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risky business

ky5
18 days ago I had sex with a middle aged female. During foreplay she bit my tongue causing it to bleed. I then gave her oral sex. The next morning approximately 6 hrs later i looked in the mirror and saw blood on my tongue. I squeezed it and saw the origin. 7 days after exposure i developed a fever of 100+ that lasted for three days. During this time I also experienced fatigue and dizziness. This was accompanied by two days of runny stool. At 12 days I developed a very strange purple dot on the vein below my eye. Day 15 until the present I developed pain in my stomach. It is very tender under my ribs going all the way down to my hip. It is concentrated primarily behind my oblique muscles. Most of the pain is on the right side. When i flex and press it hurts less. when i relax and push in it is very tender. During my past three days my runny stool has been present. I would kill for a solid number 2. I am not recording a fever and do not currently have a sore throat. My stomach feels bloated primarily at the bottom and pretty much from day 7 post exposure to present has been making more noise than i knew it was capable of making. I had unprotected sex with my girlfriend at day 7. I pulled out before ejaculation. I now cannot sleep. I am convinced that I have infected us both despite the low odds. I had hope when I saw that saliva makes transmission difficult, but considering my mouth was most likely dry because of the alcohol makes me fear the worst.
My questions if you have made it through that looping monologue are these in the order of their importance to me.
1) I know viral load is very high during initial exposure. How likely is it that precum a week out from exposure would infect my girlfriend?
2) Is it possible that the pains could be mesenteric lymph nodes? Would this be a significant sign of acute infection?
3) If the woman in question tests negative and I take the duo test at 28 days and it too produces a negative result would you consider me in the clear?
3 Responses
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300980 tn?1194929400
MEDICAL PROFESSIONAL
If your duo test is negative, you can be confident that the symptoms you describe are not due to HIV.  

The mouth is not an effective site of HIV entrance.  There are many characteristics of saliva and other substances in the mouth that act to fight HIV.  Thus, despite the fact that sores, cuts, burns of the tongue, as well as gum an dental disease would appear to be possible routes by which HIV can enter the body, this is not the case. EWH
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Avatar universal
ky5
Very sorry the post was placed in the STD section. I'm not sure how that happened. Thank you for the response. Since my last post I have noticed swollen lymph nodes around my jaw under my left arm and in my groin. I also have strange muscle pain. I still do not have a fever or a sore throat. I am getting a duo test tomorrow. 21 days post exposure. If that test is negative can I rule out that these symptoms are hiv related? Also I was hoping you could briefly explain why the open wound on my tongue would not increase my risk of exposure. The woman that had agreed to test last week has now dropped off the face of the earth. I am more than concerned.
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300980 tn?1194929400
MEDICAL PROFESSIONAL
Welcome to our Forum. This is the STD Forum and we ask that questions about HIV go to the HIV Prevetnion Forum.  I will address this queston here but to and fro will be limited in respect for our rules which are designed to make sure that other users will know where to read about the topics that are of interest to them.  

You seem to assume that you’ve caught HIV and while it’s clear that you have got something going on, the chance that it is HIV is small.  It is unlikely that your partner had HIV and even if she did, it is unlikely that a single act of unprotected intercourse led to transmission of infection.  the bite on your tongue and oral sex do not increase your risk for infection.   Further, the onset of your symptoms was early to be a manifestation of acute HIV infection and while your symptoms have some of the elements of the ARS, the also lack a number as well and thus do not match up particularly well.  

I'll answer your questions to provide factual information but, before I do, I want to say that my responses to questions 1 and 2 have little relevance to you as it is so very unlikely that you have acquired HIV from the exposure you describe.

1.  Many believe that most HIV is transmitted by people who are in the earliest stages of HIV because that is when the amount of circulating virus is highest.  HIV is present in pre-ejaculatory fluid as well so indeed it is possible to transmitted infection without ejaculation (this is true both in the earliest stages of infection and beyond, over their course of the infection).

2.  Your symptoms are not suggestive of mesenteric lymph node swelling.  Further, the lymph node swelling experienced by persons with the ARS is generalized, not localized to one group of nodes such as the mesentric nodes (which, when they are infected and/or swell are typically painless).  The pain you describe sounds more like a soft tissue (muscle) pain or (less likely) to be coming from your liver.  If it troubles you as much as it sounds like, I'd ask your doctor.  The symptoms you describe, when taken in the context of your other complaints might be suggestive of hepatitis or some other, non-HIV, non-STD community acquired viral illness which is easily ruled in or out with a blood test (I'm not going to go beyond on the hepatitis issue- you should discuss this with your own doctor.  To go further would be improper as trying to practice medicine over the internet is inappropriate).

3.  If the women tests negative at this time and if you have a negative DUO test at 28 days, you can be absolutely confident that your current symptoms are not related to HIV.

I hope this helps.  My advice is to see your doctor and discuss the events and all of your symptoms to get them sorted out.  EWH
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