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HIV detection tests - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Sexually Transmitted Diseases
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi My question is regarding hiv transmission. 6 weeks ago I had intercourse with a prostitute. I used condom. But what I did is I shaved the area near penis before intercourse. and 2 week after I got cold and cough. 4 weeks later my skin started itching very much specailly chest area and neck. there is no rash as such but small pimples. I have tested after 2 weeks elisa test. it came negative. but still i am scared. I am waiting for conclusive test after 3 months. whhat are the chances of my infection with hiv. i had no other symptoms such as fever and all. please suggest
User :   hi
Doctor :   hi
User :   did i talk to u already that day
Doctor :  
please give me sometime to read through what you have typed
User :   ok
Doctor :  
ok
Doctor :  
i have gone through the previous discussion you had with one of my collegue
User :   ok
User :   wht i am facing is
User :   my skin itching
Doctor :   are you following what was suggested in the last discussion?
Doctor :  
ok
User :   yes
User :   I am not able to differentiate between the normal illness
User :   and one related to this
Doctor :  
ok
User :   couple of days ago
User :   i had cough like sensation
Doctor :  
ok
User :   and was feeling like having some fever
User :   i had gone out the other day in cold
Doctor :  
ok
User :   also i faced some breathing difficulty before i sleep
User :   but i was fine after taking cold medicine
Doctor :  
HIV can lead to symptoms like theese due to reduced immunity which can also happen when you are stressed out
Doctor :  
the symptoms will go off with taking symptomatic treatment for them
User :   i am toatlly stressed out
User :   and living in anxiety
Doctor :  
right now what is bothering you is whether these are related to HIV or not. Am I right?
User :   yes
Doctor :  
i suggest you to relax..first
User :   but the tests will be 2 months later
Doctor :  
the window period is of 3 months
User :   yeah one months ia over
Doctor :  
but it can be detected early now due to advancements in medical field
User :   is*
Doctor :  
"window period"
User :   ok
User :   i always wake up with a fear
Doctor :   there are a number of tests that can be done to test it as early as 1 month now
User :   that if i got swollen glands
Doctor :  
P24 antigen tests with standard antibody tests can detect early
User :   ok
User :   i will check that
Doctor :  
so the next time you visit your doctor, ask for these tests and also th epossibility of doing RT-PCR test
Doctor :  
which is known to detect HIV early
User :   ok
Doctor :  
also the serial CD4 counts can help, if the counts are falling,
Doctor :  
then the infection is on its way to spread in the body
User :   is skin itching is the symptom of that
Doctor :  
now coming to the concern about the symptoms that you are having
Doctor :  
skin itching can be a symptoms of many things including stress, infection, hives, bed bugs bites, dry skin, dandruff on scalp leading to this
Doctor :  
so among a varied causes like this we need to see what is causing the symptom in you
Doctor :  
for the time being you can apply Caladryl lotion to soothe the itching
User :   yes there a bedbugs
User :   a lot
Doctor :  
and ask your doctor to prescribe you antihistamines to control it if it is due to hives or bug bites etc
User :   but the itching is in certain area..
User :   like upper chest
User :   or neck
Doctor :  
not to worry, eliminate the bed bugs, do some pest control, and also take the suggested medication prescription from your doctor
User :   u said
Doctor :   for the itching, you should be fine
User :   ifection
User :   wht kind
Doctor :   get the skin lesions examined and tested, it will determine if there is infection
Doctor :  
which is causing this
Doctor :   did your rash start in neck and spread to chest or started in chest and spread to neck?

User :   there is no rash as such
Doctor :   is the skin around them dry/scaly/peeling off?
User :   how do i define rash
Doctor :   could you describe the lesions as you see them?
User :   its nt arash kind actaully
User :   but small pimples like
Doctor :  
ok
User :   like pinheads
User :   it gradually appears
User :   most of thye time its isnt there
Doctor :  
are they filled with fluid or pus?
User :   skin gets red when i scratch
Doctor :  
is the skin around them dry/scaly/peeling off?
User :   no there is nothing like that
User :   no fluid
Doctor :   ok
User :   but there are 2 pimples like that
User :   but i guess they are big
User :   and not on chest
Doctor :  
are the pinheads kind of things red in color like blood beneath the skin?
User :   they are on stomoch
User :   no
Doctor :  
ok
User :   not red exactly
User :   normal skin colour
Doctor :  
i will give you various reasons that can cause a itch and a rash like thing such that you have, just go through the causes i mention in your mind and see what fits you
Doctor :  
any itching can be triggered by allergens, such as drugs, foods, insect bites, inhaled substances, in response to sunlight, cold, heat, stress, exercise, or a viral infection. Other common allergens are pollen, mold, dust, pet dander, or cosmetics.
