I had a casual MSM oral sex encounter in a high risk venue four days back on Sunday. There was only pre-ejaculation but no ejaculation. I couldn't be sure if he had any cuts or wound to his penis as it was dark but he claimed subsequently over the phone that there was none and that he had been tested recently and it was negative. However I can't really trust him because he keeps changing his last testing date. One minute it's one year back, the next three months and then one month. Anyway, I started to feel cold (even on a warm day) within a few hours after the exposure and decided to get PEP at the 25 hour mark which was Monday night.
The doctor said it was a low to moderate exposure (moderate because of the population group) and left the decision to me. I decided to take it
The very night after I took the PEP I had night sweats and within 24 hours on Tuesday my lymph nodes in my neck became swollen and sore. I had a metallic and rough taste in my tongue for most of Wednesday and today. I had a hollow sensation under my cheek bones last night, my face looks a bit thinner and body fatter. Can fat redistribution take place so soon after PEP starts? I am not sure if the PEP's might result in lipoatrophy or lipodystrophy although I know that it normally takes months or years. When I woke up this morning Thursday, my heartbeat was irregular. It would beat suddenly very quickly before slowing back to normal and than beating very quickly again. There were two instances when I felt a pain in my chest / heart region this morning also. It's now regular and has been for most of the day. The kidney part of my back does not feel its normal self. It's not painful but a bit of a numbing / different feeling.
A part of me wants to stop the PEP medication because I don't know what the toxicity is doing to me, the side effects and the relatively low risk. But what if the swollen lymph nodes and night sweats are not a result of my kidneys and liver trying to process and deal with the toxicity. I've read that metal toxicity can lead to swollen lymph nodes and excessive sweating. Alternatively, it could be just a sign of seroconversion. It takes 24 to 48 hours for HIV to get to the lymph nodes, about the same time I started experiencing the swollen symptoms.
I'm worried and scared but am resigned to the fact that I have to wait for a few months in this state of limbo before I can get a clearer picture. Part of it may be HIV paranoia but it is a living nightmare.