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Hiv symtoms after oral sex
Hi Doc,
I received an unprotected oral sex from a sex worker on 03 march 2006 (no vaginal or anal sex) which I believe was hiv+. After a week I felt very tired all the time and I had a sore throat so I went to a doctor which gave me amoxyllin 500mg 3 times a day but that did not help me and till now I have recurrent pain in my neck and throat which sometimes is painful but sometimes it feels like it is stiff and sometimes pain in my muscles near armpits and in the neck. I also now have what is called geographic tongue ,also my tongue is always white and if I brush hard the white coating gets removed.
One month after my possible exposure I went to the STD clinic and got all my possible STD tests done which included (syphilis, chamlidya,gorraehia, HIV1,HIV2,Hepatitis C) but all came back negative. But my problems persisted so I got another antibody test done at 2 months which also came back negative. After that I got a swollen armpit in the third month which hurted me a lot for couple of days and finally I got tested for hiv at 3 months, which also came back as non-reactive. Then I went to India and I had severe pain in my neck and throat and I again got tested in India at 5 months mark and the reading of elisa test were .02 and .03 .
My problem is that I have few days when I feel that something is wrong with my body and I feel very tired and also there is pain in my neck and throat which comes and goes and I also found some hairs grown on the back of my tongue and it really worries me a lot .One more thing doc I also have small pimples on the chest and they are there for last 6 months now and I think they are
I received an unprotected oral sex from a sex worker on 03 march 2006 (no vaginal or anal sex) which I believe was hiv+. After a week I felt very tired all the time and I had a sore throat so I went to a doctor which gave me amoxyllin 500mg 3 times a day but that did not help me and till now I have recurrent pain in my neck and throat which sometimes is painful but sometimes it feels like it is stiff and sometimes pain in my muscles near armpits and in the neck. I also now have what is called geographic tongue ,also my tongue is always white and if I brush hard the white coating gets removed.
One month after my possible exposure I went to the STD clinic and got all my possible STD tests done which included (syphilis, chamlidya,gorraehia, HIV1,HIV2,Hepatitis C) but all came back negative. But my problems persisted so I got another antibody test done at 2 months which also came back negative. After that I got a swollen armpit in the third month which hurted me a lot for couple of days and finally I got tested for hiv at 3 months, which also came back as non-reactive. Then I went to India and I had severe pain in my neck and throat and I again got tested in India at 5 months mark and the reading of elisa test were .02 and .03 .
My problem is that I have few days when I feel that something is wrong with my body and I feel very tired and also there is pain in my neck and throat which comes and goes and I also found some hairs grown on the back of my tongue and it really worries me a lot .One more thing doc I also have small pimples on the chest and they are there for last 6 months now and I think they are
I had unprotected sex with a guy. When it was time for him to pr ejaculate (cum) he pulled out n jerked off on the bed. He didn't put any semen inside me. Can I still be exposed to hiv? Are my risk high or low? Thank you Doc!
A related discussion, Need Some Help PLEASE was started.
Regarding Shingles:
I cited this information directly from the following website:
http://www3.niaid.nih.gov/healthscience/healthtopics/shingles/default.htm
I AM NOT A DOCTOR (nor do I play one on TV)
Shingles is a disease caused by the varicella-zoster virus, the same virus that causes chickenpox. After an attack of chickenpox, the virus lies dormant in the nerve tissue. As we get older, it is possible for the virus to reappear in the form of shingles. (This is a Herpes family virus)
In May 2006, the Food and Drug Administration in the United States approved use of a vaccine to prevent shingles. The vaccine, called Zostavax, is recommended for people 60 years of age and older who have had chickenpox but who have not had shingles. Researchers estimate the vaccine could prevent 250,000 cases of shingles that occur in the United States each year and significantly reduce the severity of the disease in another 250,000 cases annually.
Shingles is also more common in people with weakened immune systems from HIV infection, chemotherapy or radiation treatment, transplant operations, and stress.
See that last part... STRESS! Sounds like the latter is your case.
