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HomeAnswersHIV/AIDS specialisthivI had oral sex with a stranger, and now I have a red bump on my tongue. What should I do?

Does getting a red bump on the tongue a day after oral sex indicate an HIV infection?

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 October 15, 2022
Reviewed AtDecember 12, 2023

Patient's Query

Hi doctor,

A month ago, I had oral sex with a stranger, and we humped on each other, and our genitals touched each other. The next day, I got a white dot on my tongue and a red bump on the backside of my tongue. After a few days, I checked for HIV (Human Immunodeficiency Virus), HBS (Hepatitis B virus), and Syphilis, HPV (Human Papilloma Virus), and all tests were negative. And then I moved on, and now it has been two weeks since I have had a crooked tongue, fatigue, headache, mild fever, and weakness. I also masturbate two to three times a day and have insomnia. I cannot get eight hours of sleep. Is it because of anxiety and stress?

Hi,

Welcome to icliniq.com.

I read your query and understand your concern. The attached file (attachment removed to protect the patient's identity) shows that the edge of your tongue is ragged, not smooth, meaning you have a Folic acid deficiency. Red bumps are also seen. HIV (human immunodeficiency virus) symptoms are uncommon on the next day. The window period is three weeks to three months. I suggest the following: Apply a lotion containing Choline salicylate and Lidocaine twice before food with an earbud. Then, wait for 15 to 20 minutes. Take light meals. After that, rinse your mouth. Apply Clotrimazole lotion and wait for 15 minutes. Likewise, do it three times daily before breakfast, lunch, and dinner. I also suggest you take a tablet of Azithromycin 500 mg once per day after food for five days, a tablet of Diclofenac twice a day after food for five days. For insomnia, I suggest you take a tablet of Quetiapine 25 mg, starting with 12.5 mg, means half the tablet. So you can go up to 50 mg but gradually. As the test is non-reactive, there is no sex-linked disorder. Take Folic acid 5 mg daily after food for three weeks. After that, you can go for two months. It has no side effects. I suggest you consult a specialist, talk with them and take the medications with their consent. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply.

Can I stay stress-free now? I cannot focus on my studies.

Hi,

Welcome back to icliniq.com.

I understand your concern. Yes, you need not worry.

Patient's Query

Hello doctor,

Thank you for the reply.

For the past two days, my stomach was itching. Yesterday I got two rashes, and now I got these four new rashes. And my whole stomach skin feels itchy and burning, and it is a bit painful. Kindly help.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. These are nail rashes when you itch very harshly. I suggest you take a tablet containing Levocetrizine and Monteleukast one at night for five days. Apply Lactocalamine lotion in three parts. Mix one part with a cream containing Betamethasone valerate (0.1 %) and apply locally after bath below neck on whole body. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply,

I want to share something. I did not bathe for the past four days. But yesterday, I had a super hot bath, and my headache quickly went away. First, in two weeks, I got up without feeling tired although I got five hours of sleep, I was not tired. but now, in the evening, I am so sleepy. I think your medication is working.

Thank you, doctor.

Hello,

Welcome back to icliniq.com.

I pray for my every patient to get better response and speedy recovery.

Thank you.

Patient's Query

Hello doctor,

Yesterday I had a painful something white thing on my tongue. And then I checked to another side of the tongue, and there was a white milkish kind of thing on my tooth side and a red dot beside that. And for the past month, the roof of my mouth has felt rough.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. I suggest you apply an analgesic gel containing Choline Salicylate and Benzalkonium Chloride on the side of the tongue where you have a lesion. You can even apply it on the roof before meals. Wait for 15 to 20 minutes and then have meals. After that, apply antifungal mouth lotion all over the lesion so as roof till required. I also suggest you take the tablet containing Aceclofenac, Paracetamol and Serratiopeptidase three times a day after food for three to five days for pain. Please check your teeth are sharp due to which side of the tongue cut you have pain. If so, go to the dentist he will check and repair the tooth. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply,

I am afraid because I have a bad habit of biting my inner lips, so I have scratches while having oral sex.

Hello, Welcome back to icliniq.com.

