Recently Answered Questions
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How to deal with the side effects of Atroiza?
Query: Hello doctor, I am an asymptomatic HIV (Human Immunodeficiency Virus) positive male with a CD4 count of 320. I started on Atroiza and Cotrimoxazole two days back. But yesterday I drunk and could not sleep and sat outside at night because I could not breathe properly. My problem is, I am in holiday n... Read Full »
Answer: Hello, welcome to icliniq.com. Atroiza is a combination of three drugs (Efavirenz, Tenofovir DF, Emtricitabine) for the treatment of HIV. Among which, Efavirenz is the drug known to cause such side effects. These side effects of insomnia, vivid thinking, night time issues are temporary and would las... Read Full »
Kindly clear my doubts regarding the CD4 count.
Query: Hello doctor, I have a hypothetical question. Suppose I was one of the rare people who is incapable of producing antibodies to HIV (Human Immunodeficiency Virus)-2. What would you expect my CD4 (Cluster of Differentiation) count to be after four years? And how sick would I be? Read Full »
Answer: Hello, Welcome to icliniq.com. I have noted your concern. Antibodies against HIV are not a very effective defense against this virus and though they may initially contribute in keeping the virus under check they eventually fail to do so. So your CD4 count would be lower than if you had antibodies ag... Read Full »
Can I take the hepatitis B vaccine before HIV meds?
Query: Hello doctor, I just found I am HIV positive, but I am not on medication yet. My CD4/viral load count is 445 /22,500. I do have issues with my liver enzyme Aspartate aminotransferase (AST)=87, Alanine transaminase (ALT)=201, ferritin =800, but negative for hepatitis B. The doctor wants to protect my... Read Full »
Answer: Hello, Welcome to icliniq.com. I think it is the right decision to vaccinate against hepatitis B because it protects you against future exposure to this virus. Hepatitis B is having the same routes of transmission as HIV (human immunodeficiency virus) vaccination. Hepatitis B does not interfere with... Read Full »
Why am I experiencing itchiness after HIV exposure?
Query: Hello doctor, Within 24 hours of an exposure to HIV (Human Immunodeficiency Virus), I had itchiness all over my body, especially around the inner thigh, knee, elbow, wrist, waist, and lower abdomen. I noticed a few pimple-like rashes around my inner thigh, probably due to scratching. But, my brothe... Read Full »
Answer: Hello, Welcome to icliniq.com. I have seen your reports (attachment removed to protect patient identity). There is no chance that you have been infected by the HIV (human immunodeficiency virus), as all the tests have come back negative. Also, you have recovered well from your fever without a treatm... Read Full »
Query: Hi doctor, I had oral sex with an escort two months back and developed a rash on my arm, ulcers in my mouth, sore throat, and swollen glands. My blood count is dropping. Platelets were 300x109/L but are now 125x109/L, neutrophils were 7x109/L but are now 3x109/L, and lymphocytes were 2x109/L but ar... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read the query, and I can understand your concern. Types 1 and 2 of HIV (Human Immunodeficiency Virus) are recognized. Your CD4 (cluster of differentiation 4) count is more than 500 cells/mm3. Where is your HIV report? You indicated that the result was negati... Read Full »
Please give an opinion on my blood test report.
Query: Hello doctor, Should another consult with hematologist be conducted regarding no improvement on my blood work since last time? It appears that the folic acid and B12 vitamins are not exactly working. Now T cells are dropping as with CD4 and CD8. HIV remains undetectable whereby, I believe that is ru... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Low CD count can be due to altered immune function or HIV. You have been investigated with the molecular tests for HIV. So after four to six weeks of exposure, it can definitely rule out HIV. If you have investigated early with a provided period then you have to repe... Read Full »
I suffer from headaches with a CD4 count of 466. Why?
Query: Hello doctor, I was diagnosed with HIV (Human Immunodeficiency Virus) four months back and started ARV (Anti- retroviral) immediately by the count of CD4 baseline 466 and been experiencing shingles in the same month. One month before that, my result was NR(Not Reliable). Just a week ago, my neck sta... Read Full »
Answer: Hi, Welcome to icliniq.com. With CD4 at 466, it is very rare to get brain infections to cause a headache and as you are not having a fever, this headache has no relationship with HIV or OI (opportunistic infection). Neck pain is maybe a sprain or due to HIV induced myalgia. HAART (highly active anti... Read Full »
Can I get an HIV infection if my friend's blood in the ocean got into my open wound while swimming?
Query: Hello doctor, My friend and I had open wounds while divining in the ocean. My friend is HIV (Human Immunodeficiency Virus) positive. Our wounds were not in contact. However, we were near each other in the water. Should I be worried about getting infected if my friend's blood in the ocean water got ... Read Full »
Answer: Hi, Welcome to icliniq.com. HIV (human immunodeficiency virus) virus cannot survive outside the human body. For HIV to be transmitted, there needs to be sexual contact with HIV infected person, or it can be transmitted through blood transfusion or exchange of contaminated syringes or needles. Just w... Read Full »
Query: Hello doctor,My uncle is suffering from HIV and his CD4 count is 57. At what stage is his disease at present? He is not feeling hungry and his body temperature is high. He is taking tablets Instgra 50, Telura, Albavir, and Bactrim DS. Kindly suggest a few tips to improve his count. Read Full »
Answer: Hi, Welcome to icliniq.com. With passion, commitment, and experience, I hope I will be able to provide you with a top-class medical opinion. My inference is as follows: As per the stage determination based primarily on CD4 (clusters of differentiation 4) count, your uncle is at stage three of ... Read Full »
Can CD4 count and viral load show changes everyday?
Query: Hi doctor, My father was diagnosed with HIV1(Human Immunodeficiency Virus) before five years. His initial CD4 count was 110 cells/mm3 and his viral load was 100000. After consulting the doctor, he started taking ART(Anti- retroviral Treatment) for six months. After that, his viral load became undete... Read Full »
Answer: Hi, Welcome to icliniq.com. There is an immunological and virological failure. If there is any resistance to the virus by the current medications, then this is the first virological failure indicated by an increase in viral load followed by a decline in CD4 count. So a fall in CD4 count occurs... Read Full »