Unfortunately, There is no cure for shingles, but the severity and duration of an attack of shingles can be significantly reduced if you are treated immediately with antiviral medicines. These medicines include acyclovir, valacyclovir, or famcyclovir.
Hope this helps.
I cited this information directly from the following website:
http://www3.niaid.nih.gov/healthscience/healthtopics/shingles/default.htm
I AM NOT A DOCTOR (nor do I play one on TV)
Shingles is a disease caused by the varicella-zoster virus, the same virus that causes chickenpox. After an attack of chickenpox, the virus lies dormant in the nerve tissue. As we get older, it is possible for the virus to reappear in the form of shingles. (This is a Herpes family virus)
In May 2006, the Food and Drug Administration in the United States approved use of a vaccine to prevent shingles. The vaccine, called Zostavax, is recommended for people 60 years of age and older who have had chickenpox but who have not had shingles. Researchers estimate the vaccine could prevent 250,000 cases of shingles that occur in the United States each year and significantly reduce the severity of the disease in another 250,000 cases annually.
Shingles is also more common in people with weakened immune systems from HIV infection, chemotherapy or radiation treatment, transplant operations, and stress.
See that last part... STRESS! Sounds like the latter is your case.
Unfortunately, There is no cure for shingles, but the severity and duration of an attack of shingles can be significantly reduced if you are treated immediately with antiviral medicines. These medicines include acyclovir, valacyclovir, or famcyclovir.
Hope this helps.
Hi,
I was reading these comments with interest.
Having paniced myself by 'googling' "liklihood of positive hiv after 3 months".
I tested negative in March 2006 after a period of at least 3 months since possible exposure.
Up unitl recently, I've had no reason to suspect that I might have had a false negative, i.e. I could actually be infected with hiv.
However, last week I began feeling unwell, with tiredness and muscle pain, going on develop a painful lump in my armpit and a small group of insect bite like lumps on my back (7 lumps in total). I went to my doctor who has diagnosed 'shingles' - reactivation of dormant chicken pox virus.
The previous month I found a small lump / swollen gland in my neck which was diagnosed as a reaction to infection in the lymph node - at the time a complete blood count was taken which came back as normal. The doctor was not concerned and no further action was taken.
Now of course I'm going out of my mind with worry, linking one thing with another. Every web page describing shingles associates it with the elderly and the immunosupressed - those receiving chemo, or those with hiv.
I am 27 year old male, therefore not elderly, neither am I receiving treament for cancer or any other medication.
What do you think? How rapid can the onset of hiv be? Can a 'normal' cbc infur anything useful or should I assume nothing?
Basically I'm wondering what the cbc might have come back as if indeed I am immunosupressed due to to hiv infection. Would it be normal or abnormal?
FYI: I don't drink or smoke. I take regular excercise. Since the start of the year I have taken running quite seriously, running approx 5 miles every other day, with a run of 10 miles twice a month. I work in a very stressful job, up to andn over 50 hours a week, with days often between 10 to 12 hours.
I would be very thankful for any advice.
I was reading these comments with interest.
Having paniced myself by 'googling' "liklihood of positive hiv after 3 months".
I tested negative in March 2006 after a period of at least 3 months since possible exposure.
Up unitl recently, I've had no reason to suspect that I might have had a false negative, i.e. I could actually be infected with hiv.
However, last week I began feeling unwell, with tiredness and muscle pain, going on develop a painful lump in my armpit and a small group of insect bite like lumps on my back (7 lumps in total). I went to my doctor who has diagnosed 'shingles' - reactivation of dormant chicken pox virus.
The previous month I found a small lump / swollen gland in my neck which was diagnosed as a reaction to infection in the lymph node - at the time a complete blood count was taken which came back as normal. The doctor was not concerned and no further action was taken.
Now of course I'm going out of my mind with worry, linking one thing with another. Every web page describing shingles associates it with the elderly and the immunosupressed - those receiving chemo, or those with hiv.
I am 27 year old male, therefore not elderly, neither am I receiving treament for cancer or any other medication.
What do you think? How rapid can the onset of hiv be? Can a 'normal' cbc infur anything useful or should I assume nothing?
