HIV or human immunodeficiency virus is a virus that is sexually transmitted and affects the body's ability to fight infections. It is a lifelong condition that progresses to a more severe form known as AIDS in the long run.

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I am 19 weeks pregnant and HIV positive. Will I be able to breastfeed my baby?

Query: Hi,I was recently diagnosed with HIV positive, and I am 19 weeks pregnant. My concern is whether it will be safe for me to breastfeed my baby? And what happens if I do not have enough breast milk to make my baby full? If I can not exclusively breastfeed my baby, do I have to top up with formula milk...  Read Full »

Dr. Sushma Shah

Answer: Hello, Welcome to I read your query and understand your concern. I am sorry to hear about your situation. You are under medication, and your baby can get medicine from you. So, I have the following suggestions for you- 1. After baby delivery, you can take Nevirapine (NVP) drops imme...  Read Full »

I am worried about HIV as I had a sexual encounter with a commercial sex worker. What should I do?

Query: Hi doctor,Last week I met a commercial sex worker. I do not know her HIV status. First, we both kissed, and then she came on my lap, and I did not insert my penis. Then we kissed again, she did a blow job, and I took a condom and did vaginal intercourse. Again, I had no cuts on my penis. After that,...  Read Full »

Dr. Sushma Shah

Answer: Hello, Welcome to I understand your concern. RNA PCR is only active on the 15th day. So your test needed to be more conclusive. Therefore, PEP (post-exposure prophylaxis) to be taken for 28 days. If you go for the next episode, you have to start PEP again if unprotected sex, vaginal...  Read Full »

Are rash and lymph node swelling after oral sex signs of ARS?

Query: Hi doctor,I gave oral sex to a man, whose HIV status was unknown, six weeks ago. I have now rash under both armpits and a¬†swollen lymph node in my neck. I am attaching pictures of the rash and the lymph node. Could this be ARS?  Read Full »

Dr. Sushma Shah

Answer: Hello, Welcome to I saw the attached pictures (attachment removed to protect patient identity). Oral sex has the least possibility of ARS (acute retroviral syndrome). I do not think you have ARS. Do you have dandruff or an earache or a toothache? Do you have a history of a cold or a...  Read Full »

Will fever persist for more than 30 days in an HIV patient with E.coli infection?

Query: Hi doctor, My mother has HIV. Her current age is 57 years. She got HIV 32 years ago due to a blood transfusion at the time of delivery. Her HIV was diagnosed after two years of delivery. She had health issues for few months, and they were resolved. Five years ago, she again had health issues. After...  Read Full »

Dr. Sushma Shah

Answer: Hello, Welcome to She is on second-line treatment. CD4 (cluster of differentiation 4) is very low. It would help if you assessed Vitamin-D3, Vitamin-B12, T3, T4, and TSH (thyroid-stimulating hormone) level to know why muscle pain, joint pain is there. Till then, I suggest applying Omn...  Read Full »

Does HIV transmit through oral sex with multiple partners?

Query: Hi doctor, Before a month, I had oral sex with a woman. The woman told me that she does not have any STIs. After a week, I got tested for HIV and it was negative. After that, I started to have ear pain and throat pain. I had a positive result for COVID-19. But now, I have bad pain in my jaw and thr...  Read Full »

Dr. Sushma Shah

Answer: Hi, Welcome to It is not good to have multiple partners. There is a reduced chance for you to have HIV (human immunodeficiency virus) through oral sex. You have not mentioned whether you have done protected sex or unprotected sex. You can have a seasonal sore throat. You have a least ...  Read Full »

CMIA test is negative.Shall i take Gilo Ghan Vati of Patanjali? Do I have AIDS?

Query: Hi doctor, I am 24 years old male. I have done a fourth generation CMIA test which came negative after 10 years of post-exposure. I have also done RT- PCR for HIV1 and HIV2 but both came undetected and my CD4 count is 428. I was sick for the last one year with abdominal pain, oral thrush, body pain...  Read Full »

Dr. Sushma Shah

Answer: Hello, Welcome to The fourth generation CMIA (chemiluminescent microparticle immunoassay) kit test is 99.9 % correct. But symptoms are present. CD4 count is also not that high, but till results are negative. No one can say HIV positive. Go to any government hospital and give the blood...  Read Full »

I am concerned about HIV due to low monocyte level. Please help.

Query: Hello doctor, I underwent a regular blood test recently. It shows my monocytes level is low which is 0.11 where the normal rate should be 0.2-1. I just googled what could be cause for the same. It says it could be because of viral infections including HIV/AIDS. I am worried now. I am scared to con...  Read Full »

Dr. Sushma Shah

Answer: Hello, Welcome to Monocytes may increase or decrease, it hardly matters. One of the cause is viral disease. Not only HIV virus may cause this, but there are also many other viruses like cytomegala virus which can cause this. Flu is also caused by virus. Nowadays, fever is also called...  Read Full »

Can kissing and getting touched by vaginal fluid on face cause HIV?

Query: Hi doctor, Two days ago, I met a sex worker and we were just kissing each other and my underwear was on. Then she started playing with herself and there were vaginal fluids on her hand. She put her hand on my face and close to my nose and wanted me to smell her vaginal fluid. After about 10 minutes...  Read Full »

Dr. Sushma Shah

Answer: Hello, Welcome to When there is no sex intervention and vaginal fluid was touched by her on the face, so it is clearly no penetration as the skin acts as a strong barrier. Kissing has the least chance or nil for HIV but yes, HSV (herpes simplex virus) is common. If any symptoms other ...  Read Full »

Does throat pain, skin rashes, and mouth ulcers mean HIV?

Query: Hello doctor,Lately, I am having mild throat pain. The pain seems to be responsive to light medication. For two days, I have skin rashes and as of today mouth ulcerations. It seems these are HIV symptoms. I do not have any other symptoms like fever or fatigue. The last unprotected sexual contact was...  Read Full »

Dr. Sushma Shah

Answer: Hello, Welcome to After five years it may be seasonal, viral. There are least chances of HIV. Consult an ENT specialist or Tantum (Benzydamine) liquid gargle before meals two times, tablet Augmentin 625 (Amoxicillin and Clavulanic acid) two times a day after food for three to five day...  Read Full »

How to stop my fear of getting HIV?

Query: Hi doctor, I have done many tests for HIV. On day 4, I took neem leaves, on day 50, I took Acyclovir tablet, and on day 56, I did a PCR HIV test, which was negative. On day 90, I did an HIV antibody test. It was also negative. After six months, I did a fourth generation ELISA test. It was negative....  Read Full »

Dr. Sushma Shah

Answer: Hi, Welcome to There is no role for Acyclovir. There is no need for doing any others tests as a fourth generation test is 99.9 % correct. Though all the tests are negative, still your fear is there. There is no problem except your fear, stress, anxiety, and depression. You can take th...  Read Full »

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