TL;DR
- A new strain of Shigella is affecting queer men more than others.
- Symptoms include diarrhea, dehydration, and fever.
- Transmission can occur through oral-anal contact.
- Prevention includes hygiene and understanding risks.
- Testing and treatment are crucial for those infected.
In a world where sexual freedom is celebrated, a new threat lurks in the shadows: Shigella. This bacterial infection, once relegated to daycare centers and regions with poor sanitation, is making a comeback, and it’s targeting queer men with alarming intensity. Dr. Carlton Thomas, a gastroenterologist and the voice behind the Butt Honestly podcast, found himself on the front lines of this battle after a night of fun at a Fort Lauderdale gay bar. Just days after indulging in some oral fun, he was hit with a fever of 104 degrees, diarrhea, and extreme fatigue. Talk about a party foul!
“I was very lucky,” he admitted, having to undergo IV treatment for his symptoms. But Thomas isn’t just sharing his story for sympathy; he’s on a mission to raise awareness about Shigella and how it spreads. This isn’t just a runny stomach; it’s a wake-up call for the community. Shigella is highly contagious and can be transmitted through fecal matter, which means that certain sexual practices can lead to infection. Yes, we’re talking about the intimate connections that can sometimes go a little too far.

According to the Centers for Disease Control and Prevention (CDC), the recent spike in Shigella cases among men who have sex with men is no coincidence. Dr. Demetre C. Daskalakis, a leading expert in the field, explains that certain sexual activities, like rimming, can facilitate the spread of this nasty bug. “We see higher reporting among men who have sex with men largely because certain sexual networks include sexual activities that can facilitate fecal-oral exposure,” he noted. But let’s not kid ourselves; this isn’t just about one demographic. There’s a whole lot of underreporting going on, and stigma is a major player in keeping people from seeking the care they need.
So, what’s the deal with Shigella? It’s a genus of bacteria that can cause Shigellosis, leading to symptoms that range from mild discomfort to life-threatening illness. And while it’s been around since the 1890s, this new drug-resistant strain is making headlines—and not in a good way. The infection spreads through microscopic particles of fecal matter, which means if you’re engaging in oral-anal sex, you might want to think twice before diving in without precautions.
But don’t panic just yet! Experts are quick to point out that this doesn’t mean you have to lock yourself away or stop having fun. Instead, it’s about understanding how Shigella spreads and taking proactive steps to minimize your risk. “We are in a vibrant era of PrEP and U=U, and now we even have DoxyPEP to reduce chlamydia and syphilis risk,” Thomas said, emphasizing the importance of sexual health awareness.
Prevention is key, and it starts with good hygiene practices: wash your hands thoroughly after using the bathroom, avoid sexual activities when experiencing diarrhea, and always clean up before and after engaging in any intimate activities. If you’re attending a sex party or engaging in group sex, be extra vigilant. “Don’t bottom or let someone eat your ass if you recently or are currently having bowel issues or were very recently treated,” Thomas advises. Knowledge is power, darling!
So, what should you do if you suspect you’ve contracted Shigella? First things first: get tested. Most cases don’t require antibiotics unless it’s severe, but rehydration is crucial. Remember, even after treatment, you could still be contagious for a few weeks. It’s a lot to juggle, but with the right information and precautions, you can continue to enjoy your fabulous life while staying healthy.
In this vibrant community, we thrive on connection and intimacy. Let’s keep it safe, informed, and fabulous. Shigella may be on the rise, but with awareness and prevention, we can tackle this challenge head-on!