Posted in allergies, Health, news, sex

Woman Suffers Severe Allergy After Exposed to Penicillin During Oral Sex

Doctors report in  BMJ Case Reports a rare episode of severe allergy (anaphylaxis) after a women performed oral sex.

The patient presented to a hospital in Spain in “moderate anaphylaxis.” Her boyfriend had been taking Ibuprofen and Augmentin (amoxicillin/clavulanic acid) for an ear infection with a dose 4 hours prior to engaging in oral sex. She within hours began vomiting, having difficulty breathing and full body hives.  Doctors deduced she had a penicillin allergy and was reacting to the amoxicillin that could have concentrated in her boyfriend’s semen.

Amoxicillin is in the same antibiotic class as penicillin.

GettyImages-185759873-56a17ac23df78cf7726b0c4c.jpg

Getty Images

 

Although there have been cases of people reporting allergic reactions to the proteins in semen this was one of the first documented cases in which a drug taken orally by a person was transferred to a hypersensitive patient through oral sex.

Study authors write:

To our knowledge, this is the first case reported of a suspicion of amoxicillin-induced anaphylaxis in a woman after a sexual contact with a man who was taking the drug, we hypothesised an oral drug transfer through semen.
Studies about amoxicillin concentrations achieved in semen after a drug intake are scarce. There are few cases reported of hypersensitivity reactions induced by drugs transported in semen but we have found some concern in sensitive patients about the possibility of transference of allergens via sexual intercourse. As clinicians, we consider that it is important to be aware of the existence of this possibility both in the diagnosis and in the prevention of anaphylactic reactions.

10% of the population reports an allergy to penicillin, but the CDC estimates less than 1% are truly allergic.

What is anaphylaxis?

Anaphylaxis is a severe allergy that may be life threatening.

Symptoms include:

  • Difficulty breathing
  • Dizziness
  • Rapid heart rate
  • Hives
  • Rash
  • Low blood pressure
  • Feeling of throat tightening
  • Nausea
  • Vomiting
  • Abdominal Pain
  • Weakness
  • Chest Pain
  • and more…

It can lead to cardiac arrest, hence it’s a medical emergency and any suspicion of it should prompt a call to 911.

What are allergies?

Allergies are the result of the immune response to a foreign particulate that our body senses.  One could be allergic to pollen, dust, dander, food, insects, mold, metals, transfused blood, grafts, medicine and anything the body senses as a foreign intruder.  Even though these may be individually harmless, a hypersensitivity reaction occurs as a result of their intrusion into the body.  IgE antibodies find the allergen (intruder) and activate mast cells in the tissue and basophils in the blood.  When these cells get activated, they release substances to help protect the body, including histamines, leukotrienes, and cytokines. These help the body attempt to sneeze and cough the allergen out, wall off the antigen, signal more antibodies, or produce tears and nasal secretions to flush it out.

 

IMG_1781

The Baby Boomer’s Guide to Online Dating

 

 

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

 

Advertisements
Posted in Health, news, relationships, sex, Valentines

Valentine’s Day: The Least Liked Holiday of the Year

Valentine’s Day is one of the biggest holidays of the year, with consumers spending more than $20 billion a year buying cards, chocolates, flowers, and teddy bears.  But what no one admits to is it is one of the most anxiety producing and miserable holidays of the year.

If you’re single….

When you’re single the last thing you need to be reminded of is just that….you’re single.  Valentine’s Day inundates us with the “normalcy” of being in a relationship such that anyone who’s single feels there’s something wrong with them.  Single people feel forced to shut off the TV, avoid shopping, avoid others and remain indoors for the week surrounding Feb. 14th.

If you’re married….

If you’re married, and have been so for some time, Valentine’s Day reminds you of how much you are lacking in sex and romance.  But worse yet, you are now compelled to do something for Valentine’s Day.  No credit for spontaneity.  No credit for being romantic, since the whole world seems to be celebrating Valentines.  And… it’s all pain, no gain.  If you mess up, and your gift or celebration is not very romantic, you’re in the dog house.  And if you forget about the holiday all together…Whoa Nelly…..

The candy….

