Dr. Penchilaprasad Kandikattu
Internal Medicine
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
Hello doctor,
I went to a spa treatment and the lady therapist after the massage gave me a blow job, and I am worried, and I asked management and she was tested for HIV. Both HIV screening and western blot tests were done on the day after the blow job, and she got both negative. But in the worst scenario, what if she is recently infected and it does not show up in screening or western blot? And what are the chances of transmitting HIV through oral sex (getting a blow job)?
My main concern is on first, second, and the third day I have a fever with chills and from fourth day loose motions and temperature continuing. If a person immune system is a week, do symptoms show from the first day? And how much percentage I am safe. I know it is a long question, but please help me out.
Hello,
Welcome to icliniq.com.
Do not worry about the percentage of transmission of HIV us very less through oral-genital contact. The rate of transmission in HIV positive patient through oral-genital route is 0.01 to 0.04 %. The risk of transmission is high in case of ulcers on the mucosa is active. Present symptoms may be due to some other viral fever or viral gastroenteritis.
Few other viral infections like herpes or hepatitis or bacterial infections also transmitted through oral-genital route. So you may repeat the PCR for the virus after four weeks. Usually, it will be detectable between three days to four weeks. So take simple Paracetamol, drink plenty of liquids, and avoid anxiety. Very less chances to be an HIV. Getting a blow job partner chances to get 0 to 0.01 %. But receptive partner (giving a blow job) chances of getting 0.0 to 0.04 %.
Patient's Query
Thank you doctor,
But we tested an unknown person (that girl), and she got both screening and was blot negative. So at that time, she is clear, so am I not safe. And the western blot test is not accurate enough to know about her status.
Hello,
Welcome back to icliniq.com.
So you may get it done RNA PCR to her it is an accurate test. You may detect the problem as early as from three days to four weeks. Studies have shown that inserting partner percentage of risk of acquiring the disease is 0.0 %. So do not be panic.
Patient's Query
Thank you doctor,
Thanks for your advice doctor.
Hello,
Welcome back to icliniq.com.
You are most welcome.
Patient's Query
Thank you doctor,
Along with fever, chills, body pains, and motions on the sixth day after exposure after testing, I had typhoid. Is typhoid is a symptom of HIV? And is HIV a symptom all show up by the first week?
Hello,
Welcome back to icliniq.com.
HIV does not cause typhoid. It is due to salmonella typhi bacteria which is transmitted through polluted water and food.
Patient's Query
Thank you doctor,
Thanks for the concern.
Hello,
Welcome back to icliniq.com.
It may take time to recover. Avoid oily food and spicy food, take idly (an Indian dish), buttermilk, and rice. HIV symptoms may vary from person to person. Least time to manifest of HIV symptoms is one to two months. These are not HIV symptoms.
Patient's Query
Thank you doctor,
But if we have the weakest immune system, also HIV symptoms do not show up by the 1st week or seven days?
Hello,
Welcome back to icliniq.com.
No very rare. By the time you manifest symptoms, you may get positive results by RNA PCR and antigen estimation.
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Internal Medicine
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