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What Causes Swollen Tonsils Post Unprotected Sex?

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Posted on Tue, 23 Jun 2015
Question: Hello everyone, I had unprotected sex with a women at the end of April. It was not my first time with her. We have been hooking up on and off for some years now. It was About three weeks after this particular time, two days after a 3 day trip from Reno, NV, I developed swollen tonsils. I felt no pain for the first two days, which I found very odd because that has never happened. I visited a doctor and he said that it may just be a cold because the inside of my ears were pretty red , indicating a viral infection. Ordinarily none of this would bother me but I read online that "ARS" ,I believe it's called, could appear as tiredness, swollen tonsils/tonsilitis or a mild cold that goes ignored 2-4 weeks after being infected with HIV, all of which I experienced. Prior to that I can't even remember the last time I was sick and that scared me even more. I wanted to blame it on the plane ride home because the cold air clogged my nose and gave me a terrible sinus headache, forcing me to breath out of my mouth, but since there were only 4 people on the flight so I decided to rule that out. I plan to get tested but not until the full three months.

I think all of the stressing had given me some type of sleeping disorder because when ever I tried to go to sleep, the closer I got to drifting off to sleep, I would start to panic. If I actually dozed off, I would find myself jerking awake in a panic attack where my body would go numb and my heart would be racing. That has gotten better.

It has been about a month and two weeks and I am now experiencing neck pain, sometimes it feels like my chest is heavy, when I use the the bathroom I don't have complete diarrhea but my stool is definitely not as firm ,I guess you can say, as it used to be and it gives me that burning sensation that diarrhea gives me. It also doesn't feel like I completely finish.
I keep trying to convince myself not to worry but because of the timing of all of this I can't help but to worry.

. Swollen tonsils lasted about 5 days (two of which where painless

.tiredness last about 2 days
Not sure if these were signs of HIV infection.


doctor
Answered by Dr. Panagiotis Zografakis (56 minutes later)
Brief Answer:
HIV is not likely

Detailed Answer:
Hello,

I've read your description and it doesn't sound like HIV at all. HIV would usually cause a more protracted course (an unusual tonsillitis). Your case seems like a common viral upper respiratory tract infection.
Of course there is no way to be sure about it unless you do the HIV test. If I were your doctor, I wouldn't have ordered this test but if you'd like to be absolutely certain you should do it now and repeat it after 3-6 months (if negative).

It would be wise to use safety measures (condoms for example) since this is not a 'normal' relationship and you can't (probably) be sure that your partner hadn't have sex with other men.

Contact me again, if you'd like any clarification or further information.

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (27 minutes later)
thank you Dr. I will go get tested on Monday. I was mainly concerned because the swelling seemed to have come on suddenly right between the 2-4 week period. I have had sore tonsils before but they have never swollen up, or at least I have never noticed it before, and have definitely never swollen up with no pain.
is this still not unusual?
doctor
Answered by Dr. Panagiotis Zografakis (15 minutes later)
Brief Answer:
it's common

Detailed Answer:
Swollen tonsils and neck lymph nodes are common findings in tonsillitis and pharyngitis. Many viral and bacterial infections may share the same clinical picture, so your doctor can't discriminate between them with accuracy, although there are some findings that may allow an estimation.

In HIV primary infection, lymph node enlargement is expected and perhaps not confined to the neck only. The axilla and groin nodes may be involved and the liver and spleen may be enlarged as well. What's more important is the duration of the disease. HIV usually lasts for weeks, while most of the other potential causes last for days. The Epstein-Barr Virus (infectious mononucleosis) may also last for weeks and this is far more common than HIV.

So this disease doesn't remind me of HIV, but only testing can prove me right or wrong (hopefully not) !

Kind Regards!
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Panagiotis Zografakis (9 minutes later)
Thank you again Dr. I totally forgot to mention that I was tested for mono and step and both test came back negative. I will definitely take your advice and wear protection for this was an enormous eye opener whether the test comes back negative or not.
doctor
Answered by Dr. Panagiotis Zografakis (4 minutes later)
Brief Answer:
that would be a great decision

Detailed Answer:
Staying on the safe side is always the right option. In a stable relationship you can feel more secure but in this kind of relationships you've got to be careful because the risk may be low but the stakes are high!

Kind Regards!
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Panagiotis Zografakis

Internal Medicine Specialist

Practicing since :1999

Answered : 3809 Questions

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What Causes Swollen Tonsils Post Unprotected Sex?

Brief Answer: HIV is not likely Detailed Answer: Hello, I've read your description and it doesn't sound like HIV at all. HIV would usually cause a more protracted course (an unusual tonsillitis). Your case seems like a common viral upper respiratory tract infection. Of course there is no way to be sure about it unless you do the HIV test. If I were your doctor, I wouldn't have ordered this test but if you'd like to be absolutely certain you should do it now and repeat it after 3-6 months (if negative). It would be wise to use safety measures (condoms for example) since this is not a 'normal' relationship and you can't (probably) be sure that your partner hadn't have sex with other men. Contact me again, if you'd like any clarification or further information. Kind Regards!