Hello Doctor,
I was facing a throat problem and i wanted to brief you the total case.
I had 3 sexual encounters in 2 days with Commercial Sex Worker. The sex was unprotected Oral sex full fledged (giving and receiving both) and protected Vaginal intercourse. This was the first time I had such encounter and was really guilty for the incident happened. Actually I was in a drunken and heavily smoking during that time.
After coming back I was really stressed and had oral thrush, and mild sore throat. I took antibiotics (Azithromycin) for 3 days and was ok. After a week i still have mild irritating throat , mild pain on the lymph nodes.
Finally after 3 weeks of risk exposure i got tested for following:
1. HIV PCR DNA Qualitative : Result NEGATIVE
2. HIV Combo Test (including p24 Antigen) : Result NEGATIVE
3. HIV Antibodies - ELISA (Test strategy -III) - Result NEGATIVE
Also I had also tested for STD (Syphilis, Herpes) which was also Negative.
I tested above HIV and STD after 10 days gap of having antibiotics.
Later I also met a doctor and he suggested antibiotics (cefpodoxime) for a week for throat infection. I used the antibiotics but after a week . Also sometimes I still have the mild throat pain ,intermittent pain like squeezing and mild pain under the jaws (tonsiltis).
I was really getting worried ,as despite using antibiotics I was still having this irritating throat. Also I developed a rash on the shoulder on 38th day and it has vanished in a day.
I met the doctor again and again he gave antibiotics for a week (Cefpodoxime proxetil) for throat infection. I completed the course of Antibiotics, however I still had very mild throat, sometime on the left side of the throat and right side of throat but rarely on middle of throat and intermittent squeezing pain. however it was only mild and irritating.
So I got tested again as below:
On 41st day HIV Elisa (Test strategy-III) : Negative
On 44th day HIV PCR -RNA- Quantitative- Negative
On 45th day HIV Combo Test (including P24 Antigen) - Negative.
On 53rd day got tested for PCR qualitative test for Gonnoreah and Chlyamdia: Negative
On 56th day HIV Combo Test (including P24 Antigen): Negative
I took these tests at one week gap of having antiobotics
Please advise on the following:
Now it is 70 days of exposure again i had mild throat pain, tender and painful lymph nodes and a small rash on my neck area, also had mild muscle pain.
I did gargling for 3 days with salt and used panadol tabs for 2 days. The pain has gone and throat pain is reduced drastically and i stopped gargling as well.
After a day a very mild throat irritating persists. I started gargling again. Also I was using fucidin for the rash on the neck.
The throat is scratchy and irritating, but no problem while eating and having fluids. Also had icthy ear on both the ears (intermittent)
But I wonder 15 days back I had antibiotics for 2 weeks, i dont know why the throat irritation occurred again.
One of the doctor said it might be due to acid reflux and suggested Pantaprozole, B-complex, Actilac (alternate for Sporolac for excessive usage of antibiotics) . I have been using them since 5 days no along with Ajithromycin for 3 days
I am really getting worried and tensed.
Are these HIV tests conclusive at the said period????? please advise doctor ( i had protected sex and unprotected oral sex). I got tested for syphilis, herpes at 3 weeks of exposure and Gonnoreah and Chlyamdia at 6 weeks of exposure.
Do i need to test for Hepatitis B. C ad well? Also do I need to get tested for HIV post 12 weeks?
Some of the doctors and websites say the HIV Test after 3 weeks and 6 weeks and 8 weeks are negative (both DNA, RNA, Antibodies , P24 Antigen) and are conclusive .
Does antibiotics effect results??
Are these considered conclusive? or do i need t wait for 3 months as per CDC guidelines. I am not having sex with my wife till my doubts are cleared.
Please advise your opinion as I am planing for kids.
Your reply is highly appreciated
Thanks