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HIV, candidas infections - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: HIV and AIDS
Answered by

General & Family Physician
Practicing since : 2009
Answered : 613 Questions
Doctor :   hi
Doctor :  
how can i help you?
User :   hello
Doctor :  
please proceed with your health query
User :   I have questions about serious med conditions that are terrifying me
Doctor :  
ok
Doctor :  
please describe your symptoms in detail
User :   Do candidas infections always mean sighns of HIV?
Doctor :   Candidiasis infection can occur in anyone
Doctor :  
reduced immunity is one of the cause
User :   well mine have been all off a sudden
User :   over the last 5 months
Doctor :  
and any condition that can bring down the immunity can be a cause for it
Doctor :  
it is not necessary that only HIV causes it
Doctor :  
ok are you suffering from any chronic disease conditions?
Doctor :  
was this confirmed as candidiasis infection?
User :   i have what looks like oral thrush freqent ear infections fatique abdominal pain runny bowels and sore espophugus
User :   not confirmed but research points to this cause
Doctor :  
ok
Doctor :  
please provide yout height and weight
Doctor :  
how is your appetite?
User :   just started with fatigue and muscle burning then it progressed after about june
Doctor :  
is there any weight loss over past 6 months or 1 year?
User :   my appetite hasnt left lol
User :   no weight loss at all
Doctor :   ok
Doctor :  
are you sexually active?
User :   its increased if you ask me (appetite)
User :   yes
Doctor :  
do you have single partner or multiple partners?
User :   single now only two others in last year
Doctor :   at any point of time did you have two partners?
User :   yes
User :   safe no condom failure that i know but possible
Doctor :  
do you have male partners, females or both?
User :   females
Doctor :  
please provide your age, gender, location, occupation, marital status, height and weight.
User :   why
User :   do you need that
Doctor :  
the information is needed to help you better
User :   I dont understand
Doctor :  
atleast provide your age and gender
User :   m 35
Doctor :   ok
User :   hello
Doctor :  
excuse me
User :   this is a little strange
Doctor :  
I was on an urgent call
Doctor :  
Let us continue now
User :   about me?
Doctor :  
No a different patient
User :   How do those questions help me?
Doctor :  
Ok coming to the problems you have and the history I got from you
User :   im a preety big guy
Doctor :  
You are a high risk individual for HIV
User :   even with safe sex?
Doctor :   given your sexual history with multiple partners and two partners at single period of time
Doctor :  
The safe sex ( condom ) reduces the chances of HIV transmission
Doctor :  
but the individual risk remains the same
User :   i also have a strong mettalic taste in my mouth
Doctor :  
Moreover the oral thrush, abdominal hurry and frequent infections are not to be left without evaluation
User :   all the time
Doctor :  
The metallic taste is because of the oral thrush or acid reflux
Doctor :   if you have one

User :   didnt know thrus caused that
User :   ok
User :   a few more questios
Doctor :   Oral thrush can cause the metallic taste, as the inflammation reacts with the Iron present in the mucosa of the moth
Doctor :  
*mouth
Doctor :  
Shall I tell you about the immediate thing you have to do or shall you first proceed with your queries
User :   this seemed to happen all of a sudden i was feeling fine one month then i just started feeling bad and it hasnt gone away
Doctor :  
Which one, do you mean all these problems?
User :   i know i need to get tested and what else
User :   well i started having muscle weakness then it progressed next mettalic taste then abdominal pains and runy bowels with ear infections although ive had some of theses symptoms in years past
Doctor :  
The high risk individual does not mean to say that he has HIV infection
Doctor :  
but they need to be tested
Doctor :  
Do not start worrying but do what is to be done
User :   is it possible to have all these symptoms with a recent HIV infection
Doctor :  
Not really
Doctor :  
All these
Doctor :  
but some of these can start
User :   within 4 or 5 months?
Doctor :  
The prolonged diarrhoea, fever repeated infections are when the fighting capacity of the body reduces
Doctor :  
Yes
Doctor :  
It can happen within 4 to 5 months
User :   no fever
Doctor :  
Ok
Doctor :  
But not having fever does not rule out the possibility
User :   ok
User :   candidas infections affect the nervous system also correct
Doctor :  
No
User :   they dont?
Doctor :  
Candidiasis is a superficial fungal infection
User :   well i thought it can affect your insides to
Doctor :  
If a person is debilitated and severly immunocompromised then it can go inside
Doctor :   By then that person is bed ridden
Doctor :  
needs Intensive care facility
User :   ok you awnserd that im not bed ridden but my muscles and hands shake a bit
Doctor :  
One more thing all these problems that you have are treatable ]
Doctor :  
and not serious
Doctor :  
yet
Doctor :  
If HIV test result is positive then the treatment plan is more intensive
User :   also i was taking a a new dietary supplement that was suppose to increase anabloic activity in you body it seemed to start around that time also
User :   cant say thats it but i did go to emergency room and they asked simiular questions that you have
Doctor :   Which city do you stay?

