please Doctor help me ans answer my questions

[Alsihan]

Dear doctor

Unfortunately I exposed to hiv since 6 months when I had sex with a girl oral and frottage just rubbing her butt out side without penetration then I felt so anxious and worry all the time thinking of hiv possible infection tested for hiv 1&2 Ab & p24 Ag combo about 4 times post exposure first one 35 days about 5 weeks second one 54 days about 8 weeks third one 90 days and last one 177 days about 6 months all test results come back negative non reactive also hepatitis C&B negative my concern now I am afraid of contract hiv from some exposures in my life I want to explain it and please let me know if are these sorts of exposures are considered as risky or not

[Edward W Hook, MD]

I agree with Teak.  None of the situations you describe put you at risk for HIV or require testing. EWH

[Alsihan]

ok i got it this is my last question please doctor :
1_ i ate shawarma sandwich last week when I was on trip to Iraq  but unintentionally i did not noticed there is a slice of lemon inside the sandwich  prepared to add lemon to the sandwich the slice  was contaminated with a blood when i felt it i throw the slice from my mouth I have some damaged and broken teeth due to decay and some sores in my mouth now I developed diarrhea since 4 days when I came back to my country I am so worry of contract hiv or hepatitis C&B  please let me know when I can test post exposure should I do now ?
2_ also if some water from sewage  or aircondition ( polluted water) spewed to my eyes and nose is that risky behavior ?
3_ because i read the hiv virus can survive in sewage water and untreated water for several days 8 to 10 days is that true ?
i asked mr teak the same question and told me not an hiv concern so do i need to test for these exposures or no and can i move on and resume unprotected sex with my wife ? thank you alot doctor

[Edward W Hook, MD]

There is no need for testing related to the activities that you mention.  HIV is not spread  from contact with contaminated toilet seats, from sharing hookahs, or in water.  HIV is spread from person to person among adults ONLY through genital or ano-genital sexual contact or injection of infected material deep into tissue.  EWH

[Alsihan]

thank you very much doctor you are so kind last week i traveled to area alot of (hiv positive persons) lives there i used to smoke (nargila)hooka in cafes i think you know it , it is called nargila a kind of smoking pipe and it is used before me by infected persons is that risky  behavior ?  also used the same toilets i did not noticed blood but i am not sure if there is some blood or something spread up by water when i rinse my penis and touched my penis in toilet do you think i need to test  for hiv or not if the area not so clean i mean many of rabish and insects and Sewers could it be a risky for hiv you know we breath the air and walking on land i spent there one week about (no sex and no drugs needles sharing) please advice me if i need to test or not thank you alot

[Edward W Hook, MD]

Welcome to our Forum.  You have many questions and concerns about HIV.  I will try to address them.  Most importantly, I need to emphasize that HIV is transmitted in adults only through penetrative genital- or ano-genital sexual contact or through injection of infected material deep into tissue. It is not transmitted by receipt of oral sex, frottage, touching or surface contamination.   Similarly, it is not transmitted on inanimate such as by touching a doorknob which might have blood on it.  Thus none of the occurrences that you describe suggest any meaningful risk for HIV.

Regarding the situation when you had your blood drawn, this too has no meaningful risk for HIV.  In busy laboratories or practices it is not uncommon for technicians to open a number of needles and syringes for blood drawing in preparation for seeing a large number of patients.  This makes things go more quickly as things get busy.   The blood draw procedures you describe di d not put you at risk for HIV (or for hepatitis B or C either).

I would not be worried about any of the events you describe.  I hope that my explanation is helpful to you. If not, you may ask one or two follow-up questions.  EWH

[Alsihan]

Before 8 days I went to Amiri hospital in Kuwait  for annual check out  blood test cbc and vitamin d when I went to the lab the technician did not changed his gloves and I noticed the needle was ready but stored in a tub on the table I haven’t seen the technician open a new needle just took it from the tub and injected me also when the blood withdrawal finished he removed the cotton and the fresh cut bleeding so he changed the cotton with new one before using plaster on it might be touched the cut with his gloves  so do you think the technician  used old needle used before or new one  but I noticed when he finished he throw my needle and disposed it in trash because I developed some symptoms like flu 8 days post exposure also I would like to know please doctor our neighbor diagnosed with hiv since 1 years living in the same building yesterday I touched the doorknob and the left button and suddenly I touched my eyes and my face then I noticed some blood  on the doorknob also the left button if this blood flowed from him I mean the hiv positive person is that risky behavior also some needles are thrown in area inform my our building many drugs addicted people used it before I noticed last week when I was walking I stepped on needle and stuck me but without blood is that risky behavior  if the contaminated needle mixed with sand in environmental surface and under high  temperature could the virus survive in the needle for long time ?