Dr. Kiran Anaparthi
HIV/AIDS specialist
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 had an infection before seven months. I got HSV1 (Herpes Simplex Virus). I was given Acyclovir 200 mg taken five times a day for five days and then they increased my dosage to 400 mg to be taken for five times a day for 10 days. After my Acyclovir course ended, I did an RNA (Ribonucleic acid) PCR (Polymerase Chain Reaction) and DNA(Deoxyribonucleic acid) PCR tests. After getting my results negative, I had sex with a guy. He also went for RNA PCR and DNA PCR tests. It came negative. After two months, I went for a PEP (Post-exposure Prophylaxis). I got a sore in my tongue which was pink in color. The next day, I got a stuffy nose which was an allergy that lasted for four days. I got a light brown spot under my right foot. I had a small nonpainful white spot on the bottom of my lip. There is an irritation in my throat that causes blocking and I have to cough to clear up the throat. It does not happen when I sleep. I do not have any sinus problem. Currently, I am taking olive extract supplements. I have done ELISA (Enzyme Linked Immunosorbent Assay), fourth generation tests, SD bio line at the eighth week, ninth week, 10th week, the 11th week with home test kits every week.
Hi, Welcome to icliniq.com.
I wish to clear some important points before answering your questions. Regarding HSV (Herpes Simplex Virus) infection and treatment: The HSV will remain in your body and it is not completely treated as it is a genetic material. It will be present in the cells and get reactivated in stressful conditions. We cannot treat it completely. Its dose is 400 mg taken five times a day for five days with Acyclovir ointment. It may reactivate in future. Flu-like symptoms: These complaints normally precede a viral infection. Regarding HIV: You have tested every week with RNA (Ribonucleic Acid) PCR (Polymerase Chain Reaction) kits and ELISA (Enzyme Linked Immunosorbent Assay) kits. It is good. But, RNA (Ribonucleic Acid) PCR (Polymerase Chain reaction) testing is not efficient in home-based kits. So, get whole blood RNA PCR test along with ELISA. This dual testing is needed to rule out HIV. Regarding PEP (pre-exposure prophylaxis), I suppose you are using a dual drug based on Tenofovir. If yes, then you are having least chances of acquiring HIV (Human Immunodeficiency Virus). Finally,stop testing on a weekly basis and get whole blood RNA polymerase chain reaction test to rule out HIV. Mostly you are not reactive. Confirm with a whole blood sample.
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HIV/AIDS specialist
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