Had Intercourse. Tested Negative For HIV. Having Sore Throat, Headache And Stiffness. Any Advice?
Ps. I had a full screen of std tests done at 37 days. Also i was very sick with a respiratory infection lots of coughing extremely tight chest hard to breath about a month prior that a z pak did not help. Stayed sick from July 22-aug 25 ish. It did subside at times just not sure.(so i was sick prior to the intercourse) Thank you
Thank you for posting a question.
Firstly, if you know that you have been exposed to a risk of getting infected by HIV, it is better to take postexposure prophylaxis. It generally, reduces chance of getting infected in more than 75% cases depending upon the time of starting post exposure prophylaxis.
The tests you told, may not be conclusive within 6 months from the day of getting exposed. Because, these tests mainly search for presence of antibodies against HIV.
For being sure in this time period, DNA PCR test, specific for HIV may be considered. One more test is p24 protein assay. These tests just search for presence of any active / inactive virus in your body. These are most specific. If these tests show negativity, you can rely on them.
As you told previously, you have a history of long standing infection. This sore throat which you are experiencing may be a relapse of the previous infection.
For this, you have to do the followings
1. Take a nutritious diet. Must take some fresh fruits daily.
2. Take a multivitamin drug which also contains micro nutrients.
3. Consult with your treating doctor for ordering a complete blood count. If you are suffering from any bacterial infection, there will be neutrophilic leukocytosis.
4. You should take a more broad spectrum antibiotics like third generation cephalosporin group of drugs. Consult with your treating doctor for prescribing a cefpodoxim like drug.
5. As you told, you have already completed a course of antibiotic, Fine needle Aspiration Cytology from the noticeable lymph nodes may be considered depending upon the number and site of the lymph node, and antibiotic effectiveness.
6. For your headache, you can take non steroidal antiinflammatory drugs like paracetamol.
7. You must take pantoprazole (40mg) group of drug once daily if you take nonsteroidal anti inflammatory drugs.
8. You may consult with an Ear Nose Throat specialist for further examination and further management.
Hope this information suffices. Let me know, if you have any more question.
Regards.
Thank you for writing back.
Firstly, yes. It was a low risk exposure. But you should be more cautious. Because for any other sexually transmitted diseases, there are definite treatment except for HIV.
Secondly, according to Harrison's XXXXXXX medicine, the conclusive result is at 6 months. Because, sometimes, your body may take upto 6 months to produce antibodies. For which reason, DNA PCR and p24 protein assay has much importance than the simple Elisa test done for antibodies.
So, consult with your doctor for ordering this investigation.
The high bacterial area may also predispose to infection like sore throat. You must do a chest XRay for excluding any occupational hazard.
If you have your answers, then close this discussion.
Regards.