Questions & Answers

Q&A

Answered by Dr. Ravinder K. Sachdeva

Am I at risk for HIV after a suspected exposure at a spa?

Hello, Welcome to icliniq.com. I read your query and understood your concern. However, it is crucial to highlight the fact that HIV is a disease that is spread through direct sexual intercourse with someone who already has HIV. The transmission is via anal, vaginal, and oral sex in the presence of sores or ulcers in the mouth. Moreover, HIV can be acquired through the transfer of contaminated blood through a transfusion or syringes and needles.

June 29, 2026

Is a change in HIV medication needed after 11 years?

Hello, Welcome to icliniq.com. I read your query and understood your concern. Based on the treatment guidelines, if a person on an antiretroviral regimen shows stability, improvement in CD4 cell count, and undetectable HIV viral load, there is no need to change the regimen or drug combinations. However, if there is virological, immunological, or clinical failure, or if there are drug toxicity issues, therapy may need to be switched or substituted. A sore throat can have various causes and may not be related to the antiretroviral regimen.

June 29, 2026

How is HIV diagnosed and treated?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. These symptoms could be due to various reasons. Please get tested for the following infections at the earliest, and if the results are negative, get a repeat test at six weeks and then at three months. Do HIV (human immunodeficiency virus) rapid test, HBsAg (hepatitis B surface antigen), Anti-HCV (hepatitis C antibody), VDRL (venereal disease research laboratory), urine routine, and culture sensitivity.

June 25, 2026

Is PEP effective if started 40 hours after HIV exposure?

Hi, Welcome to icliniq.com. The answers to your queries are: For PEP (post-exposure prophylaxis) efficacy, adherence to the medications prescribed for PEP is the most important thing. PEP is really efficacious. To the best of my clinical practice, I have not seen any case of a patient who has completed PEP with complete adherence and then turned positive. There are recommendations to test at four weeks, three months, and then at six months after the last exposure.

June 24, 2026

Will 4th-generation tests detect HIV after symptoms start?

Hello, Welcome to icliniq.com. I read your query and can understand your concern. The following are the answers to your queries. No more tests are required if the 117-day test result is negative and there is no other exposure. No symptoms can diagnose HIV (human immunodeficiency virus).

June 17, 2026

There is fish smell in feces after unprotected anal sex. Please advise.

Hi, Welcome to icliniq.com I read your query and understand your concern. When was this exposure? Unprotected anal exposure carries a high risk of acquiring HIV (Human immunodeficiency virus) and other STIs.The symptoms could have various reasons. I suggest you get tested for HIV and other STIs (sexually transmitted infections). You can get an HIV fourth-generation rapid test now (to know about your baseline status), then at four weeks after the exposure, and if this result is negative, get a confirmatory HIV antibody test at three months after the last exposure.

June 10, 2026

Am I safe if my HIV test is negative after protected sex?

Hello, Welcome to icliniq.com. I understand your concern. As you mentioned, it was protected sex, and there was no break or slippage of the condom. The risk of acquiring HIV in this scenario is non-existent. It is great that your HIV test report at both time points is negative.

June 8, 2026

Is the 4th-generation HIV test accurate?

Hello, Welcome to icliniq.com. We will pay close attention to your worries and address all your questions with utmost care. The tests done for HIV (human immunodeficiency virus) diagnosis these days are highly sensitive, specific, and give accurate results. You can surely rely on your 90-day test result. It is unlikely that the medicines you had taken would affect the HIV antibody test result.

June 8, 2026

Does Levofloxacin cure both chlamydia and gonorrhea?

Hello, Welcome to icliniq.com. I read your query and understand your concern. The time required for IgG (immunoglobulin G) antibodies to develop after exposure to HSV (herpes simplex virus) is usually 21 to 42 days. A negative HSV IgG means that you have probably not been exposed to HSV. HSV IgM (immunoglobulin M) will tell whether you have an acute or current infection.

June 4, 2026

Do ARV and IVIg shots help in HIV-related nerve damage?

Hello, Welcome to icliniq.com. If the cause is HIV (human immunodeficiency virus), then you require antiretroviral treatment (ART) for the symptoms to improve. Studies have shown that symptoms of anterior horn cell disease potentially improve after effective ART. Kindly answer the following: For how long you have been on antiretroviral treatment? What was the baseline HIV viral load and CD4 count? What is the present CD4 count and HIV viral load? What ART medications you are receiving? What is your complete blood count report? What other supportive medications you have been advised for neuropathy? Please answer this question so that I can guide you properly. Thank you.

June 3, 2026

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