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timeline/risks/help
Doctor can you please review my timetable here, as well as ***** my risks/answer my questions to alleviate my stress.
-July 29th 2010, recieved unprotected oral from a CSW and ejaculated in her mouth. very wet and sloppy exposure. No other incourse and she swears she was clean.
-July 31st, went to my dr and was given a 14 day dose of CIPRO for urinary tract infection dating back to may.
-August 2nd recieved urine test for chlamydia and ghonnorea, negative.
-August 12th (2 weeks post exposure) felt VERY warm and hot, almost feverish. Highest temp got was 99.4. still was able to work.
-August 16 felt muscle pain in shoulders, by the neck, as well as right chest muscle. have also been experiencing headaches.
questions.
1. did I have a risk? is the risk for unprotected oral greater for the insertive(me) partner or the recieving partner? I am 100% sure I did not have HIV before this encounter.
2. do you recommend testing? and when?
3. have had extremely dry and red skin on my face. are acne breakouts all over the face and body a symptom at all?
4. was my fever worrying? it wasn't severe, but I felt hot for about 3 days. 99.4 being the height of it. CIPRO could have played a part in this?
5. have you ever seen anybody be infected by oral sex?
6. how bout other STD's? was I at risk?
7. last question, can anxiety cause all of my symptoms in combo with the meds I was on? i was told thats a LOT of antibiotics for a person. The acne has me very concerned.
-July 29th 2010, recieved unprotected oral from a CSW and ejaculated in her mouth. very wet and sloppy exposure. No other incourse and she swears she was clean.
-July 31st, went to my dr and was given a 14 day dose of CIPRO for urinary tract infection dating back to may.
-August 2nd recieved urine test for chlamydia and ghonnorea, negative.
-August 12th (2 weeks post exposure) felt VERY warm and hot, almost feverish. Highest temp got was 99.4. still was able to work.
-August 16 felt muscle pain in shoulders, by the neck, as well as right chest muscle. have also been experiencing headaches.
questions.
1. did I have a risk? is the risk for unprotected oral greater for the insertive(me) partner or the recieving partner? I am 100% sure I did not have HIV before this encounter.
2. do you recommend testing? and when?
3. have had extremely dry and red skin on my face. are acne breakouts all over the face and body a symptom at all?
4. was my fever worrying? it wasn't severe, but I felt hot for about 3 days. 99.4 being the height of it. CIPRO could have played a part in this?
5. have you ever seen anybody be infected by oral sex?
6. how bout other STD's? was I at risk?
7. last question, can anxiety cause all of my symptoms in combo with the meds I was on? i was told thats a LOT of antibiotics for a person. The acne has me very concerned.
MEDICAL PROFESSIONAL
We're now 5 days since my "that's defintely the end of this thread" and your reply "understood". There is no point in telling me your negative test results.
correction, today is 6 weeks 2 days, not 5 weeks.
Today I went for a 5 week 2 day HIv Test. I looked at my previous test was a while ago and it said it tested me for hiv 1 and 2, EIA (don't know what that means)
Assuming I'm negative on monday (pray for me), would I require another test at 3 months? The anxiety has made me lost 18 lbs in 2 weeks.
Assuming I'm negative on monday (pray for me), would I require another test at 3 months? The anxiety has made me lost 18 lbs in 2 weeks.
MEDICAL PROFESSIONAL
Yes. Oral sex is virtually zero risk for HIV.
Understood thank you, no other details would be necessary...I just assume when u say my neg test at 72 days proves I'm negative you are taking into account that my recent oral exposure has nothing to do with this am I correct?
MEDICAL PROFESSIONAL
Re-read my original reply: "4) Symptoms never overrule tests or exposure history in determining whether or not someone has HIV". Your negative test proves your symptoms are not possibly due to HIV. Period. See a doctor if you remain worried to determine the real cause.
Tnad that's defintely the end of this thread.
Tnad that's defintely the end of this thread.
I know you said the thread was over, but im experiencing something that is troubling me...
I have 5-7 small red bumps on my shoulders and chest, and i read another post that these symptoms could be associated with ars. my previous neg test was at 72 days. These bumps/dots do not itch, but seem to originate on body hair follicles (I am very hairy)
You really think these red bumps have nothing to do with HIV? I am worried sick.
I have 5-7 small red bumps on my shoulders and chest, and i read another post that these symptoms could be associated with ars. my previous neg test was at 72 days. These bumps/dots do not itch, but seem to originate on body hair follicles (I am very hairy)
You really think these red bumps have nothing to do with HIV? I am worried sick.
MEDICAL PROFESSIONAL
1) No. 2) Probably yes.
