hemroid/yeast/staph...or something else?

[boston02446]

One month ago I suffered from a painful hemorrhoid, after about 3 months of anal itching.   A dr gave me Floxin, usually prescribed to treat gastrointestinal infections.  I had been suffering for about 7 days prior to seeking medical attention, and in that time used a lot of OTC medications for the hemorrhoid.  As the hemeroid went away, I developed sever itching of the skin around my scrotum, inner thighs.  I was diagnosed with a yeast infection; caused by all the oinments I was applying to my skin (I never experienced penile yeast infection symptoms; no discharge).  I was perscribed fluconozle.  One week later I was diagnosed with a staph infection, although no sore was open at the time so no culture was taken.  two of the pimples turned into uncomfortable celluitis, including the one in my scrotum, a lump about the size of a large marble.  I was perscribed bactrim. Been taking it for 3 days.  

I read online that Staph can be caused by unecessary use of certain antibiotics, such as Floxin.  While on Ofloxin, I visited a friend in an ICU who was on 24 hour kidney dialysis; made physical contact with him--in combination to being on the antibiotic Floxin-- could have led me to develop staph.  

Do these seem to be a string of related ailments, or something more serious?  I have had anal sex with men, and a regular boy friend; we wouldn't use protection all the time, but he never ejaculated in me.  I've read things online about yeast infections and staph being common HIV symptoms.  

Thank you.

[boston02446]

Thank you.  I continue to be attentive to the issues, and seek provider help as needed.  I appreciate your responding; for your frankness and encouragement.  

[H. Hunter Handsfield, M.D.]

There is no STD that would connect any of the problems you describe, i.e. nothing that is likely to have been confused with the staph, a hemorrhoid problem, yeast, etc; and no STD that would make you unusually susceptible to those things.  

Anal sex is inherently somewhat traumatic, and various anal problems--fissures, hemorrhoids, etc--probably are more common in people who receive anal sex.  So I suppose it is possible that part of the original hemorrhoid problem relates to your sexual history.  But that is speculation, and in any case I don't see an STD problem here.

Yeast infections and staph are just as common in people with and without HIV.  There is nothing in any of this that makes me concerned about HIV.  But all people who are sexually active outside committed, mutually monogamous relationships should be tested for HIV from time to time, like once a year.  If you haven't been tested recently, perhaps this is a good time, since it is on your mind.  But that advice has nothing to do with the medical problems you describe.

Good luck--  HHH, MD