User :   md
Doctor :  
Maryland
User :   y
Doctor :  
Just curious
Doctor :  
Please go ahead with your questions
Doctor :  
if you have some
Doctor :  
I was wondering why were you not tested for HIV when you had already gone to ER
Doctor :  
Did you not give a consent for it?
User :   well dont know
User :   i was takien back by it but what would make them ask me had i taken one
Doctor :   Almost all HIV tests should be backed by a high risk history and then the consent of the person
User :   i had a procedure done two months before and blood test came back normal
Doctor :  
What was the procedure?
User :   just something to check my heart
Doctor :  
Some procedures may not have routine HIV testing
Doctor :  
so I do not know if you were tested
Doctor :  
Were you tested for HIV then?
User :   when i went to emergency room they checked blood and said they were admitting me it was strange gave me what i thought were iv fluids and let me go next day
User :   no not that i know
Doctor :   I think it was not included then

Doctor :  
You have to get it done volunatarily now
Doctor :  
and get back to me with the report
User :   why would they admitt me on statndard blood test
User :   standard
Doctor :  
I am not sure
User :   i know you cant say for sure but any possibilites
Doctor :  
For medical issues I need to know the reason why you had gone to the ER
Doctor :  
Some other reasons could be insurance issues
User :   because i was having fatigue and muscle like burning and weakness
User :   insurance issues?
Doctor :  
They take just Electrolytes, Blood counts and give IV fluids with minerals in it
Doctor :  
and discharge you once you feel fine
User :   does regular blood test show signs of HIV
User :   do
Doctor :  
No
User :   im at a lost then
Doctor :  
If they do so then the Doctor could have asked for your consent
Doctor :  
for repeat testing
User :   ok i thought you said they dont
Doctor :  
I think I have few calls coming in
User :   is there anynomus testing by doctors
Doctor :  
No not at all
User :   I was just trying to make sense of your statement of they dont show signs of hiv then they statement if they do then they would ve asked for repeat testing
Doctor :  
Let me explain you one more time
Doctor :  
They do not routinely do a HIV testing without a consent by the patient
Doctor :  
The cannot figure about the HIV infection by other tests
User :   yes i understand
Doctor :  
If they by chance feel the possibility with the results of the tests and your history
Doctor :  
then they ask for the screening test called ELISA
User :   its just after they ran my blood test they came back asking questions like was i hetro or gay and had i had an HIV test so forth and so on
Doctor :   I have an appointment within next 5 minutes. Can we continue after sometime if you do not mind?

User :   ok. well it seems that i may have a serious problem that will ruin my life but if God willing i'll will be fine and NEVER do anything risky again. Please pray for me thank you for your time
Doctor :   We shall continue if you have sometime later
User :   ok
Doctor :  
Please fill the feedbck form say done when done
Doctor :  
Thanks for consulting me. Bye for now.
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