I read your query and understood your concern. I have opened a lot of files (attachment removed to protect the patient's identity) all opened and saw the scratches. Nothing is going wrong. To correct the habit, there is no medicine. Scratch heals by natural phenomena. I suggest you take a tablet of Folic Acid 5 mg three times a day after food for ten to fifteen days, a capsule containing Vitamin B complex, Vitamin C and Zinc one at night for ten to fifteen days, and apply the lotion and gel as I suggested you one by one locally. Fear is treated by a psychiatrist. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply,

Yesterday I was just checking for any symptoms in the anal area, and I found this image has been attached. It was bleeding, but it was not itchy or painful. And now it is painful I think I over stretch it. Is it because of stool, or is it herpes? And in the second image, is it leukoplakia on the cheek?

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. I suggest you apply the gel and lotion as mentioned earlier. In the anus, you have a wound starting with external piles, which becomes a bleeding wound. For which I suggest you apply an ointment containing Beclomethosone Dipropionate locally by index finger first on the wound and butthole, then gently push inside the anus. Rotate the finger, so ointment covers the anal mucosa two times a day to be continued for three weeks for complete healing. Also, I suggest you take a tablet containing Paracetamol and Serropeptidase three times a day after food for five days and a capsule of antibiotic containing Amoxicillin and Clavunate 625 mg three times a day after food for five days. If the stool is hard, take a syrup containing Lactulose 10 ml at night after dinner. So stool becomes soft, continue till required. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Hi doctor,

Thank you for the reply,

So it is not herpes?

Hi,

Welcome back to icliniq.com.

I do not think so. You can confirm this by consulting a dermatologist. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Hello doctor,

I forgot to mention that for the past three to four weeks I have had a headache on my forehead it will not go even after taking Ibuprofen. And there is a post-nasal drip every five to ten minutes. And mild nasal congestion. My headache is interfering with my daily studies, and four or five days ago, I was feeling like something is stuck in my throat like someone is choking me. And yesterday, when I was working out my throat, was completely dry and there was also shortness of breathe sometimes my throat feels good then the itching sensation came up is it stress and anxiety or a sinus infection?

Hi,

Welcome back to icliniq.com.

I read your query and understood your concern. I suggest you gargle with Betadine 5 ml solution in hot to warm water. Gargle it before meals, and spite it out. I suggest you take a tablet containing Aceclofenac and Paracetamol three times a day after food for five days. Check your blood pressure to monitor. Eye check-up whenever you got time. Also, a tablet containing Aceclofenac and Paracetamol will take care of headache and throat. Yet, for the throat, you can consult an ENT. I suggest you take a tablet containing Clonazepam and Escitalopram one at night for ten days. I suggest you consult a specialist, talk with them and take the medications with their consent. It seems to be stress anxiety. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply,

This is a real concern. Can you please confirm once again? Is anything wrong with my anus? Because what I saw on the internet was completely different.

Hi,

Welcome back to icliniq.com.

I would like to assure you that it is not a worrisome issue. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply. There is a red spot on my penis head. Kindly help.

Hi,

Welcome back to icliniq.com.

I suggest you consult a dermatologist once, till then maintain hygiene. I suggest you take a tablet containing Monteleukast and Levocetrizine one at night. Apply an ointment containing Betamethasone and Neomycin locally. Take tablet of Itraconazole 200 mg two times a day after food for three weeks. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

Patient's Query

Hello Doctor I believe I might have mononucleosis. Occasionally, my right nostril becomes blocked, and at other times, it's the left side. Could this be sinusitis? Additionally, my entire family is experiencing throat issues, along with headaches and runny noses. Please provide assistance in determining if this is related to EBV, MONO or another condition. My sleep is being significantly impacted. Kindly help.

Hello,

Welcome back to icliniq.com.

I read your query and understood your concern. I suggest you use fluticasone nasal spray twice daily for nasal congestion. Take a tablet containing Montelukast and Levocetirizine Hydrochloride once at night for five days to address these symptoms. For throat discomfort, use Betadine gargle by adding 5 ml solution to warm water and gargle before meals, then spit it out. Take painkiller like Paracetaol three times daily after meals for three to five days to manage pain. Additionally, take a tablet of Cefexim 200 twice daily after meals for five days. To accurately diagnose your condition, please seek consultation from an ENT (Otolaryngologist), talk with them and take the medications with their consent. I hope this has helped you. Kindly follow up if you have more doubts.

Thank you.

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

Dr. Shah Sushma Kant
Dr. Shah Sushma Kant

HIV/AIDS specialist

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