When one thinks of candy they think of chocolate, lollipops, vibrant colors…..Valentine’s heart candy is the worst candy out there.  They’re pale, hard, practically crack your teeth, not very tasty and force you to read them before you eat.

candy.jpeg

Be Mine?  Be my Valentine?

Don’t give me anymore work to do. You could be pretty high maintenance.  And what if I’m not ready to commit?

Your gift better measure up….

Valentine’s Day gifts are made to be publicized.  And even if you gave your sweetheart the gift in private, it will be posted on social media or broadcast at work the next day.  In fact, not sending the gift to their work could be a major faux pas.

gift.jpeg

So how do we make this holiday more tolerable?

If you’re single….

If you’re single, use this holiday to celebrate the friendships you have.  Make it a singles night out and celebrate your freedom.  Or make a friend feel special by sending a “friend” valentine.  These could include:

  • a bottle of wine
  • a stuffed toy (with no heart attached)
  • a book
  • a gift certificate
  • a funny poem/desk calendar

If you’re married…..

Since the gift of spontaneity has already been hijacked by this holiday, do something creative and unpredictable.  Candlelight dinner, a poem, luxury bath, weekend trip, something sappy…..but do it right and you’ll get bonus points.

Don’t spend a lot

Here’s the silver lining. Most Valentine’s Day gifts/gestures do not have to cost a lot.  Valentine’s Day is about the heart and showing one how much you care.  So a note, poem, song, personalized song list, or even a cute little doodle can go along way.

ARTERIES ARE RED
VENULES ARE BLUE
MY GONORRHEA HAS CLEARED UP
HOW ABOUT YOU?

 

What to buy a man?

We make the mistake of thinking men want what we want. Let’s take cologne for that matter….men don’t want to smell like perfume or “parfume”y….they like smelling like men.  Forcing them to use toilet water is not cool.

what-not-to-buy-for-your-man-boyfriend-worst-gifts-1.jpg

Another common gift given to men is a shaving set.  Does the average man like shaving, let alone every day? Top that off with wasting an opportunity for them to get a cool gift with one that includes shaving products???  Cruel, just cruel.

For men, many prefer steak for dinner, time alone in their man cave, or sex.  I think that’s about it.  Pretty easy.

 

So hope this helps you get through Valentine’s Day anxiety free and worry free.

And remember…. its only one day…just one day…. and will all be over Feb. 15th.

 

 

spanish book

Learning Medical Spanish is Easy!!!

 

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, iHeart Radio and Board Certified Family Physician

Posted in Health, news, pornography, sex

Are You Addicted to Porn?

Millions of people view porn every day and health groups warn many may have an addiction to it, or specifically, “disorder.”

However, there is no clear definition of what constitutes “porn addiction.”

According to PornHub’s 2018 Year in Review, 962 searches for porn are being done every second.

 

pornhub-insights-year-review-2018-big-numbers-infographic.jpg

So…..

What is “Porn Addiction?”

Since there is no documented definition for porn addiction, it would most likely be similar to any other definition of addiction:

A dependency on a substance or action whose use or withdrawal impedes one’s ability to maintain healthy work and personal relationships.

Hence you may be addicted to porn if:

  • You skip work to view porn
  • You skip family outings to view porn
  • You avoid other activities to watch porn
  • You think about porn even when you can’t view it
  • You feel poorly when you can’t watch porn
  • You arrange your day to include porn in hopes of avoiding withdrawal

 

4-pornhub-insights-2018-year-review-device-proportions.png

 

Last year the Florida House had approved a resolution to protect their constituents from its “inherent health risks.”

According to the resolution’s sponsor, Republican Rep. Ross Spano, “Research has found a correlation between pornography use and mental and physical illnesses, difficulty forming and maintaining intimate relationships, unhealthy brain development and cognitive function, and deviant, problematic or dangerous sexual behavior.”

So is pornography a public health risk?

What constitutes a “Public Health Risk?”

A public health risk is something that could pose a health threat, injury to humans or could contribute to health risks of other humans.  This could include drunk driving, mosquitos or rats transmitting disease, or even smoking.

