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What Does My HIV Test Reports Indicate?

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Posted on Thu, 28 Apr 2016
Question: Hello Doctor, I am XXXXXXX I was in Germany begining of Nov 2015 and had 3 sexual encounters in 2 days with Commercial Sex Worker. The sex was unprotected Oral sex full fledged (giving and receiving both) and protected Vaginal intercourse. This was the first time I had such encounter and was really guilty for the incident happened. Actually I was in a drunken and heavily smoking during that time.


After coming back I was really stressed and had oral thrush, and mild sore throat. I took antibiotics for 3 days and was ok. After a week i still have mild irritating throat , mild pain on the lymph nodes.

Finally after three weeks of exposure i got tested for following:

1. HIV PCR DNA Qualitative : Result NEGATIVE

2. HIV Combo Test (including p24 Antigen) : Result NEGATIVE

3. HIV Antibodies - ELISA (Test strategy -III) - Result NEGATIVE

Also I had also tested for STD (Syphilis, Herpes) which was also Negative.

I also met a doctor and he suggested antibiotics for a week for throat infection. I used the antibiotics but after a week . Also sometimes I still have the mild throat pain ,intermittent pain like squeezing.

Also I had mild pain under the jaws (tonsiltis).

I was really worried as despite using antibiotics I was still having this irritating throat. Also I developed a rash on the shoulder on 38th day and it has gone automatically in a day.

I met the doctor again and again he gave antibiotics for a week (Cefpodoxime proxetil). I completed the course of Antibiotics, however I still had very mild throat, sometime on the left side of the throat and right side of throat but rarely on middle of throat.
intermittent squeezing pain was there and one day i had severe head ache on top of my head and gone automatically.

I got tested again as below:

On 41st day HIV Elisa (Test strategy-III) : Negative

On 44th day HIV PCR -RNA- Quantitative- Negative

On 45th day HIV Combo Test (including P24 Antigen) - Negative.

On 53rd day got tested for PCR qualitative test for Gonnoreah and Chlyamdia: Negative

On 56th day HIV Combo Test (including P24 Antigen): Negative

I ve attached all the reports for your reference except the PCR DNA-qualitative report, however it was negative too and was tested at 3 weeks.

Please advise on the following:

Now it is 70 days of exposure again i had throat pain, tender and painful lymph nodes and a small rash on my neck area, also had mild muscle pain.

I did gargling for 3 days with salt and used panadol tabs for 2 days. The pain has gone and throat pain is reduced drastically and stopped gargling as well.

After a day a very mild throat irritating persists. Do I need to start gargling again. Also I was using fucidin for the rash on the neck/

But I wonder 15 days back I had antibiotics for 2 weeks, i dont know why the throat pain occurred again.


Can you please advise whether the HIV Test after 3 weeks and 6 weeks and 8 weeks are negative (both DNA, RNA, Antibodies , P24 Antigen). can these tests considered conclusive and can forget the episode. I not having sex with my till the results are conclusive

I was getting worried on the PCR RNA test and DNA test as the tests were done in XXXXXXX lab . The PCR test was given in one day. (Is it possible to do the PCR test in one day)

The rest of the tests were done in Elbit diagnostics and Lalpath lab.

Can these results be trusted? from (Elbit, Lalpath lab and XXXXXXX labs)

Are these tests conclusive?

Please advise doctor, your earliest reply is highly appreciated.
doctor
Answered by Dr. Chakravarthy Mazumdar (11 hours later)
Brief Answer:
Tests are conclusive, no fear

Detailed Answer:
Hello,

You seem to have anxiety neurosis. This is evident with recurrent symptoms inspite of the tests being negative and heavy course of antibiotics.
You had taken a heavy course of antibiotics and this will kill most harmful organisms on and living in the body, however you should also know that it will kill some useful bacteria in the body.

In such a case there will be imbalance in the bacterial flora leading to attack by more pathogens. Human body is complex and it needs thoughtful treatment with sensitive approach. You can finally get a throat swab culture to test for organisms like fungi because such heavy dose of antibiotics can result in growth of fungi.
Your sexual encounter was guilt oriented and this has got into your thoughts. Though the contrary of infection was proven you are unable to accept it because of the anxiety and it can cause any physical symptoms. All the tests from all the labs are believable. The PCR test duration depends on the location of testing and the technology used to conduct. So do not start doubting it.
The next step for you is to STOP to look into internet, this leads to hypochondriasis.
You should see a professional counselor immediately to help you meditate and convert your thoughts into healthy actions.
Hope this answer gives you direction.
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Chakravarthy Mazumdar (8 hours later)
Hello Doctor,

Thank you for your reply. So you conform that the tests are conclusive, i see in the internet that the tests are considered conclusive only after 3 months. some even say 6 months. CAN YOU PLEASE CLARIFY?

Regarding the throat irritation. i don't have pain while eating and drinking fluids. it has some itchy and irritating throat. When I gargled with warm water, turmeric and salt it was ok. but still you suggest to go and visit a doctor and explain the total episode i had.?

Please advise, or do you suggest any medication.
doctor
Answered by Dr. Chakravarthy Mazumdar (15 hours later)
Brief Answer:
No need of medication, just throat swab culture

Detailed Answer:
What you had read about conclusivity is for ELISA for HIV. Elisa detects antibodies that may be delayed up to a XXXXXXX 6 months. But you had got already PCR which detects antigen and HIV COMBO which detects antibodies and antigen which are conclusive already.

You need a throat swab only. If you go to another doctor you will be back to square one who may pursue you for more testing keeping your anxiety side tracked.
Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (48 hours later)
Hello Sir,

You are absolutely right, Currently I am in abroad and I dont want to see any new doctor here and explain the total episode., if the HIV tests are conclusive i would meet the doctor and tell him about the throat.

Also I had mild ulcer type burning under the tongue. i have a gastric problem too.
i am using pantaprozole for the same.

But doctor do you recommend testing after 12 weeks, or they are 100% conclusive beyond any doubt.

Please advise.

Thanks

doctor
Answered by Dr. Chakravarthy Mazumdar (1 hour later)
Brief Answer:
No further testing please

Detailed Answer:
Hi,

I would not recommend any further testing. Contrinue pantaprazole only for a month or till the time you stop thinking about them which ever is latter.

Stress ulcers can stop you eating nutritious diet and you might get sick too. so remove stress, control your thoughts, find alternative solutions to tackle the stress and delete the thoughts in mind that cause stress.

All the best.

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (3 days later)
Hello Doctor,

Thank you for your advise, I am taking Pantaprozole twice a day, B-complex and sporolac for a 10 days (for ulcer on tongue and due to excessive use of antibiotics).

But still I have the throat irritation, but it is not painful.

I am very conscious about diet and having timely food, but only getting tensed about the symptoms and getting the doubt of conclusiveness of HIV report.

Doctor please clarify for my understanding:

After 8 weeks of exposure and negative HIV report, are there any chances of showing symptoms of HIV?

Does stress cause any throat infection, skin rash etc?

Finally 8 week test considered 100% conclusive or 12 week test has to be done?

Your reply is highly appreciated .

Thanks XXXXXXX



doctor
Answered by Dr. Chakravarthy Mazumdar (16 hours later)
Brief Answer:
Stress in the brain can cause any physical symptoms

Detailed Answer:
Yes stress and obsessive thoughts about something in the brain can cause any physical symptoms including the throat irritation and skin rash. It has that potential and debilitate the person sooner.

There are virtually no chances of showing of HIV symptoms

No test further as per my opinion and understanding about you. I repeat it.
Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (30 hours later)
Dear Sir,

I want to ask you a question regarding STD.

I got tested for Syphilis, Herpes, Chlymadia at 3 weeks, but i was under antibiotic for 3days intially and these tests were done after 2weeks gap.

Apparently after 2 weeks of Cefpodoxime and with a gap of a week i got tested for chlyamdia and gonnoreah PCR Tests at 6th week

Can you please clarify whether these tests can be relied as I was having antibiotics.

Please reply.

Thanks XXXXXXX
doctor
Answered by Dr. Chakravarthy Mazumdar (14 hours later)
Brief Answer:
Antibiotics would have killed both the bacteria

Detailed Answer:
What was the test done for STD's?
It is a good thing that you tested negative for chlamydia and gonorrhoea after using antibiotics.
So the negative test denotes either you did not acquire the infection or the antibiotics killed the bacteria
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Chakravarthy Mazumdar (1 hour later)
Hello doctor,

For syphilis it was VDRL and TPHA , HSV 1 &2 for Herpes and Igg for Chlyamdia post 3 weeks of exposure. 2 weeks before the test I took Azithromyvin for 3 days. The results were negative.

Still I had irritation throat some times on the left side and some times on the right side, so doctor advised Cefpodoxime for a week and some Vitamin tablets. I met the doctor after completing the course and told him that there is intermittent pain on throat. Actually it's not pain it's a discomfort like something stuck inside the throat. So he gave again Cefpodoxime proxitel for a week. I continued for a week and after one week gap I got pcr test for Gomorrah and Chlyamdia from lalpath lab. Result was negative.

So this was the STD test done and checking with you on the possiblity of false negative result.

Also during the same period I also got tested for

HIV combo at 3 weeks
HIV pcr dna at 3 weeks
HIV Elisa at 3 weeks
HIV Elisa at 41 days
HIV combo at 44 day
HIV pcr RNA at 44 day
HIV duo at 56 day
All negative.

But still having mild irritating throat only.

Thanks XXXXXXX
doctor
Answered by Dr. Chakravarthy Mazumdar (22 hours later)
Brief Answer:
Clear from STD

Detailed Answer:
You are clear from STD's.
You can chew methol based cough lozenges or Betadine gargles for the throat irritation. Else I do not think irritating throat should not bother you.
Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (2 days later)
Hello Doctor,

So as per you HIV and STD are conclusive.

Do I need to test for Hepatitis B, C as well.

And since these STD were tested post 3 weeks of exposure, do I need to retest after 3 months or conclusive .

Thanks
doctor
Answered by Dr. Chakravarthy Mazumdar (20 hours later)
Brief Answer:
Yes you should test for Hep B and Hep C

Detailed Answer:
Hello,

Since there is a risk for transmission of both Hepatitits B and Hepatitis C viral forms it is good to get them screened for their antibodies. Any standards lab will perform them.

You do not need to retest for STD's.
Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (54 minutes later)
Hello doctor,

Thank you for your advice. I will get tested for Hepatitis B and Hepatitis C as well. But I understand antibody tests only check previous are chronic infection. So are these Antibodies test are the right or else is there any other test. Also what would be the window period.

Another clarification regarding syphilis, i got VDRL and TPHA test which was negative. But what is the window period for syphilis. Do I need to get tested for it as well as it can be asymptomatic.

Appreciate your reply.

Thanks.
doctor
Answered by Dr. Chakravarthy Mazumdar (4 hours later)
Brief Answer:
Check for IgM antibodies only

Detailed Answer:
Get IgM antibodies, will check for active infection.
HbsAg is antigen test for Hepatitis B.

No need to repeat for syphilis and gonorrhoea.
Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (14 days later)
I got tested for all STD including Syphilis as advised and HIV again for my peace of mind and am also planning for kids. (please suggest whether i took the correct tests for Hepatitis B and C, I am attaching all the reports)

After 97 days of risk exposure (closed to 14 weeks) i finally got tested for peace of mind .

HIV 1 @ 2 CMIA : Negative
Hepatitis B IGM Antibodies : Negative
Hepatitis C, HCV : Negative
HSV 1&2 IGM : Negative , but IGG shows positive
VDRL : Negative.
TPHA : Negative
Gonnoreah, Chlyamdia : Negative
Culture throat Swap : no pathogens found

Still very mild throat irritation persists,

Please find the attached reports and give your opinion . Now 100% I am free from HIV and STD.

I can have unprotected sex with my wife and plan for kids.

Also please check SWAB culture test, i would need your advise .

Appreciate your reply.

Thanks.
C. P. XXXXXXX
doctor
Answered by Dr. Chakravarthy Mazumdar (3 hours later)
Brief Answer:
Happily go ahead to plan for kids

Detailed Answer:
Hi XXXXXXX

I checked the reports and attachments.

All were correct and good and does not indicate any STD or HIV infection. Do not look inquisitively at the HSV report.

You can happily goahead with your family planning.
Take 250gms of whole amla and put it in half a litre of honey.
You can suck on only one whole amla that is put in honey early in the morning after your bath for a month. That will take care of the irriation after one month.

Above answer was peer-reviewed by : Dr. Aparna Kohli
doctor
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Follow up: Dr. Chakravarthy Mazumdar (48 hours later)
Hello Doctor,

Thank you for your reply, I am really pleased.

As my throat irritation still persists, as advised i shall take amla and honey. The throat is like acid reflux , feeling like some spices are in throat. Shall i meet any physician or Gastroentrologist or ENT specialist? Kindly advise

I took pantaprozole for 2 weeks and stopped. Shall i continue for a month ??? Also i got mild ulcers under the tongue like mild cuts. but not painful and no problem while eating.

Another major worry is on HSV IGG positive report, Can it be transmitted to wife on having sex and further transmitted to new born kid too. I am really worried. But however IGM report is negative.

Are these ulcer on tongue due to acid reflux or due to Herpes???

I dont have any blisters in genital area but mild ulcer under the tongue but do not know whether it is Oral herpes. I understand they can be asymptomatic too, but worry is IGG is positive. Can you please clarify on IGG and IGM? Some doctors say IGM test is useless and not reliable.

I did the test at 3 weeks and during that time HSV 1&2 IGM- Negative and IGG was positive, but it was not mentioned separately HSV 1 and HSV 2. Now after 14 weeks of exposure the result is similar

I am really getting worried to have unprotected sex with my wife as we plan to have kids

Please advise.

Appreciate your reply doctor.

Thanks
doctor
Answered by Dr. Chakravarthy Mazumdar (16 hours later)
Brief Answer:
Acid reflux

Detailed Answer:
You have stress induced gastritis, with that there is a reflux of the acid into the food pipe and throat as well when you sleep. This is not a major issue.
The ulcers could be due to acid reflux.
You can continue the Pantaprazole for a month.
HSV IGG indicates a long term infection and is present in 99% of humans if they sexually active only with wife as well. We never know how do we contract this virus. Since it is common and usual to see the antibodies without having any symptoms I strongly suggest you to forget about. Sometime we cannot explain the nature of contraction of this virus.
You may peacefully and stressless go ahead with planning the family.

All the best.
Note: For further follow up on related General & Family Physician Click here.

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

General & Family Physician

Practicing since :2004

Answered : 2242 Questions

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What Does My HIV Test Reports Indicate?

Brief Answer: Tests are conclusive, no fear Detailed Answer: Hello, You seem to have anxiety neurosis. This is evident with recurrent symptoms inspite of the tests being negative and heavy course of antibiotics. You had taken a heavy course of antibiotics and this will kill most harmful organisms on and living in the body, however you should also know that it will kill some useful bacteria in the body. In such a case there will be imbalance in the bacterial flora leading to attack by more pathogens. Human body is complex and it needs thoughtful treatment with sensitive approach. You can finally get a throat swab culture to test for organisms like fungi because such heavy dose of antibiotics can result in growth of fungi. Your sexual encounter was guilt oriented and this has got into your thoughts. Though the contrary of infection was proven you are unable to accept it because of the anxiety and it can cause any physical symptoms. All the tests from all the labs are believable. The PCR test duration depends on the location of testing and the technology used to conduct. So do not start doubting it. The next step for you is to STOP to look into internet, this leads to hypochondriasis. You should see a professional counselor immediately to help you meditate and convert your thoughts into healthy actions. Hope this answer gives you direction.