Dr. Sagar Ramesh Makode
Cardiology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hi doctor,
I met with an accident before a few days where I happened to have a deep cut and I got in touch with the blood of another guy. Recently, I had a pimple on my penis shaft and when I approached a dermatologist he advised that I get tested for HIV. I had a third generation test using vitros eci post five to six weeks past exposure and tested negative. My doctor advised me to get a test at least after 10 weeks post-exposure for confirmation. I am pretty nervous regarding the same. Can you please advise me what are the chances of contracting HIV and do the symptoms definitely occur in every individual post-HIV contraction?
Hello,
Welcome to icliniq.com.
Firstly, risk depends upon whether that guy has HIV or not. If not then nothing to worry, but considering the second possibility, then some risk remains of transmission, but not cent percent.
Now, if the test is negative after five to six weeks then it is unlikely for you to have HIV as majority of those who are exposed becomes positive within this period. Only a minority of patients develop delayed seroconversion. So considering overall status, I think, there is no need to worry about it and you are unlikely to have HIV. However, get tested after a few weeks to clear out doubt and be sure. So you should not worry now and get back to routine, and get tested at later date.
I hope this helps.
Patient's Query
Thank you doctor,
Is antibody test reliable only after five to six weeks? I was told that only a fourth-generation test after six weeks is highly reliable since it also checks for antigens.
Hi,
Welcome back to icliniq.com.
No, antibody test becomes positive after three to four weeks and before this time combined antigen and antibody test is recommended. And antibodies testing is reliable at this time.
Patient's Query
Thank you doctor,
Is there a possibility for the results to change across laboratories as well?
Hi,
Welcome back to icliniq.com.
The test results are unlikely to change. Usually, there does not occur so much variation across the laboratories. If you have too much anxiety about it, you may get it done from other labs as well but not needed.
Patient's Query
Thank you doctor,
I am seeing that my urine is yellow in color with some burning sensation. Currently, I am advised to use Fudic cream and TRFY over the pimple with an iron tablet. Over a duration does this cause the above symptoms?
Hi,
Welcome back to icliniq.com.
Most of the time, yellow urine and burning indicate dehydration or fluid depletion in the body so urine is concentrated. So you increase the water intake. If this persists even after that, then should get urine routine examination done to look for infection and will need antibiotics if urine examination shows evidence of infection. So now, increase water intake and see the response. You continue the cream for pimple and let me know the response.
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Cardiology
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