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Itching over the body post unprotected sex - Online Doctor Chats

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

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   Dear Dr.
I am a female (42 years). Extremely healthy and fit.
End of February 2010 I had a risky encounter (one incident). In early July 2010 (4 months later), I started having itchiness all over my body although it started with feet first. I researched the net and I freaked out to find an association with HIV, I had sleepless nights because my yearly mandatory check up was coming up. Mid July 2010 (4.5 months later) I was tested for HIV, Hepatitis and syphilis and the result was negative.
I relaxed for few days and then found out about the 6 months window period and started freaking out again. Although I am usually a very healthy person and I have never had any health related issues before. The itchiness is still there but less, but what I have now is tingling/stinging all over (more in hands and feet). I have also developed a burning sensation almost all over my body randomly, it goes and comes too. It is not severe and moves around from my back to buttocks to legs to feet etc. It is also on the back of my head sometimes. I don’t have every day but most days. I sometimes have tingling on face and around the lips.
Is what I am experiencing neuropathy? Do I have to tested again? I have no reason to doubt the results of the first test. I have to mention that I have been through severe anxiety lately due to this issue and I have had many panic attacks and I hardly sleep. I also spend all of my time on the net researching neurological issues related to HIV but I find them very hard to understand.
Last week I had a cold sore which I do not usually have. This freaked me out and I started checking myself everyday for symptoms. If I manage to sleep at all, I find myself getting up every two hours to check my tongue, face, body for any visible signs. I am seriously losing my mind over this.
Going through a second test is not simple since I cannot get it locally.
User :   Your professional opinion will be highly appreciated.
Doctor :   hi
Doctor :   Dr XXX here
User :   hello Dr
Doctor :   give me moment let me read your query
User :   OK. Thank you
Doctor :   Ok
Doctor :   You dont have worry
Doctor :   Do you have any kind of persistant infections
User :   no. Such as out?
Doctor :   Persistant cold(flu), oral infections, fever long standing, Urinary tract infection
User :   No
Doctor :   ok'
Doctor :   Is your Itching worsening in the night
User :   Its mostly tingling now. Some random itching at any point of the day, but the burning sensation I feel more at night and when I am sitting down
Doctor :   Can you describe from where the itching/ tingling begins
Doctor :   Let me breif you
User :   The burning - which is new few days only - I feel at on my back - usualy- then goes down to my buttocks and sometimes thighs, legs and sometimes my feet
Doctor :   Your condition more is related to anxiety
Doctor :   And i shall explain you the symptoms of HIV infection
Doctor :   There is always significant weight loss
Doctor :   then you will have common opputunistic infections like tuberculosis, pnemonia, toxomoplasmosis
Doctor :   Even oral candidiasis
Doctor :   Oral candidiasis being the first symptom to occur
User :   Bur DR, if it is the begining of the infection
Doctor :   ok
Doctor :   See the window period is always varying from 6 months to 2 years in some people
Doctor :   there are many other sexually transmitted diseases other than HIV
Doctor :   which can produce symptoms you are facing
Doctor :   Its not necessary having unprotected sex can lead to HIV
Doctor :   unless you are sure the person you had met is suffering from AIDS you can rely on the first test
User :   6 monthss to 2 years to test positive for antibodies? or to develop infections?
Doctor :   To develop infections
Doctor :   Antibodies will appear as early as 2 month
User :   I see, what about the testing window period?
Doctor :   There are minimal chances for antibodies not appearing in window period
Doctor :   Thats why we suggest second test for high risk patients
Doctor :   Who were sure they encountered an infected individual
User :   All I know that he tested negative in Dec 2010
User :   I mean 2009
Doctor :   When was your contact
User :   End of Feb 2010
Doctor :   Ok
Doctor :   Does he have many partners
User :   yes but he claims to be careful.
Doctor :   What was the test you had done Was it ELISA
User :   and he is curcumsised
Doctor :   ok
User :   I do not. I got the results 4 hours later and its was a blood test
Doctor :   There are basically two tests one is ELISA and the other WESTERN BLOT
User :   I think it is ELISA
Doctor :   the later is confirmatory
Doctor :   Elisa is a screening test, and western blot is confirmatory
Doctor :   And one more thing i wanted to say you was neurological symptoms in HIV do appear after a minimum period of three to four years so you need not be concerned with tingling/itching sensation
User :   do my symoptopms seem like neuropthy Dr
Doctor :   no
User :   what shall I do next Dr? Is it just anxity?
Doctor :   You will have to worry when you have sudden and drastic weight loss
Doctor :   Yes its purely related anxiety
Doctor :   So plz dont worry.
User :   how do I over come it
User :   it feels real
Doctor :   I would suggest you to meet an patient councellor regarding this issue he will help yopu clarifying your doubts
Doctor :   Itching is common for all of us
Doctor :   It might also be due to tight dressing, newer inners, unclean matress, new soaps, creams
Doctor :   There are many factors leading to itching
User :   You don not think its HIV causing my issues
Doctor :   Yes
Doctor :   You have to be careful from now
Doctor :   Avoid unprotected sex
User :   I know
User :   Thank you Dr.
Doctor :   Is there anything else i can help you with?
User :   I think reseaching the internet is not good too
Doctor :   Plz dont research #
User :   Thank you Dr.
Doctor :   Because they publish all the effects of HIV but not periodically that will confuse you the more
Doctor :   And you will start assuming things making you all the more anxious and sleepless
User :   very true
User :   So I dont have to test agin in your view
Doctor :   HIV encephalopathy is the last thing to occur in the infection
Doctor :   So dont bother much, keep cool
Doctor :   You dont have to get tested
User :   Thank you
Doctor :   And be cautious next time
Doctor :   Dont repeat the mistake again
User :   I will for sure
Doctor :   Then you will be fine
User :   Thank you
Doctor :   Its was my pleasure helping you
Doctor :   Thanks for consulting me
User :   good bye
Doctor :   Bye for now
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