Basically I'm wondering what the cbc might have come back as if indeed I am immunosupressed due to to hiv infection. Would it be normal or abnormal?
FYI: I don't drink or smoke. I take regular excercise. Since the start of the year I have taken running quite seriously, running approx 5 miles every other day, with a run of 10 miles twice a month. I work in a very stressful job, up to andn over 50 hours a week, with days often between 10 to 12 hours.
I would be very thankful for any advice.
I got another HIV antibody test done after 7 months and one week and it came back negative. Now i am totally out of window period and i can rest in peace. Thanks everyone and Doc.
Doc, I have one more question,there is a rash on y chest which i thought was mollucosum but actually but it is of a kind that it has small patches that are almost body coloured or slightly pink but when I scratch my chest it becomes red and if I leave it for few minutes say 15 then I returns to the mild pink colour. But recently it has been started itching a lot when ever my shirt touches the skin. Also there are few pimples on my chest but these pink patches are all over my chest . Now lately it icthes a lot, does i need anymore testing after these symtoms as i still have the earlier symtoms.Ur reply will be greatly appriciated...
Ok, you are. Thanks.....
Its all clear now. Thanks.
Dumbo: Are you?
Ronnie,
Are you a gay male?
Are you a gay male?
Jeez. The "gay male" analogy was just to illustrate ONE example of a high-risk event. That's all. I think you read way, way too much into his comment.
Re: HIV as a gay/straight disease--this article was posted the other day on a sexuality listserv I participate in...
http://www.latimes.com/news/printedition/la-me-hiv30sep30,1,7654094.story
Re: HIV as a gay/straight disease--this article was posted the other day on a sexuality listserv I participate in...
http://www.latimes.com/news/printedition/la-me-hiv30sep30,1,7654094.story
This indeed is an insightful post for someone who hasn't been following this forum previously. At the same time, we can't thank the doc enough for re-iterating what he has been advocating all this while.
At the same time, I would like to question predictive value with respect to test conclusiveness in massachusettes at 6 weeks. It is in common knowledge of HIV forum surfers that mass advocated 6 weeks testing as conclusive. I am not sure if they attach any predictive value in giving out a set time frame for all kinds of exposures(be it high or low). Nothing in medicine is 100% but if the odds for high risk is 1/1000 after 4 weeks negative result, testing at what point of time will be feel good indicator that hiv is not present especially in presence of symptoms(ie. 8, 10 or 12 weeks) which are obviously meaningless but CDC does list them in their website.
At the same time, I would like to question predictive value with respect to test conclusiveness in massachusettes at 6 weeks. It is in common knowledge of HIV forum surfers that mass advocated 6 weeks testing as conclusive. I am not sure if they attach any predictive value in giving out a set time frame for all kinds of exposures(be it high or low). Nothing in medicine is 100% but if the odds for high risk is 1/1000 after 4 weeks negative result, testing at what point of time will be feel good indicator that hiv is not present especially in presence of symptoms(ie. 8, 10 or 12 weeks) which are obviously meaningless but CDC does list them in their website.
Doc, you really need a FAQ section. This one would be at the top of the chart.
MEDICAL PROFESSIONAL
OK everybody, listen up.
1) An ELISA result that is below the cut-off is absolutely negative. A result of, say 0.05, is every bit as negative as a result of 0.00 or 0.01. It has to do with the physical chemistry of ELISA technology, not that some people have "a little bit" of HIV antibody.
2) The longer cut-offs for reliable results (3 months, 6 months) are old news, but when knowledge moves as fast as in this field, "old" is only a few years. Providers who are not AIDS experts should be forgiven if they are unaware of the latest information. Many providers tend to worry about lawsuits, so they lean toward conservative advice--and the longer you go, the more reliable a negative HIV test. On top of that, a lot of docs simply don't understand the concept of "predictive value"--about which more below.
3) As I have said many times, there is no time cut-off for the last HIV result that applies with equal usefulness for all patients. For most of the very low risk exposures that generate the giant number of irrational, unrealistic fears on this forum, a 4 week test is fine. But some people at especially high risk need testing at 8 weeks or even 3 months.
