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Hello Doctor, I Was Curious What The Likelihood Is Of

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Posted on Thu, 23 May 2019
Question: Hello doctor,

I was curious what the likelihood is of contracting HIV from a woman just through oral sex?

I ask because 6 days ago, we met up.
Then this morning (alleviated with DayQuil), I%E2%80%99ve had a horrible headache, pressure in my ears, non-productive cough, back pain, slight leg weakness, and NO fever (yet). I should also say that I%E2%80%99m in nursing school and was at my clinical facility a few days ago, so I%E2%80%99m wondering if maybe this is just a cold or flu contracted from there.

Thank you,
Chase
doctor
Answered by Dr. Aaron Branch (24 minutes later)
Brief Answer:
Almost certainly not HIV

Detailed Answer:
Hello, I'm Dr. Branch, thanks for using Ask a Doctor.

While there is a theoretical risk of getting HIV through oral sex, there have been no proven cases of this, and the risk is considered negligible. So this would be considered much more important than your symptoms, since HIV presents just like many other viral illnesses. Also, your symptoms do not particularly sound like an acute HIV infection, which usually has fever, sore throat, swollen lymph nodes, and rash. Also, it typically takes HIV 2-4 weeks to start having symptoms of an acute infection.

Your symptoms are more likely due to a viral illness such as influenza or one of many other viruses that can cause these symptoms. I wouldn't be concerned at this point, you can take Tylenol for pain and typically these symptoms will resolve in about a week. I do not think you need to be tested for HIV or worry about it any further.

I hope that helps, please let me know if you have any questions about any of that, and I would be glad to discuss it with you further.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Aaron Branch (12 minutes later)
Oh, thank you doctor! Ive had a mild sore throat but nothing like others that ive had (as in, it isnt even present now). i started wondering if it was a meningitis situation too, considering this brutal neck and head pain. So my only follow up question is, does all of this sound like it could simply be the cold or the flu?
doctor
Answered by Dr. Aaron Branch (1 hour later)
Brief Answer:
Not likely meningitis

Detailed Answer:
Meningitis, either bacterial or viral, would usually have a fever, and you would feel quite sick. It doesn't sound like meningitis to me at this point, but if you do develop a fever, worsening stiff neck or headache, or have any confusion or altered mental state, you should be seen as soon as possible. But most likely this would be a normal cold or flu.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Aaron Branch (20 hours later)
Thank you doctor. I went to the urgent care abd they perfromed a nasal swab, confiriming influenza. Its bizarre that i dont have a fever, but have chest/back pain (mostly associated with coughing or very deep breaths).
doctor
Answered by Dr. Aaron Branch (37 minutes later)
Brief Answer:
Glad to hear

Detailed Answer:
Thank you for letting me know how it went, I'm glad they were able to confirm it was influenza. It is a little unexpected that you don't have fever, but the flu can present in a lot of different ways, so it wouldn't be unheard of.

Please let me know if I can help with anything else, I would be glad to do so.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Aaron Branch (16 minutes later)
Exactly. No fever but with chest pain and nausea. Would the nasal swab be confirmatory?
doctor
Answered by Dr. Aaron Branch (19 minutes later)
Brief Answer:
Yes

Detailed Answer:
Yes, I would consider it confirmatory, your symptoms suggest influenza (even if they do not have all the classic symptoms), and the nasal swab confirms this.
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Aaron Branch (10 minutes later)
Gotcha. Im sorry to be such a pain in the butt and ask a repetitive question, but can the flu cause nausea (I havent vomitted yet)?

Im going to take some Bentyl, as i ocassionally get GI cramps. Again, I only ask because ive never had this.
doctor
Answered by Dr. Aaron Branch (8 minutes later)
Brief Answer:
No problem

Detailed Answer:
No problem, I don't mind at all. Yes, the flu can often cause nausea. It would be reasonable to take Bentyl for any GI cramping, whatever the cause.
Note: Get personalized answers to your HIV related queries You can choose to talk face to face with your doctor. Book a Video Call now.

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Aaron Branch

General & Family Physician

Practicing since :2011

Answered : 1223 Questions

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Hello Doctor, I Was Curious What The Likelihood Is Of

Brief Answer: Almost certainly not HIV Detailed Answer: Hello, I'm Dr. Branch, thanks for using Ask a Doctor. While there is a theoretical risk of getting HIV through oral sex, there have been no proven cases of this, and the risk is considered negligible. So this would be considered much more important than your symptoms, since HIV presents just like many other viral illnesses. Also, your symptoms do not particularly sound like an acute HIV infection, which usually has fever, sore throat, swollen lymph nodes, and rash. Also, it typically takes HIV 2-4 weeks to start having symptoms of an acute infection. Your symptoms are more likely due to a viral illness such as influenza or one of many other viruses that can cause these symptoms. I wouldn't be concerned at this point, you can take Tylenol for pain and typically these symptoms will resolve in about a week. I do not think you need to be tested for HIV or worry about it any further. I hope that helps, please let me know if you have any questions about any of that, and I would be glad to discuss it with you further.