HomeAnswersHIV/AIDS specialistfourth generation hiv testIs the fourth-generation Duo rapid test reliable?

Is the HIV fourth-generation duo rapid test after eight years of sexual exposure reliable?

Share

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 August 9, 2022
Reviewed AtJanuary 22, 2024

Patient's Query

Hi doctor,

I had tested with a fourth-generation duo rapid test kit at home after eight years of sexual exposure with a female sex worker, and it came negative. The description of the test kit is written as follows:- common substances such as pain and fever medication and blood components may affect the performance of trust line 4th generation antigen or antibody rapid test. So when I was tested with that kit time, I had no fever, but I had pain in my legs and a burning sensation in my legs and hands. So do these symptoms affect the test result? Is this a false negative result? Kindly help me.

Answered by Dr. Rajesh Deshwal

Hello,

Welcome to icliniq.com.

The test result is perfectly fine. If you had exposure eight years ago, you are negative for human immunodeficiency virus (HIV), and more tests are indicated. None of your symptoms, medication, or blood components affects the HIV test result. This is a valid test result and not a false positive. Thank you.

Patient's Query

Hi doctor,

Thank you for your answer. While I was tested five months back, I took multivitamin tablets, B12 injection, Tryptomer, and Pregabalyn M 75 mg tablet for anxiety. I had tested my vitamin B12 level before one month of HIV test; the B12 level was 2000 pg/mL. So this affect my test result? Also, I was stressed and anxious for the last year before testing, and the result was not enough antibodies to detect HIV infection. Kindly answer.

Answered by Dr. Rajesh Deshwal

Hello,

Welcome back to icliniq.com.

Neither your drugs nor your stress and anxiety have to do anything with the test results.

Take care.

Patient's Query

Hi doctor,

Thank you. I have attached the photo of the test kit, which is 100 % conclusive. However, while testing with the test kit, I accidentally opened the test device and came in contact with kit device antigens (pinkish liquid) with a pricked finger; so will these HIV antigens in rapid test cause infection? Do I get HIV from coming into contact with antigens (gp41) of the test device? I am very scared. Also, I have continuous pain in my legs, a burning sensation in my legs, hands, and buttocks, and sometimes shifts to my knees. Are these arthritis symptoms? Or have I developed peripheral neuropathy? Or other diseases which may have symptoms like continuous pain in my legs, burning sensation in hands, buttocks, knee, and on my back, which can not detect HIV antibodies in the test kits? For the past one year, I have been under stress and fear of HIV. So kindly explain in brief. Is this test 100 % reliable, or do I need more tests? Do the rapid tests detect HIV infection after eight years of exposure?

Answered by Dr. Rajesh Deshwal

Hello,

Welcome back to icliniq.com.

I saw the photos you have attached (attachments removed to protect the patient's identity). You do not get human immunodeficiency virus (HIV) by touching test kit reagents or antigens. The symptoms which you are mentioning are because of anxiety, stress, and depression. You are 100 % negative for HIV. I suggest you seek the opinion of a psychologist or psychiatrist for your psychological issues.

Best wishes.

Patient's Query

Hi doctor,

Thank you for your answer. Do HIV 4th generation duo rapid tests detect HIV infection after eight years of exposure? I tested CBC four months before the HIV test, and the report showed- lymphocytes were 15 %, and after the test, the lymphocytes were 20 %. Do that low lymphocytes affect the test result?

On my left-hand thumb, I have two vertical grey color lines, which I read somewhere is a symptom of HIV. And also in the last eight years, I have had armpit lumps three to four times; all these symptoms scared me, and I thought the result was a false negative? Do I need more testing?

Answered by Dr. Rajesh Deshwal

Hello,

Welcome back to icliniq.com.

You have done enough testing. I suggest you not perform any laboratory tests. I also suggest you live your life and not waste it by thinking about inconsequential things. You are negative for HIV.

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

Dr. Rajesh Deshwal
Dr. Rajesh Deshwal

HIV/AIDS specialist

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Ask your health query to a doctor online

HIV/AIDS specialist

*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy