Hello,
Thank you for your query at DoctorSpring.com
I understand your concern.
It is not common to develop such symptoms following just foreplay and sucking of breasts, but it can happen if the woman had some bacterial or fungal infection with an active discharge. But again, in that case, you would have noticed it.
But it does seem like you reacted to some chemical ( some soap, or body rub ), and hence you have been having this burning feeling.
I will advise you to send me a picture of your tongue to see if there is anything noticeable.
Try to avoid any other products apart from mild Chlorhexidine mouth wash 2-3 times daily.
Once I see your tongue, I can guide you better.
Regards,
Dr. Jaydeep
Patient replied :
Thank you for the prompt response. Here is a photo of my tongue. What I'm worried about is septic shock or toxic shock syndrome, as that would explain the inflammation and chills, However, my temp remains normal at 98.5 and my blood pressure as of today is 115/75.
If it was a bacterial or viral infection, my tongue wouldn't be burning so quickly after, would it?
The front center part of tongue is where it burns. The burning sensation is not throughout tongue. The front center part is redder than the rest (lack of white)
Hello,
No, you definitely do not have Toxic Shock Syndrome.
It is a serious condition caused by disseminated staphylococcal aureus infection. It can't occur from the exposure you had.
Your tongue seems coated, and there seems slight fungal infection, although this needs to be confirmed.
Can you continue the Chlorhexidine bacterial wash?
I will also advise a single dose of Tab. Fluconazole 150 mg prophylactically which is enough to treat the fungal infection if it is there.
Feel free to discuss further,
Regards.
Patient replied :
Thank you, Doctor. I value your advice. I have the regular Listerine, can I use that in lieu of the Chlorhexidine mouthwash? If not, can you recommend a brand?
So you are saying this is bacterial not chemical?
Another thing, we had intercourse (with a condom), and she did use lube of some kind, I don't know what exactly. Afterward, I felt an itching and tingling in the scrotal area where it made contact with her skin. After a thorough cleansing of my genital area the itching went away. So, maybe the lube was an irritant to me, and maybe the lube got on her breasts somehow.
Hello,
Yes, Listerine can be used.
The lube could have been the irritant and it is very difficult to predict.
But the good thing it does not look anything to be worried about or contagious.
You will get better soon.
Regards.
Patient replied :
I went to a doctor today and I got a prescription for Fluconazole, even though after examining me he didn't think I had oral thrush. My tongue still hurts today - a dull ache. Also I have a general unwell feeling inside my body, accompanied by a sore throat. And today my joints started hurting - namely my left ankle and right hand. I don't know if this is all related or not.
Anyway, I picked up the prescription - fifteen 100mg tablets of Fluconazole. I was instructed to take two tablets on the first day, then one per day after that. I remember you said to take 150 mg preventatively. So, I'm just going to take one tablet tomorrow and call it quits - or shall I take two?
So, I had a doctor today tell me I don't have oral thrush. Yet you, the national poison control person, my health insurance hotline nurse, think thrush is a likely candidate, due to the drawn-out period lenth of the tongue burn. What do you really think it is?
Hello,
Even though it is difficult without clinical examination, it looks like a mild variety of oral thrush.
I will recommend 2 tablets ( 100 mg ) first day followed by one more tablet after 3 days.
That should be enough.
The pain at various sites mostly indicate a viral and it will resolve.
But I reassure you, there is nothing to worry about.
Regards,
Dr. Jaydeep.