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This is a bacterial infection that causes serious stomach cramps and diarrhea. Shigella can easily be spread from one person to another through rimming (oral-anal contact) and from oral contact with contaminated skin including skin in the groin area, the testicles and the penis. Shigella can also be spread via fecally contaminated food and water. People with HIV are more likely to have serious complications from Shigella infections. Other bugs commonly acquired through oral-anal sex that can case stomach pain and diarrhea are the three parasites: giardia, amebiasis, and cryptosporidium, and the viral Hepatitis A. Shigella can be treated with antibiotics. Very thorough washing of your genitals and hands before and after sex can help prevent shigella and other infections, as well as using a barrier (cut-up condoms, dental dams, or household plastic wrap) for oral-anal sexual activities.
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