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HIV transmission through saliva - 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 : 2008
Answered : 3479 Questions
Doctor :   Hi
Doctor :  
How can I help you?
User :   Hi
User :   i have a few clarifications regarding hiv/253657?iL=true" >aids disease....
Doctor :  
Ok
User :   if i deep french kissed a person with aids and our saliva got exchanged and the other person has aids....will i get aids?
Doctor :  
I will tell you
Doctor :  
Till now there has not been even a single case reported to be transmitted by kissing
Doctor :  
But the virus can survive there
Doctor :  
So, trace of doubt is there
Doctor :  
But transmission is not reported
Doctor :  
HIV is a very sensitive virus
Doctor :  
and cannot survive in the external environment much
Doctor :  
So, right now one can say that such a possibility is Remote
User :   so even if just saliva got exchanged....and as u said aids virus can survive in saliva....there is a slight possibility that i get aids right?
Doctor :  
Very negligible
Doctor :  
which has to just IGNORED
User :   and regarding blood.....even if the other person has some cuts in his mouth lips.....i have heard that visible fresh blood is needed for the virus to spread...is that true?
Doctor :   Not likely
Doctor :  
Even fluids have
Doctor :  
Like in sexual contact there is no visible blood
User :   no i mean if while kissing it has to spread.....then fresh visible blood is needed to spread and mere cuts on lips or mouth will not affect?
Doctor :   I explained you right
Doctor :   You can compare it to sexual contact
Doctor :  
Will you have bleeding during sexual contact?
Doctor :  
Tell me the specific case you are anxious about, we shall discuss it better
Doctor :   To whom are you suspecting this?
User :   so in short u mean to say that even if only saliva is exchanged then there is possibility of the virus spreading? .....okay i shall discuss the specific case but just answer this query first.
Doctor :  
Not just saliva
Doctor :  
If there is a cut and some fluids are exchanged
Doctor :  
then there is a possibility
User :   okay now let me tell the specific case....
Doctor :  
Yes, that would be better
User :   i am a male of age 27 ........i contacted another male of age 22 whom i do not know before this and we decided to have sex in my home when no one else was there....we kissed in the mouth for about 10 mins and saliva got exchanged...no visible blood or anything came out from neither of our lips...just saliva got exchanged....now that i do not know him before this and if he has aids what are the chances that i get it? thats the question.
User :   after kissing we stopped
Doctor :   Ok
Doctor :  
You can just be confident that there is no chance for it
Doctor :  
But did you progress with it later?
User :   no no contact after that...just once.
Doctor :   If it was only kissing then you can be Relieved

User :   is it 100% ok ....i mean your answer...do i need to test my blood?
Doctor :  
It is 99% ok
Doctor :  
To confirm it
Doctor :  
I would advise you to go through the test once
Doctor :  
It is called as HIV ELISA
Doctor :   Get it done for both HIV 1 and 2
Doctor :  
But let me assure you that it will be negative
Doctor :  
But reconfirm, thats all
User :   and if the sex kissing incident occured 3 weeks before...is there any time or window period only after which i have to do the test to get the actual result?
Doctor :   No

Doctor :  
Get it done now and again after 6 months
Doctor :  
Is it clear to you?
User :   i ask that because i read on one of the sites that only after 3 weeks the virus appears in blood causing generation of the antibodies.
Doctor :  
Nothing like that
Doctor :  
You can get it done now
Doctor :  
and the repeat it after 6 months
Doctor :  
bcos 6 months is the higher limit
User :   higher limit of what doctor?
Doctor :  
If you want it to be done in one shot then there is one more option
Doctor :  
of the window period
User :   okay what is that one shot option?
Doctor :  
That is DNA PCR which is sufficient even if you get it once
Doctor :   Same for both HIV 1 and 2 you get it done
User :   i live in bangalore india....can u tell me where in banglaore i can get the dna pcr test?
Doctor :  
You can get it done in any big hospital
Doctor :  
like Apollo, Wockhardt, Manipal
Doctor :  
Or if you want it at a cheaper rate, you can go for
Doctor :  
Bowring Hospital, Shivajinagar
Doctor :  
Are you familiar with these hospitals?
User :   yes
Doctor :  
Ok
Doctor :  
No worries
Doctor :  
Just for confirmation sake
Doctor :  
No need have even a trace of anxiety
User :   how much does it cost in Bowring hospital?
Doctor :   In Bowring, it is just Rs.20
Doctor :  
Need to go to PCTC centre
Doctor :  
Is that clear?
User :   yes and pctc is subdiviison in bowring right?
Doctor :  
Yes
User :   and one last question.....for this dna pcr the test is done on blood sample right? and is there any window period you have to wait for after teh infection?
Doctor :   No

Doctor :  
That is a single time test
Doctor :  
and very sensitive
Doctor :  
That is a bit costly
Doctor :  
Can be b/w 1500-2000
Doctor :  
The first one is sufficient, I strongly feel
User :   sorry iam confused you said rupees 20 right?
Doctor :   Yes
User :   then what is 1500-2000?
Doctor :  
the DNA PCR method
Doctor :  
is costly
Doctor :  
ELISA method is cheap
Doctor :  
as it is subsidized by the government
User :   ok....and u recommend dna pcr right?
Doctor :   No
Doctor :  
ELISA is quite sufficient
Doctor :  
And go for it and get back to us with results
User :   elisa ....one time is fine?
Doctor :  
Repeat it after 6 months
Doctor :  
That is necessary
Doctor :  
But let me tell you it is just for record purpose
Doctor :  
and you wont have it
User :   ok doctor if i can afford 1500 i can go for dna pcr right?
Doctor :  
Yes,
Doctor :  
For your relief
User :   and dna pcr does not have any window period right?
Doctor :  
No
Doctor :  
It will detect it now itself
User :   okay so even if i was infected couple of hours ago i can do the test now?
Doctor :  
Yes
User :   and get accurate results?
Doctor :   It is hightly sensitive
User :   and it is one time ttest right?
Doctor :  
Yes
User :   okay doc thank you so much i will go to Manipal or Bowring and get teh dna pcr done....
Doctor :  
Please fill the feedback form say done when done.
User :   yes i filled it ....and dna pcr is done on blood sample right?
Doctor :   Yes
User :   and for combined hiv 1 and 2 it is only 2000 rupees right?
Doctor :   Yes, approximately

User :   thanks bye
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.
User :   ok
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