrl reactive 1: 2 aya srl lab se or tpha 1: 160 aya corss check kia dusre lab metropolis lab se to wha negative aya vdrl jb m srl ki bat btaya to unhone reapt sample maga usk bad reactive 1: 2 dia metropolis ne mera vdrl negative hone bad postiv kyu hua.

M.D. Consultant Pathologist, CCEBDM Diabetes, PGDS Sexology USA, CCMTD Thyroid, ACDMC Heart Disease, CCMH Hypertension, ECG, CCCS ( CARDIOLOGY & STROKE)
Sexologist, Sri Ganganagar
Sir mera vdrl reactive 1: 2 tha or tpha 1: 1280 .3 dose injection lia 30 aug ko complete hua 15 sep ko 1: 8 ho gya us...
Dear 1: 2 or negative has very slight difference so it may happens your treatment has completed now. You are syphilis free.
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Once tpha is positive in life time again it won't go to negative? Can't go for foreign?

M.B.S.(HOMEO), MD - Homeopathy
Homeopathy Doctor, Visakhapatnam
Once tpha is positive in life time again it won't go to negative? Can't go for foreign?
Tpha test is a passive hemagglutination assay based on hemagglutination of erythrocytes sensitized with t. Pallidum antigen by antibodies found in the patient's serum or plasma. It is used for both qualitative and semi-quantative detection of anti-treponemal antibodies. Early syphilis can be cured, sometimes with a single injection of penicillin. Syphilis can be diagnosed by blood tests to confirm the presence of antibodies. A recommended antibiotic regimen using penicillin is available and its best treated in the early stages.
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Sir mera vdrl positive tha m 3 penicillin injection lia or 1 month doxycycline khaya 6 nov ko srl lab se test krwaya to negative aya m cross check krwaya report ko to b negative aya kya ye future kbi blood test se postive show krega.

MBBS, MS- General Surgery, MCH- Urology, Fellowship Minimal Access Surgery
Urologist, Mumbai
Sir mera vdrl positive tha m 3 penicillin injection lia or 1 month doxycycline khaya 6 nov ko srl lab se test krwaya ...
When diagnosed and treated in its early stages, syphilis is easy to cure. The preferred treatment at all stages is penicillin, an antibiotic medication that can kill the organism that causes syphilis. If you're allergic to penicillin, your doctor may suggest another antibiotic or recommend penicillin desensitization. If you are diagnosed with primary, secondary or early-stage latent syphilis (by definition, less than a year), the recommended treatment is a single injection of penicillin. If you've had syphilis for longer than a year, you may need additional doses. Penicillin is the only recommended treatment for pregnant women with syphilis. Women who are allergic to penicillin can undergo a desensitization process that may allow them to take penicillin. Even if you're treated for syphilis during your pregnancy, your newborn child should be tested for congenital syphilis and if infected, receive antibiotic treatment. The first day you receive treatment you may experience what's known as the jarisch-herxheimer reaction. Signs and symptoms include a fever, chills, nausea, achy pain and a headache. This reaction usually doesn't last more than one day. Treatment follow-up after you're treated for syphilis, your doctor will ask you to: have periodic blood tests and exams to make sure you're responding to the usual dosage of penicillin. Your specific follow-up will depend on the stage of syphilis you're diagnosed with. Avoid sexual contact with new partners until the treatment is completed and blood tests indicate the infection has been cured. Notify your sex partners so that they can be tested and get treatment if necessary.
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I had shyplis last year and I cured with help of doctor but now I felt shyplis again infected one mark is on my hand palm, but only one mark avail this not increase more as counts. As precautions, I am taking now doxycycline 1 tab morning and azithromycin 1 tab night. Is it enough or shall I take fixi ab plus?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopathy Doctor, Delhi
Dear Lybrate user, you should start homeopathic treatment for permanent cure, because this is method of cure not palliation/suppression so that's why disease not reappear again and again. And for best homeopathic treatment you may contact us.
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Hello doctor, I have done sexual contact with a lady, after 27 days I tested in tpha test and vdrl test but it becomes negative. Is there any problem for future. And I am also tested pcr test but it result comes ofter 15 days.

MBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)
General Physician, Delhi
Hello doctor, I have done sexual contact with a lady, after 27 days I tested in tpha test and vdrl test but it become...
Hiv is a virus that lives in human blood, sexual fluids, and breast milk. It weakens your immune system, so your body has a hard time fighting off common germs, viruses, fungi, and other invaders. Hiv doesn't live in saliva, tears, pee, or sweat -- so it can't be spread by casual contact with these body fluids. It’s recommended that you test for hiv and other sexually transmitted infections (stis) at least once a year if you’re having sex, even if you always use protection. You might want to test more regularly than this, for example, if you are having sex with a new partner or feel you are more at risk. Groups who are more at risk are recommended to test more regularly. Testing every 3-6 months is often advised for men who have sex with men. Testing regularly helps keep your mind at rest, and if you test positive, it means you can start treatment quickly, protecting your health.
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Hello Dr. I have siphlis but muze ye janna he ki siphlis cure hone ke bad me uninfected person ke sath unprotect oral sex kar sakta hu please sugges to me dr.

MD-Ayurveda, Bachelor of Ayurveda, Medicine & Surgery (BAMS)
Sexologist, Haldwani
Hello Dr. I have siphlis but muze ye janna he ki siphlis cure hone ke bad me uninfected person ke sath unprotect oral...
Hello- Yes, it can still spread. Many STIs, including chlamydia, gonorrhea, and syphilis, can be spread through oral sex. However, the chances of giving or getting STIs during oral sex can be lowered by using a condom or dental dam.
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