That will end this thread. Please try to accept my reassurance and move on. Any symptoms you may have did not come from the sexual exposure you have described.
That will end this thread. Please try to accept my reassurance and move on. Any symptoms you may have did not come from the sexual exposure you have described.
Final 2 questions I forgot to ask...
1. Have you ever seen anyone test positive after a 6-8 week negative test.
2. Is it normal for the "lips" of the penis to be slightly puffy for a few hours after ejaculation?
Thank you in advance.
1. Have you ever seen anyone test positive after a 6-8 week negative test.
2. Is it normal for the "lips" of the penis to be slightly puffy for a few hours after ejaculation?
Thank you in advance.
MEDICAL PROFESSIONAL
Diet and stress as causes of acne are urban myths -- just like ulcers were once thought to be stress related and now known to just be caused by a bacterial infection of the stomach and small intestine. Acne results from a complex interaction of hormones, oil production by skin, and bacteria. Stress, diet, lack of sleep, etc may make it somewhat worse, but not much. It responds to medical therapy. Talk to your doctor about it (you can print out this reply and see if s/he agrees with me). If your doctor doesn't seem up to speed on it, see a dermatologist. In the modern era, there is no excuse for any young person to become an adult with facial pock marks and scarring due to facial acne.
Doctor thank you so much, It really makes me feel better. One final follow up, when you say acne is never a worry and it's a medical thing...can diet cause it? I've read stress causes it. Maybe my stress caused it.
MEDICAL PROFESSIONAL
Welcome to the HIV forum. Before I get to your specific questions, here are the uniform responses in virtually all such questions: 1) Most CSWs don't have HIV, usually less than 1 chance in 1000. 2) Most people don't lie about HIV status, so the chance your partner had HIV is even lower. 3) If a partner has HIV, the risk of HIV transmission by oral sex, i.e. mouth to penis, averages once in every 20,000 events (equivalent to receiving a B J once daily by infected partners for 55 years). 4) Symptoms never overrule tests or exposure history in determining whether or not someone has HIV, and anyway all symptoms from HIV are the same as the symptoms from common, minor, everyday health problems. Therefore, symptoms almost never make a difference in our replies. 5) Finally, when someone is worried about having HIV, s/he should be tested, even if there is no real risk. Having a negative HIV test will probably help you get beyond your worries much more effectively than anything I can say.
To your questions:
1) Virtually zero risk; see the statistics above.
2) I recommend testing because it will help convince you that there is no reason to be worried about HIV. From a medical or risk assessment perspective, no testing is necessary.
3) These symptoms do not suggest HIV.
4) You had no fever. Everybody's temperature reaches 99.4 from time to time. 98.6 is the average, not the top of the normal range. I doubt ciprofloxacin wa involved.
5) It doesn't matter whether or not I have personally seen such a patient. The data are the same regardless of my professional experience. (But the answer is no, I have not.)
6) All STDs are low risk from oral sex. The only possible ones are herpes, syphilis, gonorrhea, and nongonococcal urethritis (NGU). Any of these would cause symptoms you would notice, and the cipro would prevent or treat most cases of gonorrhea or NGU. If you aren't having discharge of pus or mucus from the penis, or sores on the penis, don't worry about it.
7) Whenever a person suspects his or her own symptoms have an emotional origin, usually s/he is correct. However, acne is not caused by stress orother psychological factors; it is a strictly medical condition. It does not result from HIV or other STDs. It is easily treated; discuss it with your primary care provider.
I hope this helps. Best wishes-- HHH, MD
To your questions:
1) Virtually zero risk; see the statistics above.
2) I recommend testing because it will help convince you that there is no reason to be worried about HIV. From a medical or risk assessment perspective, no testing is necessary.
3) These symptoms do not suggest HIV.
4) You had no fever. Everybody's temperature reaches 99.4 from time to time. 98.6 is the average, not the top of the normal range. I doubt ciprofloxacin wa involved.
5) It doesn't matter whether or not I have personally seen such a patient. The data are the same regardless of my professional experience. (But the answer is no, I have not.)
6) All STDs are low risk from oral sex. The only possible ones are herpes, syphilis, gonorrhea, and nongonococcal urethritis (NGU). Any of these would cause symptoms you would notice, and the cipro would prevent or treat most cases of gonorrhea or NGU. If you aren't having discharge of pus or mucus from the penis, or sores on the penis, don't worry about it.
7) Whenever a person suspects his or her own symptoms have an emotional origin, usually s/he is correct. However, acne is not caused by stress orother psychological factors; it is a strictly medical condition. It does not result from HIV or other STDs. It is easily treated; discuss it with your primary care provider.
I hope this helps. Best wishes-- HHH, MD
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