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HIV paranoia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Good Posted in: HIV and AIDS
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
Doctor :   Hi
Doctor :   I am Dr. XXX
User :   Hi Dr. My enquiry is regarding HIV infection and symoptopms
User :   Hi DR
User :   I had a risky encounter in the end of Feb 2010
Doctor :   Ok
Doctor :   Please continue your explanation
User :   In July 2010 I started having itchiness in feet and then all over my body almost
User :   I got worried and decided to test
User :   I tested negative for HIV, Hiptities and syphilis in Mid July (4.5 months after the exposure)
User :   I was OK for a while and then started to get worried again
User :   what I have now is itchiness in feet, legs and hands, tinglining all over the body
User :   a sensation that I feel moves around
User :   it comes and goes
User :   and lately I have been feeling a burning sensation that also moves around
User :   I am under alot of anxity
Doctor :   What is your age, gender and place?
User :   I hardly sleep
User :   I am 42 female and I live In the XXX
User :   I surf the nest non stop
User :   and I have become obessesd with HIV
User :   I have had many panic attcks lately
User :   I have no reason to doubt the results of my test
Doctor :   Yes
User :   but I dont know what to do
Doctor :   HIV paranoia is very common
User :   should I test again?
Doctor :   I have encountered many people on chat with me
Doctor :   who were worried of no reason
User :   DO you think my test is enough
Doctor :   They ultimately end in psychiatric departments
Doctor :   Yes
User :   what about the itchiness, tingling and burning in feet and hands and other parts
User :   Does not it sound like neuropathy?
Doctor :   Anxiety can cause this, did not your doctor explain about ?
User :   I can not talk about HIV here
Doctor :   There is no evidence yet that HIV or AIDS can start with your current symptoms
Doctor :   If you are tested and proved negative the risk is zero
User :   after 4.5 months?
Doctor :   Now there is every chance that you get worried about HIV for any other symptom that you have in future
Doctor :   Unfortunately you too are succumb to those thoughts and un necessarily spoilign your beautiful life
Doctor :   You got to go ahead
Doctor :   and think positively
User :   what about the window peiord for testing which should be 6 months according to some website
Doctor :   99% of the cases convert within 3 months
Doctor :   Do you think your anxiety reduces if you get tested again after 6 months
Doctor :   and can you resist till then
User :   and what about lab errors?
Doctor :   Very unlikely
Doctor :   The HIV testing systems are updated now
User :   testing is not easy here. I have to travel to do it
Doctor :   in every part of the world
Doctor :   So you just do not have to worry about the lab errors
User :   This alone make me a wreck
User :   I got tested the first time here because it was part of a mandatory health check up
Doctor :   I am not worried about your HIV status now
Doctor :   I am concerned about your anxiety
User :   Dr. I can force my self to test, but its really a very difficult thing to do. I have to come clean to my family and this will destroy them. Sex is a taboo here.
Doctor :   So your problem is getting tested here
User :   If I am assured that my results were conclusive, I prefer not to test
Doctor :   As per the normal protocol, one is asked to test after 1 , 3 and 6 months after high risk exposure
User :   but if there is a chance that I could be positive then I have to test I guess and face up to what I got myself into
Doctor :   The chances of you turning into a seropositivity from now is near to zero even if you test after one and half months
User :   mine was after 4.5 months only
User :   what I should also mention here is that the itchiness started 2 weeks before I got tested
User :   so, what is your final recomdnation Dr. What shall I do? I have lost 5kgs due to not eating.
User :   Should I just focus on moving on and ignore my symopmtopms?
Doctor :   For now I suggest you to relax
Doctor :   Start on Yoga and Meditation for relaxation
Doctor :   After one and half months, test the second time
Doctor :   Till then I suggest you to seek the expert opinion of a Psychiatrist for medicines to reduce your anxiety and improve your appetite
User :   So a 2nd test is warnted?
Doctor :   It is just a protocol
Doctor :   to be followed
Doctor :   and for finishing sake
User :   what do you think my chances are?
Doctor :   I have repeatedly told, near to zero
User :   Some websites state that testing after 3 months should be enough
Doctor :   I suggest you one more testing
Doctor :   It is finally upto you to test or not
User :   but do you think my symoptopms are worrisom?
Doctor :   No
User :   OK Dr. Thank you.
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