Firstly, thank you for all that you do. This process has been far from easy to cope with and your response and expertise has been a life saver.
A few additional points/questions:
1. I have scheduled an appointment with you this coming Tuesday so I suspect we will discuss my situation then but I wanted to bring these up while they were on my mind.
2. No I was not tested for Giardia. The ID doctor decided to treat it without testing. Do you think this was a mistake to take the antibiotics? Could this affect any results of future testing?
3. Here is the link to the study I found indicating that many patients who experience proctitis from herpes do not have external lesions. This is the direct quote: “Absence of external herpes lesions should not decrease suspicion for HSV proctitis, as only ~30% of men with herpes proctitis have external lesions at the time of diagnosis.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5394410/
4. So two days ago I got a very small cut on my pinkie finger. Right on the middle knuckle. The following day I developed a very small blister, essentially right on top of the cut. It is completely painless unless I press on it, similar to any pain you might get from a standard cut. It is a slight yellow tint and has drained a fluid like substance. Given my situation this obviously made me think of whitlow. Does this sound anything like herpes whitlow to you? I’ve heard that these are very painful and will be associated with prodrome symptoms. Like I said it is essentially painless, but this is the first lesion I have had that looks anything similar to herpes so it definitely has me worried.
5. My GI symptoms are still present. From everyone I’ve spoken to herpes would not cause diarrhea and abdominal pain for this long. Is it safe to say that herpes is not causing this?
7. In your response to my second set of questions you said that many people have trouble pooping. What exactly does that mean? What issues are you referring to?