So watching pornography would pose a public health risk if not only the “pornee” gets hurt but affects others surrounding him. Now the effect of others could be in the form of missing work, viewing porn at work (considered sexual harassment and/or assault by others not wanting to view it), and unwanted sexual acts with one’s partner.

How does watching pornography affect health?

Although we do not have any definitive studies telling us porn is good or bad for our health, there are many opinions on the matter.

One concern is inactivity and time spent in front of a screen.  Sitting in front of a computer, tablet, or hand-held device watching hours of porn could increase risk of a blood clot, heart disease and (prolonged sitting) has been linked to colon cancer.  However, according to PornHub, the average time spent viewing porn only ranges from 9-13 minutes.

 

40D363A200000578-4545854-image-a-17_1495818936857.jpg

What about lack of sleep? Are people secretly watching porn at night, and not getting their 7-9 hours of uninterrupted rest?

According to PornHub the most common time during the day to watch porn was between 10 pm and 1 am.  If one is only online for 10 minutes and falls asleep afterwards, they may still receive a good amount of sleep.

 

porn times.png

 

What about the risks of frequent masturbation?

In 2009 a study found frequent masturbation in young males could increase their risk of prostate cancer, but in older men (>50 years), reduced their risk.  Other studies have suggested reduced risk of prostate cancer that occurs in older men but not aggressive cancer in younger men.

Excessive masturbation could affect one’s refractory period, or time it takes to form an erection again after sex.  For some this could last 15 minutes, for others a week.  So if a date night is planned for later that evening, one with a long refractory period could have issues.

Chafing and inflammation can also occur but are usually rectified with a change in modality.

What about the impact on children?

The American College of Pediatricians released this statement:

The consumption of pornography is associated with many negative outcomes: increased rates of depression, anxiety, violent behavior, early sexual debut and sexual promiscuity, higher rates of teen pregnancy and a distorted view of relationships. For married adults, pornography also results in an increased likelihood of divorce which, in turn, is harmful to children.

Author, L. David Perry, MD, states, “Pornography glorifies decontextualized sex. Its use by adolescents and young adults often leads to a distorted view of sexuality and its proper role in fostering healthy personal relationships.”

If health organizations and institutions  choose to debate porn being a health risk, I agree with strict restrictions on child and adolescent access.  I also agree with education of condom use to protect against unsafe sex practices.  Moreover, counseling resources for those addicted to porn should be increased as internet and porn addiction is a growing public health threat.  However, does the occasional video view pose serious health risks….no.

spanish book

Learning Medical Spanish is Easy!!!

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, iHeart Radio and Board Certified Family Physician

Posted in Health, news, sex

Losing One’s Virginity: Breaking it Down

Many adolescents and young adults ponder this life-altering decision with very little guidance.  And understandably so as discussing losing one’s virginity with one’s parents fails to be a popular dinnertime conversation.  And big brother and sister don’t always give accurate and unbiased advice.

In Biblical times it was easy….one was told to “wait till you’re married.”  The timing, partner, and societal acceptance was already laid out, eliminating much decision-making.

Today, however, there’s immense pressure for both boys and girls to lose one’s virginity, for many as early as middle school.

So the average child or adult contemplating losing one’s virginity relies on social media, television, movies, friends and classmates to help form this decision.

So what does one need to take into account before they lose their virginity?

 

It’s permanent

You’re only a virgin once…..until you lose it, meaning you will never get it back once its lost.  Virginity is not a bad thing so don’t give it up so quickly.  If you have any doubts on who to give it to then he/she is probably not the right person.

 

regret.jpg

 

It’s not the ultimate show of love

Many times teens are goaded into having sex as a sign of their true commitment and love.  Yet there are many other ways when a relationship is new to show your compassion and dedication.  Love is a feeling, not an act.

 

It won’t always resemble what you see in the movies

Unlike what we saw in 50 Shades of Grey, losing one’s virginity may instead be 3 minutes of pain and awkwardness.  Love-making includes love, passion, intamcy…so if that’s how you want to lose your virginity than make sure all the ingredients are there first.

 

50 shades.jpg

 

There is no “golden” age in which one should lose it

In school, students commonly boast about losing one’s virginity before 16.  Yet this random choice of age has no scientific basis.  True, many of us in caveman days had full families before that age, but in today’s society, a teen pregnancy is not that easy.  Which brings us to….

