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I get a sore throat and diarrhea after sex with my wife. Do I have HIV?

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I get a sore throat and diarrhea after sex with my wife. Do I have HIV?

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 22, 2018
Reviewed AtDecember 18, 2023

Patient's Query

Hello doctor,

I am a 51 year old male. Whenever I have sexual intercourse with my wife, I get a sore throat and flu-like condition. Whenever I have anything cold, my throat gets infected. I also have diarrhea. My wife is also suffering from the same problem, and my son has diarrhea sometimes. All this is happening from the past three years. I had sexual intercourse with my girlfriend 10 years back, so last year I did a rapid and tri-dot test for HIV, it is nonreactive. Do I have HIV?

Hello,

Welcome to icliniq.com. It does not appear to be HIV (human immunodeficiency virus). The symptoms of HIV will be entirely different, and also you got tested negative. But if you still have doubt, then you can retest. Getting sore throat after sex is probably a coincidence, and sore throat after taking cold items is possible. It is due to the multiplication of the bacteria. To avoid this, try and stop taking cold items, and even if you do consume, then eat it gradually and avoid direct contact of cold items with the throat. Let it get a little warm in the mouth before swallowing it. You can also try betadine gargles, three to four times a day, once you get the feeling of a sore throat. It will prevent multiplication of bacteria or viruses. Diarrhea is mostly due to indigestion. Do you consume a lot of milk products, chickpea, etc.? Do you also have an upper abdominal pain, bloating, burping, nausea, vomiting, etc? I suggest you try doing the following. Consult your specialist doctor, discuss with him or her and start the medication after their consent. Tablet Albendazole 400 mg at bedtime once, and repeat after two weeks. Tablet Pantoprazole 40 mg before breakfast, once daily for two weeks. Syrup Aristozyme (combination of Diastase, Pepsin and Simethicone), take two teaspoons once daily for two weeks for better digestion. You should avoid fatty, oily, and spicy food. Consume a lot of green leafy vegetables and fruits. Do regular exercise and go for a walk after meals. You can consult primary care physician.

Patient's Query

Hi doctor,

Thanks for your reply. Why is my wife having the same symptoms? She is not eating properly due to the fear of having diarrhea. I am worried because she is also losing weight without doing any exercise. Is the HIV test conclusive?

Hi,

Welcome back to icliniq.com. HIV tests have a very high sensitivity. It is highly unlikely that you have HIV. Diarrhea of HIV will not respond to fasting; it will continue irrespective whether one has food or not. Also, it is unlikely that HIV patients in a family are only having diarrhea and no other symptoms. Patients with HIV will be very sick, and diarrhea will be like 10 to 15 times, loose, significant weight loss say 5 to 10 kg in a month, fever and many others symptoms. Digestive problems are very common, and it is possible that two people in the same family have it, especially worm infestation. How many times you people need to use the toilet? Is it a loose or well-formed stool? Is there any abdominal pain? Any factors which increase or decrease the stools? Although, it will be difficult, try to get your wife tested for CBC (complete blood count), HIV, liver and kidney function test, stool routine test and thyroid test.

Patient's Query

Hi doctor,

Thank you for your reply. To clarify, my wife and I always do not have loose motion. But, we need to go at least two times. For me once in a week my stools are not normal. Secondly, I have throat infection on and off several times. Secondly, as soon as we both get up, the first thing is that we have to go to the washroom. Sometimes, my wife feels very cold in the night. In your opinion it seems that we both do not have HIV. I just wanted to know whether the test which I have undergone is conclusive.

Hi,

Welcome back to icliniq.com.

So, I do not think it is diarrhea. It is just a matter of bowel habits, and change in stool due to food. It is indeed not related to HIV. For feeling cold in the night, just get one thyroid test done. From the symptoms, it is not HIV. As both the tests are negative, the chance of HIV is almost nil. These tests are highly sensitive. All the best.

Patient's Query

Thank you doctor,

The one more symptom which I forgot to tell you is that I have developed ulcer inside my penis. Hope nothing related to HIV, but I had read one of the signs is an ulcer.

Hi,

Welcome back to icliniq.com.

No ulcer per se is not caused by HIV but by other sexually transmitted diseases which many a time accompany HIV. Where exactly is the ulcer on the shaft or glans penis? Is it painful or painless, single or multiple ulcers? Was there any vesicle before the ulcer? Does your wife has a similar ulcer now or in the past or any white discharge? I guess there is no exposure to outside sex in recent times. The various possibilities are syphilis, herpes or other few infections. You should get your VDRL test for syphilis and serology for HSV2. I will suggest the treatment after tests or at least with the details of complaints so that I can have an idea about the diagnosis.

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

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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