Very worried and craying

Dear DR Hunter...        My English is not very good but I will try to explain , I'm 32 years old , male  , I was in Thailand on the 27th of October , and I had sex with a sexworker two  times with protection ( condom ) ...      But  I'm concern because of five things :  first : on 25th October I cut my penis with a scissors when I was shaving.. The sexworker was very wet and may be her wet got in to my cut.  Second : she sucked my ( . . . . ) with no condom and kisses .       Thierd : I had a fever , phlegm and sweating night after foud days . ( only for two nights ) then I have no fever until now but the sor thrghot pain never stop for 3 weeks.       Fourth : I had a pain on my knee and my most of the body bons ( joint ) for two days and pain on my measals on 7th of November.  Fifth : I feel dizzy and , lost 4 kilo of my waihgt in one month because I'm too worried and think about it all the time .. I don't eat any thing and just worried and scarred.  I also had a swollen lymph glands on my right neck with pain on the 14th of November and very little on my left Nike and a pain on my arm.     How is my Risk doctor ? I can't sleep because of this..  I made an elisa test and the result is on weds.  Also there is a white things on the site of my tunge.  Do think I'm fine .. Answer me please. Thank you indeed.

[H. Hunter Handsfield, M.D.]

Welcome to the forum.  Thanks for your question.

This was a very low risk sexual exposure, since it was condom-protected; and because these days few Thai sex workers have HIV.  Thailand has been one of the world's major success stories in HIV prevention in the past 20 years.  There was once a very high rate of HIV in sex workers, but not for the past 10-15 years.  A cut on the penis a couple days earlier makes no difference in risk; within a few hours, a cut is sealed sufficiently to prevent HIV transmission even if exposed.

As for your symptoms, they are not typical for an acute HIV infection or any other STD.  It's possible you have a minor viral illness, but maybe not even that.  Most of your symptoms are also compatible with the physical manifestations of stress or anxiety.

So most likely you are fine and I am sure your HIV test will be negative.  But if your symptoms continue or you otherwise remain concerned, see a doctor or clinic for professional evaluation.

I hope this has helped.  Best wishes--  HHH, MD

[craying1]

Thank you very much indeed for replying .. You make better now .. I also forgot to tell that I had some pain on my kidney and stomek .  So do think I'm going to get negative doctor..   Thank you again.

[H. Hunter Handsfield, M.D.]

This doesn't change my opinion. I still expect your HIV test to be negative.  Feel free to retun with a follow-up comment to let me know the test result.  Until then, I won't have any more comments or advice.

[craying1]

Dear Doctor .....    I want to thank you for your help , I called the hospital today and they told me that the result of Elisa is negative.      As you expected doctor.  Do you think I have to make another test after 2 months or I just forget about it ?  Because I still feel joint pain on my whole body sometimes ( come and go ) with weekends.   And I'm still losing waihgt and do not feel that I want to eat anything . Thank you again DR

[H. Hunter Handsfield, M.D.]

Your negative result is definitive; it proves you do not have HIV.  Even though official advice is that results are not final until 3 months after the last, exposure, the results are virtually 100% reliable after 6-8 weeks; see the thread linked below for more information.

http://www.medhelp.org/posts/show/1704700

See a doctor if your symptoms continue, but for sure they are not due to HIV.

That will end this thread.  Best wishes.

[craying1]

Hello Dr

I went to the hospital today to do the second hiv test , ( As an official advic )

The doctor told me that my Elisa test was 4generation and 28 days was difintive ...  And said that no need for another test!!!!

Anyway I did the second test and waiting for the result

1. Is 28 days test difintive
2. I have a bad pain in my both armpit ( swollen lymph ) , is  it late ARS
And is why I did a blood test again
I'm waiting for the result and very stress and worried

That was my last question .... Thank you

[H. Hunter Handsfield, M.D.]

"1. Is 28 days test difintive"

Yes -- and already answered.  Did you think I might have changed my mind?

"2. I have a bad pain in my both armpit ( swollen lymph ) , is  it late ARS"

The negative test proves it isn't ARS.

You didn't need the additional test you are having.  It will also be negative.  When it is, accept the scientific evidence and the repeated expert reassurance you have had both here and from your doctor.  It's time to put this event behind you and move on.

[craying1]

Thank you  very much Dr ..

Your advice was very important and I'm happy  and confedent now...

Have a nice weekend