Why? I have gone through the following calculations several times, but it bears repeating. This is the concept of the "predictive value" of a test.
Situation A: Low-risk, worried well, panicked person after a heterosexual exposure, say with a commercial sex worker. Odds the worker had HIV, say 1%. Odds of transmission by unprotected vaginal sex, average 1 in 1000 (tops). Likelihood of a positive test at 4 weeks, 90%. Even before the test is done, the odds that the exposed person acquired HIV are 0.01 x 0.001 = 0.00001. That's 1 chance in 100,000. Add a test that is 90% reliable (the 4 week test) and the chance someone has HIV, after getting the negative test result, is 1 in a million. Think how low a risk that is: Equivalent to sex with an infected person once a day for 2,800 years before catching HIV. In other words, essentially 100% assurance.
Situation B: High risk, really at risk person, a gay man who has receptive anal sex with a known HIV infected person. The risk of infection in such a person is 1%, i.e. 1 in 100. Now test at 4 weeks, same test, i.e. 90% reliable. After the negative test, the risk of HIV is 0.01 x 0.1 = 0.001. That means there still is a 1 in 1000 chance the exposed person has HIV. Although most rational people can live happily with a 1 in a million chance, most of us would lose a lot of sleep at 1 in 1000. So this person needs additional testing, out to 8 weeks or even 3 months after exposure. Exact same test, same test peformance--but difference levels of assurance. That is, different predictive values.
worried1947, your risk of having HIV, even before you had your first test, was less than 1 in a million. That's why you didn't need testing at all.
HHH, MD
1) An ELISA result that is below the cut-off is absolutely negative. A result of, say 0.05, is every bit as negative as a result of 0.00 or 0.01. It has to do with the physical chemistry of ELISA technology, not that some people have "a little bit" of HIV antibody.
2) The longer cut-offs for reliable results (3 months, 6 months) are old news, but when knowledge moves as fast as in this field, "old" is only a few years. Providers who are not AIDS experts should be forgiven if they are unaware of the latest information. Many providers tend to worry about lawsuits, so they lean toward conservative advice--and the longer you go, the more reliable a negative HIV test. On top of that, a lot of docs simply don't understand the concept of "predictive value"--about which more below.
3) As I have said many times, there is no time cut-off for the last HIV result that applies with equal usefulness for all patients. For most of the very low risk exposures that generate the giant number of irrational, unrealistic fears on this forum, a 4 week test is fine. But some people at especially high risk need testing at 8 weeks or even 3 months.
Why? I have gone through the following calculations several times, but it bears repeating. This is the concept of the "predictive value" of a test.
Situation A: Low-risk, worried well, panicked person after a heterosexual exposure, say with a commercial sex worker. Odds the worker had HIV, say 1%. Odds of transmission by unprotected vaginal sex, average 1 in 1000 (tops). Likelihood of a positive test at 4 weeks, 90%. Even before the test is done, the odds that the exposed person acquired HIV are 0.01 x 0.001 = 0.00001. That's 1 chance in 100,000. Add a test that is 90% reliable (the 4 week test) and the chance someone has HIV, after getting the negative test result, is 1 in a million. Think how low a risk that is: Equivalent to sex with an infected person once a day for 2,800 years before catching HIV. In other words, essentially 100% assurance.
Situation B: High risk, really at risk person, a gay man who has receptive anal sex with a known HIV infected person. The risk of infection in such a person is 1%, i.e. 1 in 100. Now test at 4 weeks, same test, i.e. 90% reliable. After the negative test, the risk of HIV is 0.01 x 0.1 = 0.001. That means there still is a 1 in 1000 chance the exposed person has HIV. Although most rational people can live happily with a 1 in a million chance, most of us would lose a lot of sleep at 1 in 1000. So this person needs additional testing, out to 8 weeks or even 3 months after exposure. Exact same test, same test peformance--but difference levels of assurance. That is, different predictive values.
worried1947, your risk of having HIV, even before you had your first test, was less than 1 in a million. That's why you didn't need testing at all.
