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Would HIV cause body pain along with tingling sensations in hands and feet that do not resolve with medications?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At January 30, 2023
Reviewed AtDecember 7, 2023

Patient's Query

Hi doctor,

I am a 36 years old married male, and presently, I am having a hard time. One year ago, I went to a massage center. And the lady who massaged me gave me unprotected oral, which was about one minute, and finally, she spat on my penis and gave hand job, and I ejaculated outside. I was not aware of her HIV (Human Immunodeficiency Virus) status. After two days, I got a UTI (Urinary Tract Infection) and muscle pain in my upper back and shoulder. The doctor gave me antibiotics and some muscle relaxant medicine. After taking this antibiotic for a week again, I went and took a tablet of Ciprofloxacin 500 mg. After taking it for two days, during sleep, when I woke up, I started feeling numbness in my fingers and tingling in my hands and feet, like a pin and needle sensation. Again I visited my doctor, and he told me to visit a neurologist. So I made a new appointment with a neurologist who asked me to go for MRI(Magnetic Resonance Imaging). The MRI showed mild scoliosis. He asked me to take vitamin B1, B6, and B12 supplements. I have been taking them for the last three weeks but have had no improvement. I did many searches on the internet, and I have got some STDs (Sexually Transmitted Diseases) or HIV. As these symptoms do not resolve, I read this could be because of HIV.

Please help me

Hi, Welcome to icliniq.com.

I went through your query and understood your concern. The symptoms could have various reasons and do not necessarily mean HIV (human immunodeficiency virus). Unprotected oral sex exposure carries a negligible to low risk for HIV acquisition, especially if fresh cuts, sores, or bleeding gums occur. However, it also risks acquiring other STIs (sexually transmitted infections). So I suggest you get tested for HIV and other STIs. I suggest you undergo the following tests now and if the result is negative, get a confirmatory test at three months of last exposure. HIV rapid 4-generation test, HBsAg (hepatitis B surface antigen), anti-HCV (hepatitis C virus), VDRL (venereal disease research laboratory test) for syphilis, herpes 1 and 2, ELISA (enzyme-linked immunosorbent assay), IgM (immunoglobulin M), and IgG (immunoglobulin G). And gonorrhea PCR (polymerase chain reaction). I also suggest you check your vitamin D3 and B12 levels, thyroid profile, and fasting blood sugar levels. I also want to know whether there is persistent intermittent fever and complaints of cough, sore throat, or body rash. I hope this has helped you out.

Kindly follow up with the reports.

Patient's Query

Hi doctor,

Thank you for your reply.

I will undergo blood tests.

Thank you.

Hi,

Welcome back to icliniq.com.

Please record your body temperature eight hourly if there is a fever and get back with the record for three to five days at least.

I hope this has helped you.

Take care.

Patient's Query

Hi doctor,

Thank you for your reply.

I did not have any fever since then. I have no fever at all.

Thank you.

Hi,

Welcome back to icliniq.com.

Good. Get the tests done as advised, and also let me know if you are on any medication other than the one you mentioned.

I hope this has helped you out.

Patient's Query

Hi doctor,

I have done these tests after 90 days.

Thank you.

Hi, Welcome back to icliniq.com.

The majority of your test results are normal except for the following: Mild derangement in liver function test. Derangement in lipid profile and vitamin D3 levels. Herpes simplex virus-1 positive. Derangement in lipid profile, liver function, and vitamin D3 can be taken care of with the medication easily. No active treatment is required for herpes simplex infection unless there are new lesions in the form of sores.

I hope this has helped you out.

Take care.

Patient's Query

Hi doctor,

Thank you for your reply.

Thank you for your suggestions.

Hi,

Welcome back to icliniq.com.

All the best.

Take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Ravinder K. Sachdeva
Dr. Ravinder K. Sachdeva

HIV/AIDS specialist

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