Shigella

Shigella is a bacteria that causes an infection in the intestines, known as shigellosis. It’s highly contagious and usually results in diarrhoea, which can range from mild to severe. The bacteria is present in the faeces of an infected person and can spread when tiny amounts of contaminated faecal matter enter someone else’s mouth.

This can occur during certain sexual activities, such as rimming, fingering, fisting, or using sex toys. Even minimal contact with contaminated surfaces or hands can lead to infection.

What are the symptoms of Shigella?

In Australia, cases of shigella are increasingly being reported among gay, bisexual, and men who have sex with men (GBMSM). There is currently a reported rise in shigella strains resistant to multiple antibiotics, which complicates treatment options.

Symptoms of shigella usually appear 1-3 days after exposure, and may include:

  • nausea and vomiting
  • diarrhoea (possibly including blood or mucus)
  • stomach cramps
  • fever and/or dizziness

Some people may experience no symptoms at all.

How can I protect myself from Shigella?

Preventing shigella requires careful attention to hygiene, especially in situations where the bacteria might spread. Here are some steps you can take to protect yourself:

  • Use Gloves and Dental Dams: During sexual activities such as arse play or rimming, wearing gloves and using dental dams can help reduce the risk of infection
  • Practice Good Hand Hygiene: Always wash your hands thoroughly with soap and water after sexual activities, handling condoms, or cleaning sex toys Proper hand washing is one of the most effective ways to prevent the spread of shigella
  • Clean Your Sex Toys: Ensure that any sex toys are washed with soap and water after use to remove any traces of bacteria
  • Be Careful with Food and Drinks: Avoid touching your mouth, preparing food, or sharing utensils if you’ve come into contact with potentially contaminated surfaces or faeces

I’m worried I have Shigella…

If you’re concerned that you may have contracted shigella, it’s important to take the following actions:

  • Monitor for Symptoms: Symptoms typically appear 1-3 days after exposure and can include diarrhoea (sometimes with blood or mucus), stomach pain, fever, and nausea.
  • Get Tested: A stool sample test can confirm if you have shigella. If you have symptoms or suspect you’ve been exposed, see your doctor to arrange testing – you can make an appointment with us here at M Clinic.
  • Stay Hydrated: While many cases of shigella resolve on their own, staying hydrated and getting plenty of rest are crucial. If symptoms are severe or persistent, your doctor may prescribe antibiotics. For infections involving multi-drug resistant strains, specialised treatment may be required.
  • Prevent Further Spread: If diagnosed with shigella, avoid sexual activity, food preparation, and close contact with others until at least seven days after symptoms have subsided. Washing your hands regularly and thoroughly cleaning any contaminated surfaces can help stop the spread of the bacteria.

You are welcome at M Clinic

M Clinic provides confidential, judgement-free services for men who have sex with men, gay, trans, gender-queer, and non-binary people of the LGBTQIA+ community.

If you are unsure if we are the right clinic for you, get in touch and we will be able to help you find the right fit for your needs.

Trans and Non-binary

We offer services for trans, non-binary, and gender-diverse persons seeking to get medical advice in a safe and accepting environment.

Men Who Have Sex With Men

If you’re a man and have sex with other men, M Clinic provides a safe space where you can get tested without judgement or questions.

Gay and Questioning

If you identify as gay, bi, or questioning and want a clinic that reflects you, you are always welcome to come to M Clinic for your next checkup.