Dr. Sushil Kakkar
Dermatology
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 am a 43-year-old male. I am on high stress and cannot concentrate on anything. Before six months, I received unprotected oral sex for 2-3 minutes from my female partner, and her STI status is unknown. Later I came to know that she has many partners before. As far as I remember, she did not have any bleeding in the mouth but not sure. Exactly a week after, I developed a sore throat and went to a GP. He prescribed Azithromycin 500 mg twice daily. The next day (i.e., 14th day after exposure), I tested for HIV, chlamydia, syphilis, gonorrhea, and hepatitis, with negative results. I know that it is an early test for HIV. Now again, within a month, I have a sore throat and tiredness. I always feel like having a fever, but most of the time, it shows I have no fever when I check. Only on one occasion I had a fever of 100, and I took Paracetamol. I am highly stressed and repeatedly thinking about HIV. I do not have any other thing like running nose or cold. Please help.
Hello,
Welcome to icliniq.com.
Receiving unprotected oral sex from a female has a negligible risk of transmission of HIV. You may take a fourth-generation HIV screening test at four weeks, but there is nothing to worry about. There is no risk of HIV infection from receiving oral sex.
Patient's Query
Thank you doctor,
I will take 28 days HIV test shortly and will get back to you. Can you please suggest me some medicines for sore throat. I am very stressed and having weakness and malaise.
Hi,
Welcome back to icliniq.com.
You may do gargles with warm water. Take hot soups, tea, etc. Stay away from others. Wear a mask. If it does not get better within a week, go to your physician.
Patient's Query
Thank you doctor,
Sure I will do that, but I have lots of stress. Kindly suggest me what I should do? This thought is killing me. I am experiencing a slight pain in my left ear, and irritation in my throat has increased. Occasionally, I am feeling an itch in my skin, but it is not a skin rash. And I feel tired and weak.
Hi,
Welcome back to icliniq.com.
Your symptoms are likely due to a simple upper respiratory tract infection. I suggest you take tablet Azithromycin 500 mg once daily for five days. As far as HIV is concerned, there is hardly any risk, but you need to rule it out by test at four weeks. However, if respiratory symptoms continue to worsen, you can go to a physician.
Patient's Query
Thank you doctor,
I just went to my GP today and told him to give me Azithromycin 500 mg for five days, but that is against the medical guidelines here in my place. They do not give antibiotics unless necessary, and you cannot get it from pharmacy shops. However, after much persuasion, I insisted he gave me Amoxicillin 500 mg three times a day for five days to complete the course. Can you please suggest me if that is the right medicine?
Hi,
Welcome back to icliniq.com.
Amoxicillin is the right choice. Antibiotics are necessary for ear pain and throat pain due to superimposed bacterial infection.
Patient's Query
Thank you doctor,
I started my course of Amoxicillin, but as of today, my ear pain has increased. Also, pain in the left arm has started. And I am very worried. Is that a side effect of Amoxicillin or something else? I feel like having a fever all the time. Please help.
Hi,
Welcome back to icliniq.com.
You can take a painkiller for two to three days period. It does not seem to be related to Amoxicillin. Neither are your symptoms specific to HIV. There is anyways negligible risk of HIV from the kind of exposure you have had. You may continue with the oral antibiotics and general management for upper respiratory issues.
Patient's Query
Thank you doctor,
Is it possible I contemplated a lot? On the left last wisdom tooth, my filling came out a month back while eating food. Can that be a cause of ear pain as it is also on the left side? But I was wondering why the pain in both the arms sometimes left and right happens, as it is not related to tooth decay. Or is my anxiety making the arm pain?
Hi,
Welcome back to icliniq.com.
Ear pain could be related to a dental problem. You can take a pain killer for symptomatic relief and consult a dentist later. Arm pain is most likely a musculoskeletal issue. Painkiller would help in that too.
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Dermatology
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