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Living with a patient of HIV - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: HIV and AIDS
Answered by

General & Family Physician
Practicing since : 2009
Answered : 594 Questions
I want to know how to be with a hiv PATIENT
Doctor :   Hi
User :   Yes My firends husband recently detected with HIV positive
Doctor :   Ok
User :   when he suffered from Herpes
Doctor :   Ok
User :   Doctor had avised to take Viraday on1 tablet daily
Doctor :   Ok
User :   My doubt is if he will be alright soon
Doctor :   May I know his age?
User :   He has some rashes on hi leg, i this ndue to tablet
User :   His age is 54
Doctor :   How long ago was he detected to have HIV?
User :   Just 25 day back
Doctor :   Ok
User :   He was very weak, now picking up his hjealth lowly, have some memory loss
Doctor :   Do you have the reports of his CD4 counts with you?
User :   CD4 ha not come it may come toimoorow. his viral load is about 15 laks
User :   My doubt is how to treat him
Doctor :   Ok
Doctor :   Let me explain to you.
User :   should we to take him counselling
User :   if she can be with him without having any ex
User :   sexual contact
Doctor :   As you know, medical science is yet to find a permanent cure for HIV infection.
Doctor :   The present treatment is available only to contain the illness.
User :   Her unmarried daughter is with her. will it be a problem for her
Doctor :   The general principles of treatment is to reduce the viral load by use of antiviral medications,
User :   ok
Doctor :   apart from this he will need chemoprophylaxis (antibiotics against specific infection) if his CD4 counts are low(below 500).
Doctor :   He will not have major problems, if his CD4 counts are not low.
User :   ok, can he be with all other family members.
Doctor :   So I suggest you to wait till the CD4 counts come, doctors will take further steps as far as the treatment is concerned.
User :   what should be done to him other than this viraday tablet
Doctor :   Now coming to spread,
Doctor :   HIV infection doesn't spread by mere physical contact.
Doctor :   Yes, special precautions will be needed if handling body fluids like if he bed ridden- handling the urine and stools and so on.
Doctor :   Apart from this no other special precautions are needed.
User :   yes I do understand but, my friend is so afraid of her daughter. both have been tested and it is negative for them
User :   will the wife have a chance to have this HIV after one or two months
Doctor :   It is beneficial to avoid sexual intercourse with the partner as much as possible.
User :   ok
Doctor :   and use of safe practice such as condoms is necessary if it can't be avoided.
User :   what diet can we give to him
Doctor :   2 condoms can be used to give added benefitis and this will prevent any exposure.
Doctor :   There are no diet restrictions, however use healthy food which is properly washed and cooked.
User :   He is now on rest, will he be able to go for work and lead a normal life
Doctor :   Avoid feeding him from brought from outside and which are unhygeinic.
Doctor :   As far as possible properly cooked home made food.
Doctor :   Antiviral drug can induce gastritis, so restrict spices as much as possible.
User :   ok. what should be done to keep his CD4 count
Doctor :   Also restrict the use of beverages such as coffee and tea.
Doctor :   The CD4 counts improve as the viral load reduces.
Doctor :   So, if the CD4 count is low, with regular antiviral medications and chemoprophylaxis CD4 counts can improve.
User :   can I know who is the best doctor to be treated for hIV IN
Doctor :   I shall however look for one and send you across the best doctor through an email, if possible.
Doctor :   Will that be Ok.
User :   THANK U.
Doctor :   Do you have any other query?
User :   at what interval the blood tesst hould be repeated and what are the tests
Doctor :   He will constantly need CD counts and viral load.
User :   every month?
Doctor :   the counts can be repeated once a week when they are very low to once a month.
Doctor :   Later the counts can be done once in 3-6months time, if normal.
User :   ok. so every week the cd4 count to be tested initially is it
Doctor :   Since I do not have access to the CD counts, I cannot be specific in determining the follow up counts.
Doctor :   I suggest you to wait for the CD4 counts and follow up.
User :   To improve his memory power can u suggest anything
User :   CD count to be more than 500?
User :   To be frank his doctor dont give this much time to ask the doubts and she is very depressed. I feel this information will help her very much and avoid her fear
User :   Please send the doctors address, in xxxx and in if possible
Doctor :   Memory affection could be temporary. .
Doctor :   And can improve as his general condition improves.
Doctor :   hence my suggestion to you is to wait for the counts, follow the medications regularly,
User :   can the cd4 count be tested in any normal labs? and wat should be the count?! that is wat id considered a risk?!
Doctor :   follow up with doctors.
User :   okay! thank you! kindly send some of the doctors address
Doctor :   CD 4 counts, CD 8 counts as well as CD4:CD8 ration can be done at any labs
Doctor :   If the counts are above 500, then the chances of infections are low and no major risk is considered.
User :   okay!
Doctor :   have you followed?'
Doctor :   Do you have any other query?
User :   yes! thank you! nothing else now! thanks again!
Doctor :   Thanks for consulting me.
Doctor :   Bye for now.
User :   bye!
Doctor :   Will get back to you with the mail.
User :   okay!thanks!
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