Doctor :   pinpoint-sized red dots under the surface of the skin are called as petechiae, which happens mostly due to low platelet counts, so geting your blood counts tested will help if this is suspected
User :   platelet counts
User :   what is this
User :   is it CD cells
User :   CD4
User :   CD4
Doctor :   and in the meantime wear cotton cloths, avoid exposure to sun, and possible allergens that i mentioned before
Doctor :  
CD4 cells are immune cells that fight against any infection affecting the body
Doctor :  
platelets are components in blood that help in clotting and thus prevent blood loss
Doctor :  
have you followed what i have said?
User :   yeah
User :   also
Doctor :  
could you think of any possibilities affecting you from the list I provided you?
User :   yes
User :   i also get some burning kind sensation
User :   i used to take bath with very hot water
Doctor :  
where is this burning kind sensation that you get?
User :   back side of head
User :   actaully neck
User :   on shoulders
Doctor :  
very hot water will burn the skin and irritate teh nerve endings present in skin, giving you that sensation. and also cause dry skin
User :   usually in the evening time
Doctor :  
take bath in water that is hot enough to tolerate, avoid taking very hot baths
User :   feeling problem in breathing is the chest congestion?
User :   or is it due to fear
Doctor :  
breating problem in chest could be due to fear/anxiety/cold/chest infection.
User :   ok
User :   i know fear is the biggest enemy
User :   but this is a natural human tendency
Doctor :  
ok
Doctor :  
yes, very much, when you are so much stressed fear can automaticcly come
Doctor :  
jsut try to relax yourself, divert your mind
Doctor :  
to some alernatives that you enjoy doing
Doctor :  
like your favourite game or music
User :   hahha
Doctor :  
you will feel better
User :   yeah
User :   i work a lot
Doctor :  
Is there any thing else I can help you with?
User :   on weekends
User :   go to night clubs
User :   drink a lot
User :   u can say wierd kind of lifestyle
Doctor :  
ok
User :   wake up late at nights
User :   not enough sleep
User :   but now i have become carefull
Doctor :  
ok
User :   lot of drink might make u do whtver u shouldnt do
User :   one mistake could cause u the death
Doctor :  
yes it does
User :   I have had sexuall intercourse 4 times till now
User :   i am 28 now
Doctor :  
ok
User :   2 times
User :   2 years back
User :   it was protected one
Doctor :  
ok
User :   even it is protected this time one month back
User :   but cant say
Doctor :  
ok
User :   possibilty is just 1%
User :   but thts making life hell
User :   basically
User :   this might be psycological also
User :   i think a lot of even a very small thing
Doctor :  
psychological factors can play a role in the stress realted symptoms
User :   can it be any other STD
User :   other than hiv
User :   which can be just caused by touching
User :   they say herpes is called just by touching
User :   and thts not curable
Doctor :  
it could be , the most common other infections can be syphilis and herpres and HPV
Doctor :  
*herpes
Doctor :  
all these has to be tested by doing blood tests for confirmation
User :   can we feel swollen lymph nodes
Doctor :  
you can feel them if infection is spread
Doctor :  
and they appear after sometime has elapsed between exposure and their apearance
User :   ok
Doctor :  
Is there any thing else I can help you with?
User :   just a minute
Doctor :   sure
User :   if lymph node is swllen of neck
User :   does it makes jaws pain
User :   or any part of the face
User :   i know i am asking stupid questions
Doctor :  
if it is in the anterior part of neck it can cause such symptoms
User :   but please bear me
User :   wht is a sour throat
Doctor :  
sore throaty is throat infection
User :   i dint have tht yet
User :   but is it anormal one
Doctor :   are you having any throat related symptoms at present?
User :   like wht
User :   i dont thnik so
User :   i had cold 2 weeks later
User :   i had cough
User :   but it didnt feel like something wrong with the throat
Doctor :  
ok
User :   wht do u think as thrpat related symptom
User :   cough?
Doctor :  
yes, it is cough is in response to any throat irritation or irritation of the airways
User :   wht is a dry cough
Doctor :  
it is also in response to any throat irritation or irritation of the airways but without sputum production
User :   ok
User :   does cough mean sour throat
Doctor :   cough is a symptoms pointing to sore throat
User :   ok
Doctor :   Is there any thing else I can help you with?
User :   nothing much doctor
User :   the testts will tell the rest
Doctor :   Please fill the feedback form say done when done.
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