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Does the water or fish transfer hiv or other STD?

Dear Doctors, thanks for unswearing  my question yesterday, however, their is something else is worrying me which is linked to my previous post,

Yesterday, I went for a fish massage in thailand where i socked my feet in a fish tank for a ten minutes and where thousands of fish in the tank and the small fish where cleaning my foot, the man told me it a good thing enhance your blood circulation, but after two to three hours my temp. Went up 38.6 and felt a joint pain and daiaria   .

My question,

is this kind of fish massage might transfer std or HIV ?

What if the customer who was setting next to has HIV?

Can the water or the fish transfer any kind of virus or bacteria?


Thanks in advance
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Avatar universal
Dear doctor, thanks for answering my question, but i unfortunately  i had  an open wound from the sandal  which i was wearing yesterday and the fish where focusing on that opened wound, should i be worried ? Very sorry for not mentioning this at my earlier post.

Million thanks for your help
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239123 tn?1267647614
MEDICAL PROFESSIONAL
This brief question could have been a follow-up comment in your other thread.

There are no data on this, but logic and the science of HIV suggest there would be no risk, and I am unaware of any reports of transmission of any blood-borne infection from Asian fish treatment you describe.  My understanding is that the nibbling fish only take superficial skin and that no bleeding results.  And if it did, I would expect any HIV or other viruses to be too diluted to be transmitted to other customers.

If there is any infection risk from these services, I would expect it to be limited to standard bacteria that sometimes cause infections from spa users -- staph, strep, E. coli, Pseudomonas, etc -- but not HIV or any other STD.

As for your symptoms, they almost certainly had nothing to do with the fish treatment a couple hours earlier.  Symptoms rarely start sooner than 1-2 days after exposure to any infection, and diarrhea with fever is much more likely due to an intestinal infection, foodborne illness, etc.

Regards--  HHH, MD
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