Patient's Query
Hello doctor,
I have taken an HIV test due to a recent possible exposure. The incident happened 60 days ago. So, I did a rapid HIV test. It is negative. I also did a Western blot test. HIV 1 and HIV 2 are negative, but the serum control band is present. Please tell me,
Please clarify.
Hello,
Welcome to icliniq.com.
I can understand your concern.
It is good that the HIV (human immunodeficiency virus) rapid and Western blot tests are negative after 60 days of exposure. The chances of an HIV test coming positive later are almost negligible.
But it is better to go for an HIV antibody test after three months of exposure in a reliable laboratory to have conclusive results and to get relief from anxiety. The control band has to be there in the test for comparison, and there is nothing to worry about.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
I had the following symptoms after 40 days of exposure.
Are the above symptoms indicative of an HIV infection?
Kindly help.
Hello,
Welcome back to icliniq.com.
I can understand your concern.
These are non-specific symptoms. These need not be due to HIV. HIV is diagnosed by tests. As of now, the HIV test results are negative. The chances of HIV tests coming positive later are almost negligible. So go for an HIV antibodies test after three months of exposure to be relieved of anxiety and to get conclusive results.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
As per our local doctor's advice, I did the following tests for body itching-
They told me that AEC is in the border and IgE is very high. Also, the RBC count is a little high. Is this related to HIV infection? I am attaching laboratory reports for your kind reference. Please refer to the attachment and advise me.
Hello,
Welcome back to icliniq.com.
I can understand your concern.
The values of absolute eosinophil count (AEC) or immunoglobulin E (IgE) indicate some allergic focus. You must continue treatment as per your treating doctor's advice. It is unlikely to be due to HIV. Tests diagnose HIV. It is negative so far.
Just go for an HIV antibodies test after three months of exposure to have conclusive results and be relieved of anxiety.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
Yesterday I met the local doctor regarding my laboratory report. The doctor said that the IgE (immunoglobulin) is very high, and CRP is in the border. The doctor has given medicines for ten days. I have come for a vacation to my home country. I am working abroad. I need to go back in a week.
So, I want to do HIV rapid test on the 80th day. Unfortunately, I cannot take the test at my workplace. May I know if the rapid test is an antibody test? Shall I consider the 80th-day result as conclusive? Is CRP test result related to HIV infection?
Please advise me, doctor.
Hello,
Welcome back to icliniq.com.
Thank you for the query.
For conclusive results, it is better to go for an HIV antibodies test in a reliable laboratory after three months or 90 days of exposure. CRP (C-reactive protein) appears to be within normal limits as per the report (attachments removed to protect the patient's identity). It is raised in many infections and need not be due to HIV.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
I did an HIV test again on the 90th day of exposure. Also, I did the IgE, CRP (C- reactive protein), CBC (complete blood count), and AEC (absolute eosinophil count) tests. Herewith I am attaching the laboratory reports. Kindly refer to the attachment and advise, please.
Thank you.
Hello,
Welcome back to icliniq.com.
I can understand your concern.
It is conclusive if the HIV antibodies test taken after three months of exposure is negative. You are free from HIV infection, provided there is no further risk of exposure. There is no need to worry about HIV. IgE is elevated and it can be due to some allergic disease for which you can consult your doctor.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
I hope you are aware of my history based on our earlier conversation. HIV tests done on the 60th day, 80th day, and the 90th day were negative. Also, on the 80th day, I did VDRL (venereal disease research laboratory), HBS (sickle hemoglobin), and HCV (hepatitis C virus) tests all of which were negative.
Also, I have allergic disease and I am taking medicines for two months. For the past two weeks I am noticing a red spot in my penis foreskin. Today, I saw two spots similar to the previous one. Why is it occurring? Please advise. I have attached the image for your kind reference.
Hello,
Welcome back to icliniq.com.
Thank you for the query.
If the HIV antibodies test is negative after three months of exposure, then it is conclusive provided there is no further risk of exposure. There is no need for further HIV tests. The lesion on the penis may be due to irritation, friction, or allergy. Avoid overcleaning or use of harsh soaps. Clean the area with warm water twice daily. Continue your medications as given for your allergy by your treating doctor.