 

You could risk getting pregnant

Most young single teens or adults are not ready to start a family, despite their youthful fertility advantage.  Hence one unprotected sexual encounter could make a soon-to-be ex-virgin a new mom or dad within 9 months.

 

You could risk getting an STI

Likewise a night of what you anticipate to be passion could give you a week, month or lifetime of a sexually transmitted illness.  Condoms are a must.

 

Many may lose their virginity when they don’t want to

Tragically many who engage in pre-sexual activity such as foreplay or 1st through 3rd bases may find themselves in a situation where their partner advances to penetration without their consent.  Many thus lose their virginity to rape.

 

Regrets

A recent study last summer carried out by ZavaMed found 31% of those surveyed , specifically 45% of women, regretted how they lost their virginity.  Unfortunately they can’t take that moment back. Which brings us to….

 

Alcohol is not your friend

Many unfortunately lose their virginity when they lose their inhibitions due to alcohol.  One drink is all it takes to bring one’s guard down.

 

jello shots.jpg

 

There’s no doubt losing one’s virginity is a rite of passage into adulthood. It could be the most amazing  and beautiful moment or one full of cringeful regret.  So don’t rush into giving away what could be your most precious commodity.

 

spanish book

Learning Medical Spanish is Easy!!!

 

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network and Board Certified Family Physician

Posted in drugs, Education, Health, news, opioids, sex, suicide

Is Your Teen in Trouble? Your Guide to Their Code Words

This generation of teens communicates differently from any others as smartphone technology has outpaced the normal evolution of day-and-age vernacular. As a result, adolescents use abbreviations and emojis to convey their thoughts while parents and society scramble to catch up.

What Are They Saying? Your Guide to Teen Slang

However, within these bite-size “codes” could be volumes of meaning, some delineating at risk behavior, some foreboding suicide.  These codes many times come from the letters that correspond to the key pad on a phone.  So here’s a guide to some of the unfamiliar terminology the young ‘uns are using:

 

Sex/Love

text night.jpg

  • NIFOC – nude in front of computer
  • CU46 – see you for sex
  • 8 – “ate” used in discussions on oral sex
  • 831 – I love you – “eight letters, three words, one you/meaning”
  • 143 – I love you (denotes letters on keypads, or #’s of letters in each word (love has 4 letters)
  • 2N8, 2NTE – tonight
  • 4AO – four adults only
  • 2B@ – to be at
  • 4EAE – for ever and ever
  • 53X – sex
  • 775 – kiss me
  • ?^ – hook up?
  • BAE – before anyone else
  • IWSN – I want sex now
  • ITX – intense text sex
  • NP4NP – naked pic for naked pic
  • 1174 – strip club

 

Unhappy/Angry

 

texting-1999275_1920-1024x731.jpg

  • < 3 – broken heart or heart
  • 182 – I hate you (1 stands for “I”, 8 stands for “hate”, 2 stands for “you”)
  • 2G2BT – Too good to be true
  • 2M2H – Too much to handle
  • Blarg, Blargh – similar to “darn” but deeper
  • Butthurt – receiving a personal insult
  • Salty – being bitter about something or someone
  • Watered – feeling sad, hurt
  • Wrecked – messed up
  • 4FS – For F***’s Sake
  • Poof – disappearing
  • ::poof:: – I’m gone
  • Ghost – disappear
  • 555555 – sobbing, crying one’s eyes out
  • ADIH – another day in Hell
  • KMN – kill me now
  • VSF – very sad face
  • KMS – kill myself
  • KYS – kill yourself
  • 187 – homicide

 

Drugs/Risky Behavior (to be revisited more in depth)

drugs.jpg

  • 420 – marijuana
  • 420 – let’s get high
  • A/S/L/P – age/sex/location/picture
  • A3 – anytime, anyplace, anywhere
  • LMIRL – lets meet in real life
  • WYRN – what is your real name?
  • Chrismas tree – marijuana
  • Catnip – marijuana
  • Gold – drugs
  • Gummy Bears – drugs
  • Blues/Bananas – narcotics
  • Bars – benzodiazepines
  • Smarties/Skittles – Adderall/Ritalin
  • Ski Equipment/Yayo– cocaine
  • Cola – cocaine
  • Candy/Chocolate Chips/Sweets/Smarties/E – ecstasy
  • Crystal Skull/Wizard – synthetic marijuana
  • Hazel – heroin
  • Gat – gun/firearm
  • Lit – getting high/drunk
  • Smash(ed) – getting drunk, stoned, or having sex

