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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Abdominal Pain , Fever , Cough And Sore Throat

hello sir i had exposer 2 months back weared condom but it was of small size ,after two weeks i developed pain abdomen and diarrhoea, in the initial episodes my symptoms subsided with use of antibiotics( within 2 days )after 2 to 3 days of stopping antibiotics my symptoms restarted ( so restarted those antibiotics and many other drugs for 10 to 15 days ), however my diarrhoea subsided but am having persistent pain abdomen since last 2 months with ocassional loose stools, its crampy pain diffuse, increases with intkae of food only during day time,lost some weight also but no fever ,cough, sore throat, lymph nodes,thought possibility of HIV infection done HIV testing after 21 days HIV PCR RNA - below 20 copies. westernblot - non reactive HIV CLIA -Non reactive so my doubts - 1 Above results indicate am not infected ? 2 How much should be the HIV RNA levels in early infection at 20 days ? 2 Are my symptom persistent pain abdomen with ocassional diarrhoea s/ 0 acute HIV infection ? 3 How commom pain abdomen and diarrhoea in acute hiv infection without fever or other symptoms? 3 Are my symptoms related to medication side effects / food poisoning / anxiety ? please interpret my results and advise further.
Mon, 7 Sep 2015
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General Surgeon 's  Response
Hi.
Thank for your query.
Noted your history of sexual exposure but with condom which acts as a good barrier.
You developed diarrhea and loose stool which has continued for 2 months.
HIV tests, western blot and CLIA done all negative.
I would advise you the following:
First of all stop worrying about something that you do not know of and follow the advise of your Doctor.
Consult the HIV/ AIDS center for counselling and further examination and tests.
Another important point you have mentioned is loose stools and pain in abdomen. The possibility of HIV causing this is definitely worrisome, but if the tests are negative, I would advise you the following:
Repeat the tests for HIV.
Stool tests for three consecutive days.
Tests of blood, particularly for thyroid function tests and diabetes are a must
This will give further lear diagnosis and a plan for proper treatment.
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Suggest Treatment For Abdominal Pain , Fever , Cough And Sore Throat

Hi. Thank for your query. Noted your history of sexual exposure but with condom which acts as a good barrier. You developed diarrhea and loose stool which has continued for 2 months. HIV tests, western blot and CLIA done all negative. I would advise you the following: First of all stop worrying about something that you do not know of and follow the advise of your Doctor. Consult the HIV/ AIDS center for counselling and further examination and tests. Another important point you have mentioned is loose stools and pain in abdomen. The possibility of HIV causing this is definitely worrisome, but if the tests are negative, I would advise you the following: Repeat the tests for HIV. Stool tests for three consecutive days. Tests of blood, particularly for thyroid function tests and diabetes are a must This will give further lear diagnosis and a plan for proper treatment.