HomeAnswersHIV/AIDS specialistpost nasal dripIs unprotected sex the reason for my postnasal dripping at night and recent loss of weight?

Why am I having postnasal dripping at night and rapid loss of weight after unprotected sex?

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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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Published At March 16, 2022
Reviewed AtAugust 4, 2023

Patient's Query

Hi doctor,

I am in my mid-thirties. I had unprotected sex with a non-sex worker on the third day of the last month. On the seventh day, I got the tests (STI-9 panel) done for syphilis and HIV(Human Immunodeficiency Virus). Both of them came out to be negative. I got the test (HIV fourth generation) done on the 25th day of the last month, and again the result was negative. However, I have post nasal dripping, especially at night, and I have lost one pound of body weight recently. I have no other symptoms. My partner also got the tests done on the seventh day of the last month, and the results were negative. I am paranoid, so although COVID-19 and influenza are widespread, I want to know my status. May I get some expert advice?

Hi, Welcome to icliniq.com.

Thank you for the query. I understand your concern. The chances of transmission of HIV (human immunodeficiency virus) by single unprotected intercourse with an HIV-positive person are low. If she is negative, then there is no chance of transmission. It is good that your partner's HIV test is negative, but this does not rule out the HIV status completely. Your HIV antibodies test is also negative after around 22 days of exposure, which is good, but it is not conclusive. The chances of HIV tests coming positive later are very low, but it would be better to go for an HIV antibodies test after three months of exposure to have conclusive results and to be relieved of anxiety totally. The symptoms are non-specific and can be due to any respiratory infection. Thank you.

Patient's Query

Hi doctor,

I consulted you two months back, but I still have a concern. Although you mentioned low risk and do tests again after three months (next month). I am concerned and did the test again because I had a backache, wet cough, stuffy nose, and occasional sneezing. I also live at high altitudes where it is cold, mainly in the evening and the night. Also, I will do the test again in the third month. Thank you for your time, doctor. Please help me.

Hi,

Welcome back to icliniq.com.

I understand your concern. Since both the test kits are not showing two red lines, it is negative for both HIV (human immunodeficiency virus) and syphilis. So, It is good news. Please get these tests done in a reliable laboratory after three months. Then, it will be conclusive, and you will be relieved of anxiety. Thank you.

Patient's Query

Sorry to be a bother. So I have experienced sore throat for which I recovered but got weight loss (2 kg), also some section of the tongue looks white but he said it could not scrape off anything and no bleeding occured and he doesnt think its oral candidiasis and also
Hi Thank you for the follow up query. Sorry for the delay. If there is contact with syphilis person, it would be better to consult your doctor for further examination and management. Syphilis tests like RPR and treponemal test may be needed and presumptive treatment for syphilis like pencillin may be given , after counseling and discussions. Please consult your doctor.

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

Dr. Basti Bharatesh Devendra
Dr. Basti Bharatesh Devendra

Dermatology

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