 

Parents nearby

parents.jpg

  • 9 – parent is watching
  • 99 – parent is not watching anymore
  • P911 – parent alert (parent 911)
  • PAL – parents are listening
  • PAW – parents are watching
  • POS – parents over shoulder
  • AITR – adult in the room
  • CD9 – code 9 – parents in the room
  • KPC – keep parents clueless
  • RU/18 – are you over 18

 

And the above is just a small sample of some of the terms used these days.  This list continues to grow by the day so parents need to always be aware.  Kids want to KPC and avoid POS so be ready for the next group of codes being created as we speak……

 

 

dw sketch.jpg

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

 

Posted in food, Health, news, sex

Did the Legalization of Marijuana Lead to a Rise in STD’s and Foodborne Illness?

Reports of increasing cases of STD’s appear to correlate with the legalization of marijuana.

Could marijuana be leading to a complacency when it comes to handwashing and condom use?

STD-Trends

 

This Fall the CDC reported a continued rise in cases of sexually transmitted diseases by the following:

Nearly 2.3 million cases of chlamydia, gonorrhea, and syphilis were diagnosed in the United States in 2017, according to preliminary data released today by the Centers for Disease Control and Prevention (CDC) at the National STD Prevention Conference in Washington, D.C. This surpassed the previous record set in 2016 by more than 200,000 cases and marked the fourth consecutive year of sharp increases in these sexually transmitted diseases (STDs).

And this week, the World Health Organization sounded the alarm of rising HIV cases in Eastern Europe.

At the same time more countries are easing up on legal restrictions when it comes to marijuana.  Which leads to the question, has the legalization of marijuana led to the rise in STD’s?

BackgroundChecks.org released this graphic displaying STD rates by state.

SexuallyDiseasedStates (1).png

Strikingly, there are some similarities to a map outlining state cannabis programs.

state cannabis.gif

 

Cannabis use is known to decrease anxiety and motivation and so an unintended consequence of increasing access to its use may be the decrease in precautionary thinking when it comes to unprotected sex.

Rare STD Evading Doctors and May Become Next Superbug

 

On that same note, multiple outbreaks have been reported in the food industry when it comes to pathogens such as Salmonella, E. coli, Hepatitis A and Listeria.  Could complacency with proper food handling and hand washing be related to marijuana use?

Multistat-eOutbreaks-byYear

This could easily be analyzed by screening those with an STD for marijuana use, as well as those involved in a foodborne illness outbreak.

Now the legalization of marijuana allows more studies to be done to to determine its health benefits. I suggest, however, we also study, any links to complacency issues when it comes to home and workplace safety and exposures.

 

Why is food borne illness on the rise?

Multiple issues could be playing a role.

  1. Fresh produce is not cooked like meat and can therefore harbor more germs
  2. Preservatives, used in fast food, help to deter pathogen growth, and more people are shying away from fast food than in the past, opting for “fresh”, healthier options.
  3. On-the-go produce may not be washed after packaging due to a false sense of security that the vegetables are “clean.”
  4. As our population ages, and as more people suffer from immunocompromising disease such as diabetes and cancer, they may be more susceptible to food borne illness.
  5. Our gut microbiome has changed as our diets have shifted to food with more preservatives, hence possibly being less resilient to new pathogens that enter.
  6.  In regards to the ground turkey, it is not the same as ground beef and leaving the patties pink in the center mean you are consuming raw poultry. Turkey meat may need to cook longer until no pink is seen and core temperature is at least 165 degrees for at least 15 seconds
  7. We’re less strict about cleaning than we used to be.  Counter tops used to be bleached and scrubbed for longer periods of time than we do now-a-days with antimicrobial wipes.

