Can unprotected anal sex lead to syphilis infection?

Question

Hello doctor,

I believe I had unprotected anal sex with someone who has syphilis. Because I have major pain when I have a bowel movement, and blood every time I have a bowel movement. The reason I say he had syphilis was he would not let me see his penis, and he was acting like it hurt when he was putting it in. I also have swollen lymph nodes in my groin area that came shortly after sleeping with him. Please help. Thank you.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Your symptoms suggest proctitis, which may be associated with sexually transmitted infections (STIs).

Next steps:

Get an STD (sexually transmitted disease) panel test for a clear diagnosis.
Avoid anal sexual activities for a few weeks to allow complete healing.
Increase fluid intake – drink plenty of water daily.
Maintain a high-fiber diet – include salads, fruits, and fiber-rich foods to prevent constipation.

Medication (for 5 days):

Pantoprazole 40 mg (proton pump inhibitor - PPI) – 1 tablet daily on an empty stomach.
Lactulose Syrup (osmotic laxative—helps soften stools) – 20 ml in 200 ml lukewarm water at night.
Doxycycline + Lactobacillus (antibiotic + probiotic - for infection control and gut health) – 1 capsule twice a day.
Aceclofenac + Serratiopeptidase + Paracetamol (NSAID or non-steroidal anti-inflammatory drugs + anti-inflammatory + pain Reliever) – 1 tablet twice a day.

Kindly consult your doctor and take medicines accordingly.

Follow-up:

Update me tomorrow on your condition.

If bleeding continues, we may recommend medications like Ethamsylate (hemostatic - stops bleeding), Tranexamic acid (anti-fibrinolytic - prevents excessive bleeding), or Dobesilate (vascular protector - strengthens blood vessels).

I hope this helps.

Kindly revert so I can assist you further.

Thank you.