HHH, MD
Actually i had only one test in india that was on 5 months mark, rest all were done in canada and they also tell if its reactive or non-reactive so all my earlier one's were non-reative and last one that i had in india was .02 for hiv-1 and .03 for hiv-2.
the similar problem i have thats is just because of stress. now am at 21 weeks mark am still woriied. my 19th week test is Neg. all the three HIV tests i took in USA i am scared to take the test in India becoz of 0.00 system, your comment please.
Thanks
Thanks
Dr. Rockoff from the dermatology forum, (2004, subject rash as an HIV symptom)said to dcnelsonmn that he needed to test out to 6 months for HIV to rule it out. My question is why would he say that? It's the same forum as this one, only for dermatology.
Actually if u have a reading less than .07 then u don't need any further testing if it is not in the window period i.e 3 months so if u have greater than .07 then u might need another one after few weeks. That is what i know . Anyways my throat is also not sore and i can eat properly without any problems but its like some mild constant pain in the neck and throat. I am really repenting what i did 7 months ago and i swear to god i won't do such a mistake again in my life. Anyways thanks for the comment
i am in same situation unprotected oral. i got tested at 14, 18 & 19 WEEKS all are negative by Elisa, Orasure & Oraquick. but still i have problem with white coated tongue, neck and head ache but no sore throat never and fever also. i have some dental problems am expecting that might be problem. The white coated tongue because of Amoxillin(antibiotics). whatever symptoms you have are not ARS. symptoms never descibe HIV+ only HIV test. i have two concerns about your situation i.e
1)5 month test 0.03 means later its going to be >0.7/>0.25 i have no idea and for my case i never get the result like that
2)Positive result after 8 months ( I dont think it happens)
overally i would say STRESS is mother & father for all pains.
Thanks
1)5 month test 0.03 means later its going to be >0.7/>0.25 i have no idea and for my case i never get the result like that
2)Positive result after 8 months ( I dont think it happens)
overally i would say STRESS is mother & father for all pains.
Thanks
Thanks Doc u really releaved my fears as the ENT doc to which i went said that there have been cases that people have become positive after 8 months and u need to keep ur fingers crossed and pray to god so i was really scared, Can u suggest me any tests i should go for to know what is wrong with me from the above said symtoms as i always feel that my neck aching and my throat is little bit sore and tongue white. I really apologize for not writing it in my previous question.
If u have reading >.25 then its positive otherwise its negative and to be precise if u have a range in between .07 and .25 then its weakly positive.
dumbo, the reason I said symptoms shouldnt be inclued is because the doc has given you, me and everyone a clear way to assess your/our risk. The predictive value will mean little to those with symptoms if they feel that their symptoms lower or debunk their odds. HHH, aidsmeds, Dr. Bob have all stated that symptoms or the lack there of mean nothing in reguards to HIV. Only testing tells the true story.
I've said it before, I'm not an HIV expert but I did stay at a Holliday in last night.....
I've said it before, I'm not an HIV expert but I did stay at a Holliday in last night.....
Yes the fact a person at low risk, who has possible exposure, but has no symptoms does factor into the equation especially if 80 to 90 % of infected people show symptoms....how could it not? Stacked with all of the odds the Dr. has stated AND showing no symptoms does apply especially combined with a 4-6 week negative test.
Anyway, I will not argue with you, you are now an expert since you are in the clear obviously, hence the reason for the more, say, cocky posts. Interesting thing is that when you were worried, you did not listen to the re-assurance on this board (the same stats you now state to others) or the many others you frequented at the time of the worry.
Glad to see you are out of the woods so to speak.
As the Doc says, this is my last post on this thread.
take care.
Anyway, I will not argue with you, you are now an expert since you are in the clear obviously, hence the reason for the more, say, cocky posts. Interesting thing is that when you were worried, you did not listen to the re-assurance on this board (the same stats you now state to others) or the many others you frequented at the time of the worry.
Glad to see you are out of the woods so to speak.
As the Doc says, this is my last post on this thread.
take care.
So essentially you are saying that the behavior is the key, not the sexual orientation. I brought it up because the web is worldwide and HIV is a vastly heterosexual disease worldwide.
You are reading content posted in the HIV - Prevention Forum
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