Therefore be diligent about cleaning counter tops, cook your food thoroughly, wash produce before eating and be aware of any reported recalls.

 

A Review of Syphilis

Syphilis is also called “the great imitator”.  Many don’t realize they have syphilis as the symptoms mimic so many other diseases.  Syphilis has been on the rise and hasn’t been routinely tested in STD/STI panels.  It’s caused by a spirochete (spiral bacteria) called Treponema pallidum, and can cause infection in stages.

Primary Syphilis can manifest as a painless ulcer on the genitals, mouth or skin.

Secondary Syphilis can manifest as a rash, along with fever, joint pain, malaise…mimicking other illnesses. In this stage it can also manifest as warts on the genitals called condylomata lata.

 

Syphilis

 

As the course progresses, syphilis may become latent. For years one may have no symptoms at all.  The patient may mistakenly feel they suffered the flu and think nothing more of it. But if left untreated, syphilis can enter the final stage, Tertiary Syphilis, which can cause severe neurological disability (neurosyphilis) and can also severely affect the heart.

Penicillin is the treatment of choice for any stage of syphilis, including the latent stage of the illness.

 

dw sketch.jpg

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

She is also a Board Certified Family Physician and Assistant Professor at Touro University Nevada

 

Posted in dating, football, Health, relationships, sex, Sports

Football Fans May Be More Successful Lovers

For those of us who are football enthusiasts, we may be at an advantage when it comes to relationships.  Makes sense….when things go sour with our partner we turn to football.  When we get sidelined we wait for a signal to get back on the field.  And we instinctively “suit up” before each encounter to protect us from the blows we may incur.  So the question arises, do football fans fare better in relationships?

 

We know the field

Before any play, we need to position ourselves correctly on the field.  Being too close to the “end zone” when you’re supposed to be yards away can give you a severe penalty.

So we start at the line of scrimmage and respect the “neutral zone.”

 

14169268_f496.jpg

 

An infraction of this space could again inflict a costly penalty.  There’s a time and a place when beginning a play and entering this zone is allowed.

 

neutral zone.jpg

 

True our goal is to get to the end zone but it will take some strategy, finesse, and opportunity.  Some good drives will get you a long way, and patience and persistence is key.

 

240_F_128301922_58w07ptHpviYITdXZ5szJXtnSYPAfjqb.jpg

 

We study our competition

Before any play we size up our competition.  Some may block your advance but most you can overcome.  As long as you know your routes and can keep other players at bay, you have a chance of advancing.

ff-routes.png

 

How do we fumble?

Holding a ball loosely and carelessly could cause it to easily fall into another player’s hands.

unsociable-media-man-ignoring-woman-date.jpg

 

But if you hold it too tight it may squeeze out the first opportunity it gets.  A proper cradling, warmth, and protection may be the right recipe.

 

embrace.jpg

 

We need to rely on others during a fumble

Losing the ball is devastating and someone else can pick it up and run with it.  It takes your buddies to help you regain possession so you can start over.

 

fumble.jpg

 

Treat your partner right and don’t lose them to begin with.

 

We are always prepared for an interception

The field is fluid and players are out there watching, waiting to grab your ball and take advantage of the yardage you acquired.

 

steal-your-girl-0.jpg

 

Always be mindful of your position and don’t take your possession for granted.

We adapt when we’re in the red zone

Although the red zone is not officially marked on the field, we understand it to be the 20 yards closest to the end zone, or time during a relationship where you can either advance to your goal or fail miserably, losing all the time and work you put into the relationship.  Being too aggressive may cause a fumble, interception or even injury.  Being too chill could prevent you from ever making a touchdown.

So us football folk know how to stop, huddle, and plan,  hopefully resulting in the ball sailing into the end zone without a hitch.

 

touchdown.jpg

So if you’re in the dating scene and find yourself getting encroached, needing to scramble, or facing a blitz, watch some football and learn how to treat your date right.  It might get you a whole new set of fresh downs…….

 

dw sketch.jpg

 

Daliah Wachs, MD, FAAFP is a nationally syndicated radio personality on GCN Network, KDWN, and iHeart Radio.

She is also a Board Certified Family Physician and Assistant Professor at Touro University Nevada