Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
179 Doctors are Online

HIV diagnosis - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 37 Questions
User :   Might have shared a needle with someone who a psychic told me was infected about three weeks ago. Had a test last week and was negative. Had unprotected sex with this girl too. Really not sure if i shared the needle though. This psychic online swears shes right and in three months she says i need to be concerned but she didn't know what. Right gland in neck feels swollen today. Panicking!!
Doctor :   Hi
Doctor :  
Give me a minute to read through
Doctor :  
May i know your age and gender?
User :   33 caucasian male
Doctor :  
Ok.
Doctor :  
I shall help you in this.
Doctor :  
there are various infection that spreads through needle prick.
User :   Im listening
Doctor :  
Some are serious such as the Hepatitis and hiv
Doctor :  
But they do not cause sympytoms so early.
User :   Thats what im afraid of
Doctor :  
You can get your blood tested to rule out.
User :   Already had elysa test this past week
Doctor :   May i know the what was the result?
User :   Negative sir
Doctor :  
Ok.
Doctor :  
You can also get the HBs Ag and HCV test also done
Doctor :  
to rule out the possibilty of hepatitis infection.
User :   This crazy psychic online swore to me that she was right and that i would be infected by this girl and through blood
Doctor :   There are possibilty of infection.
Doctor :  
But it is unlikely that you have one.
Doctor :  
As i mentioned earlier it generally takes some time for the infection to start.
User :   Why unlikely doctor?
Doctor :   Lymph node swelling is seen in many infections.
Doctor :   And HIV and hepatitis infection to cause such swelling takes about 4 weeks to few months.
Doctor :  
But the only method of ruling out is by testing your blood.
Doctor :  
Thats why i mentioned that the chances are less.
Doctor :  
But get it confirmed by the tests.
User :   How long really does it take to test positive for HiV on a test like said it was the weekend of Oct 24 and 25
User :   The chances less of having infection now so soon or having infection at all?
Doctor :   It is the chances are less that these symptoms are due to those infections.
Doctor :  
Hence the best way of ruling out is by checking the blood.
Doctor :  
Elisa is a good test.
User :   It was the cheek swab done last week and was negative but is it to soon only about 2 to 3 weeks after possible exposure doctor
Doctor :   2 to 3 weeks time is good enough for ruling out HIV
Doctor :  
But you need the other tests too.
Doctor :  
Because hepatitis is equally deadly.
User :   I heard that Hiv antibodies could take up to 3 months to be present on test sir?
Doctor :   Yes that is right.
Doctor :   For the full antibodies to build it takes 3 months.
Doctor :  
You do not need full antibodies to have a positive elisa test.
Doctor :  
Have you followed?
User :   What do u mean sir?
Doctor :  
I mean IGM antibody which is tested can arise in a short period of time.
Doctor :  
Of 2 to 3 weeks.
Doctor :  
So i shall suggest you these tests to be done.
Doctor :  
1. HIV DNA PCR to completely rule out the posibility of infection
User :   Then why the heck does everyone including the person who did test say 3 months? What is IGM?
Doctor :   I shall brief you again.
User :   DNA PCR?
Doctor :  
IG m is a type of antibody that appears immediately after the infection.
Doctor :  
It can arise within few days of the infection.
Doctor :  
Since you have been tested negative.
Doctor :   You need a confirmation after the 3rd month.
Doctor :  
Which will completely rule out the possibility.
Doctor :  
If you do not wish to wait for another 3 months.
Doctor :  
HIV DNA PCR is the choice of test.
User :   So there could be a high chance it didn't show up yet huh?
Doctor :  
As they are more sensitive in picking up early
Doctor :   Yes

Doctor :  
there could be a chance that it can show up positive later.
User :   Im sorry what is DNA PCR again?
Doctor :   It looks up for any traces of hiv DNA in the blood.
Doctor :  
this test is more sensitive than ELISA.
User :   Where do i get that test. Don't have insurance at the moment
Doctor :   It is a bit costly test. It can be done in any tertiary health set ups.
Doctor :  
Like any major hospitals.
User :   Would The ER do it?
Doctor :  
They are not emergency test.
Doctor :  
You can contact the lab for the details.
User :   So if i tested negative on the elysa swab test is that a good sighn i might be negative totally?
Doctor :  
IS there any other query?
User :   No doctor that is my main concern
Doctor :   Before we close this session
Doctor :  
I shall tell you this
Doctor :  
There are antiviral that can be given to styop the disease.
User :   Ther is no cure for HIV or Hep sir. Everyone knows that
Doctor :   But early treatment with antiviral treatment can reduce the chances of infection.

User :   Really> I thought if you have it u have it Thats it? Which antivirals sir?
Doctor :  
There are many antivirals like lamivudie and many others that when given early can reduce the chanceds of infection.
User :   O alrite. I thoght if HIV was there its there thats it
Doctor :   IS there any otyher query?

User :   You've been very helpful. No
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
Question is related to
Diseases and Conditions
Lab Tests
Medical Topics
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor