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What Does This Following Lab Report Indicate?

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Posted on Mon, 23 Jan 2017
Question: Good Evening DOC.
MY RISK WAS ORAL SEX (SUCKING VEGINA ROUGHLY) for 20 minuts...IN THAILAND.......IN A PROF. MASSAGE CENTER..
3 TIME fully PROTECTED SEX /safely
I HAVE GOOD HEALTH
---------------------------------------------------------------
I WENT THE FALLOWING TEST-------in DR Lal Path Lab......
*34 day ----->3 rd gen -- anibody test ---------non reactive
*64 day/85 day/126 day/160 day ------> 4th gen CMIA COMBO (p24 ag+ ab)----- all the test non reactive
* 160 th day -------> VDRL rapid, HCV rapid ICT, HBV ag rapid ICT -----all non reactive
-----------------------------------------------------------------------------------------------------------------
all reports are attached--------password is "SINGH"
----------------------------------------------------------------------------------------------------------------
NOW MY QUESTION DOC----------------
Q1. AM I 100% CLEAN OR NEED MORE TEST??????
Q2. As STDS concerned----am i100% clean from all STDs.
Q3. Doctor i gave samples on a collection center exclusive for DR lal lab in my town.......then they send it to another city and my result i dawnload from site of dr lal lab.
Q4. WHAT RELIABLITY OF THE LAB AND TYPE OF TESTS
Q5. only some mild sytom arise like heat rashes type rashes once( image attached), some mild weakness..........and now i am fit and healthy
Q5. AS MY RISK WAS ORAL SEX SHOULD I GO FOR ANY OTHER STD TEST OR FORGET THE CHAPTER????????????
Q6. HOW MUCH CONFIDENCE YOU HAVE ON MY RESULTS ACCURACY AND MY STATUS -- NEG OR DOUBT???????
Q7. I HAVE MILD BRONCHITIS...SOMETIME VERY SMALL PROBLEM COMES -----MAY IT BE A SIGN OF IMMUNOCOMPROMISED???


doctor
Answered by Dr. Sankaranantham Murugan (8 hours later)
Brief Answer:
You are free from STD/HIV infections. symptoms not related to HIV.

Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
I understand your concern. You had protected vaginal sex. Oral sex carries a low risk for HIV/STD.
1,2. You are 100% free from HIV/STD.
3,4.Lal PATH LAB IS HIGHLY RELIABLE. In most of the centers except in metro cities, it is being done like this and they are highly accepted. 4th generation Combo tests for HIV is very much conclusive.
5.Symptoms are totally unrelated to HIV/STDs. You can forget the incident confidently.No further test is necessary for you. If you want you can rule out HSV infection by test, When there is no related symptoms it is not a must.
6. With these multiple tests even after 3 months after the exposure, You are 100% safe from HIV.
7. Bronchitis can occur to anybody. Even for children!

Genital HPV infection (warts) have no blood test, But with protected sex it is quite unlikely.
Dr S XXXXXXX



Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Sankaranantham Murugan (5 hours later)
thank you doc .....
Q1. doc i have seen many video of doc who were told specialist of hiv--they say that major population will be positive in 3 month but it may take up to 6 month, or 1 year or 2 years also..........why such type of confusions..........

Q2.as WHO and naco all say to test on 6 month to be sure...........as i did it last on 5 and half month............is it equall to 6 month.

Q3. how to identify that i am not that who late respond like 6 month or 1 year or more

Q4. please help me to satisfy my mind....is in doubt???? MAY YOU PLS GIVE ANY LINK OF ANY XXXXXXX GOV INSTITUTION WHO SAYING 3 MONTH CONCLUSIVE.....

Q5.(MOST IMP.) DOC I HAVE INFECTION IN MY MOUTH ---ATTACHING IMAGES OF THAT ---PLEASE DISCRIBE IT , AS I AM TAKING TREATMENT (MBBS + MS DOC)SO RECOVERING AND DOC IS SAYING IT WILL BE OK IN SOME TIME -----IS IT ANY TYPE OF ASSOCIATE WITH HIV------PLESE SUGGEST IN THIS MATTER TOO WHAT IS THIS AND WHAT TO DO.................
Q6. DOC SORRY IF QUESTIONS ARE REPEATING BUT YOU MAY WELL UNDERSTAND MY SITUATION...........
doctor
Answered by Dr. Sankaranantham Murugan (2 hours later)
Brief Answer:
HIV test never become positive after 6 months unless there is fresh exposur

Detailed Answer:
Hi,
Welcome back.
1. There is no confusion. All statements appear in websites are not authenticated. Window period for HIV is 6-8 weeks and may be extended up to 12 weeks in normal individuals and never become positive after 6 months (in people on immunosuppressive drugs or were on PEP). 1 year or 2 years and all unauthenticated.
2. If it is nonreactive 3 months after the exposure then it is a final report.
3. There is nothing like late respondents, but non-progressor or elite controllers those who were not or late appearance of HIV symptoms.
4. Medicine is not mathematics to have a constant answers. Everything are said in ranges only. (http://www.hivguidelines.org/resource-materials/hiv-qa-fact-sheets/window-period-testing-pep-and-acute-infection/).
5. Your mouth ulcers are not necessarily due to HIV. There are variety reasons for mouth ulcers. Consult a dental surgeon and a dermatologist and get well.
6. I understand your concern. At the same time, don't imagine odd possibilities.
I am having 30 years experience in the field of HIV management and I am updating myself by attending national conferences and international conferences and I am a inviting faculty in these conferences.
Dr S.Murugan
Above answer was peer-reviewed by : Dr. Veerisetty Shyamkumar
doctor
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Follow up: Dr. Sankaranantham Murugan (52 minutes later)
THANK YOU DOC,,

*SO FROM ANY POINT I AM NOT UNDER ANY DOUBT............???
* DOC have you ever listen a person/case who was infected but turned possitive whether he was negative on 5 or more month........

* AS 3 MONTH CONCLUSIVE, I HAVE TESTED NEGATIVE THREE TIME AFTER 3 MONTHS SO YOU WILL SAY IT 100% FREE FREE FROM HIV AND STDS OR 99.99%...........?
so now onward should i forget the episode without any doubts and can carry normal life.....???

dOC PLEASE FINALLY CONCLUDE MY FINAL STATUS SO I MAY BE RELAX?????


SORRY AGAIN AS QUESTIONS ARE REPEATING BUT YOUR CONFIDENT ANSWER ATTACKES ON MY ANEXIETY...............
doctor
Answered by Dr. Sankaranantham Murugan (2 hours later)
Brief Answer:
You are free from HIV. Your symptoms are not related to HIV.

Detailed Answer:
Hi,
Welcome once again.
I have yet to come across any person become positive 3 months ( remaining nonreactive till 12 weeks) after the exposure.
You are 100% free from HIV, as I had assured already.
Just forget about the incident and relax.
Dr S.Murugan
Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Sankaranantham Murugan

HIV AIDS Specialist

Practicing since :1974

Answered : 3112 Questions

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What Does This Following Lab Report Indicate?

Brief Answer: You are free from STD/HIV infections. symptoms not related to HIV. Detailed Answer: Hi, Welcome to HCM. Thanks for posting your query. I understand your concern. You had protected vaginal sex. Oral sex carries a low risk for HIV/STD. 1,2. You are 100% free from HIV/STD. 3,4.Lal PATH LAB IS HIGHLY RELIABLE. In most of the centers except in metro cities, it is being done like this and they are highly accepted. 4th generation Combo tests for HIV is very much conclusive. 5.Symptoms are totally unrelated to HIV/STDs. You can forget the incident confidently.No further test is necessary for you. If you want you can rule out HSV infection by test, When there is no related symptoms it is not a must. 6. With these multiple tests even after 3 months after the exposure, You are 100% safe from HIV. 7. Bronchitis can occur to anybody. Even for children! Genital HPV infection (warts) have no blood test, But with protected sex it is quite unlikely. Dr S XXXXXXX