I hope I have resolved your queries.
Do get back if you have any further queries.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
Ten days ago, I had sexual contact with a sex worker (non-penetrative). She suggested that I insert my penis into her vagina without a condom and tried to apply some gel to my penis. However, I refused and did not insert my penis into her vagina, anus, or mouth.
She hugged me tightly for 10 minutes while we were both nude. I sucked her nipple for five minutes, and she kissed me on the lips three times (each kiss lasting about three minutes) with intensity. Finally, she manually stimulated my penis, and she cleaned the sperm with tissue. The entire sexual encounter lasted less than 30 minutes.
At the time, my lips had small cuts with very slight bleeding caused by dryness and peeling of the skin. Before the encounter, I had accidentally peeled my lip skin with my teeth, leaving minor wounds (image attached). I was unable to assess the condition of her lips because she was wearing lipstick.
About 15 minutes after the incident, I rinsed my mouth with water and drank a cup of tea. I am unaware of her HIV status. Yesterday night, I noticed blood coming from my throat, and today I feel pain in my throat.
Am I at risk of HIV or any other STIs?
Please advise.
Hello,
Welcome back to icliniq.com.
The chances of HIV transmission through kissing are almost negligible unless there are bleeding wounds in both individuals. Based on the description provided, the chances of HIV transmission appear to be nearly zero. If there were no penetrative sexual acts and the activities were limited to those described, the risk of HIV transmission is extremely low.
However, some STDs (sexually transmitted diseases), such as herpes simplex virus, can be transmitted through skin-to-skin contact, kissing, or other non-penetrative activities.
Thank you.
Regards.
Patient's Query
Hello doctor,
Thank you for your reply.
Currently, I have throat pain. Should I get tested for STDs? If testing is required, what type of test should I take, and when should I take it? I hope you saw the image of my lips that I shared in our previous conversation.
Hello,
Welcome back to icliniq.com.
Throat pain may be caused by a respiratory infection due to contact with any person, including this individual. Please consult your doctor for further examination and management. If necessary, they will recommend tests based on their evaluation. You can opt for an STD panel test at a reliable laboratory now and again after 90 days from the exposure for conclusive results.
Thank you.
Regards.
Patient's Query
Hello doctor,
Thank you for your reply.
Yesterday, I had non-penetrative sexual activity with a sex worker. First, she masturbated me using her hand. After ejaculation, I washed my penis, including the inner foreskin, with water. After that, we engaged in non-penetrative sex again. She sat on me in a nude condition and rubbed her vagina on my penis for about five minutes.
Afterward, I went to wash myself. At that time, I noticed some vaginal fluid near my penis, and I washed it off with water. During the washing, I also cleaned the inner foreskin of my penis. I am worried that vaginal fluid may have come into contact with my inner foreskin during the washing process. Could this cause an HIV infection?
During this incident, I washed my inner foreskin twice. After the first washing, there might have been small injuries, but I did not notice any visible wounds or feel any pain. This incident occurred 24 hours ago.
Please advise me.
Hello,
Welcome back to iCliniq.com.
The chances of HIV transmission based on the described scenario are very low but may still be possible if there was contact with infected vaginal secretions, as mentioned. If the person is confirmed to be HIV-negative, there is no risk of HIV transmission.
You should consult a venereologist or physician for further risk assessment and to determine whether HIV PEP (post-exposure prophylaxis) is necessary. If required, PEP must be initiated as soon as possible, but no later than 72 hours after exposure.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
She is a massage therapist. According to her, she engages in oral sex and non-penetrative sexual activities. I asked her about her STD status, and she replied that she gets tested every three months and that everything is fine. Before the sexual activity, she applied lotion to my body, but I am not sure whether it was lotion or vaginal fluid. After washing, I used a small amount of soap.
Please advise.
Hello,
Welcome back to icliniq.com.
The status cannot be confirmed based on verbal assurances. There is a possibility of a window period, as individuals in this profession may be at risk of exposure. Please follow the advice provided earlier.
I hope this helps you.
Thank you.
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Answered byDr. Basti Bharatesh Devendra
Medically reviewed byiCliniq medical review team
Same symptoms don't mean you have the same problem. Consult a doctor now!
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