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Is Non Reactive HIV ELISA Test After 45 Days Of Possible Exposure Conclusive?

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Posted on Fri, 18 Sep 2015
Question: Where can i get hiv duo test in XXXXXXX as i asked in SRL they told elisa is the first test and i got tested by elisa (650 rupees) on 45th day after suspected exposure and its non reactive, i am not on any medication but had garlic when i had sore throat on 33rd day for 2 days and its gone. Again after 5 days again i had throat problem so had 5 garlic cloves in 24 hrs and its gone. I have been very stressful so got tested elisa on 45th day in SRL and its non reactive. Plz help by answering
doctor
Answered by Dr. Arun (41 minutes later)
Brief Answer:
Please provide information to help you further....

Detailed Answer:
Hello XXXXX,

Thank you for posting query to HCM.

I read and understand your concern, I am Dr Arun Tank, Infectious Disease Specialist answering concern.

Duo test has some drawbacks and so not available widely in the market.

SRL is the famous diagnostic laboratory chain throughout the XXXXXXX

Can you provide me the photograph of the report of the ELISA test?

You can ask for further concern here.

Thank you,
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Arun (17 minutes later)
Hello Doctor,

Thank you for your answer. I have tore it of after reading non reactive. The document does not have more than the information. Bellow are the details of the uncontrolled situation. please help.

I had fingered her XXXXXXX and pressed her breast and nipples. After some time (more than 10 mins after cleaning my fingers with cloth) I had kept my mouth on her breast and sucked her nipples. This situation happened in car when AC was on and there we no intercourse. She sucked my penis for few seconds for 2 times.

Her HIV status is unknown and she says she does not have any health issues.

On the next day she was telling she had cuts on her viginia lips due to my nails.

Can you please tell me that the blood due to fingering and viginia cuts and later pressing breast and nipple will cause hiv to me?

This happened on July 16th and on 18th Aug I had 1 day sore throat and fever around 100 and tiredness. I had raw garlic chewed and the throat pain has subsided. After 4 to 5 days again I had sore throat and again I had raw garlic for 1 and half day of 5 cloves and it is cured.

Can you please let me know do I have risk of getting hiv?

please let me know sir as I have 2 and half year old kid and I had unprotected intercourse with my wife after 16th and she got delayed supposed to come on 2nd of Aug and got 28th Aug (she has PCOD)

I got tested ELISA on 45th day (on 29th Aug) after this incident and result is non reactive. I have not taken any medication except garlic and dolo (1 tablet).
Does having garlic for short term (of around 6 days ) boosts immunity so that the test can not catch?? please help me answering this as this is making me so stressful.
I'm having mild swallow problem from today (31st) morning again and it was not there on 29th and 30th. and if I drink hot water or gargle then feeling relaxed. and from the evening i'm not feeling much problem but mild swallow problem is still there. I am trying to swallow but its not going in. I used to have this kind of problem even earlier but this time it is scaring more.
doctor
Answered by Dr. Arun (20 hours later)
Brief Answer:
Please find answer below...

Detailed Answer:
Thank you for the response.

You have not attached the image with the answer so I will be able to answer as follows only.

If the ELISA is P24 antigen assay than you can count yourself as HIV non reactive. But if it is antibody ELISA than you need to retest yourself at the end of three month.

If the vagina has active bleeding injury due to fingering, than at the end of penile intercourse you are vulnerable to HIV. Oral sex wont cause HIV.

Other acts like pressing nipple and breast etc. wont make you at risk of HIV.

Chewing garlic can cause soothing effect on the throat so your pain is relieved. Garlic has no effect on the immunity.

Delayed period of your wife is because of PCOD, HIV has no effect on the Periods.

HIV causes once a non specific flu like illness thereafter the flu like symptoms will disappear. Repeat throat pain or infection is not a sign and symptom of HIV.





Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Arun (1 hour later)
Hello Doctor,

Thank you for your clarification.

I am able to get partial report result, i.e, the test which is used and it also says some part of report can not be shown due to category of test.

My biggest worry is this:

I fingered her vagina and due to nails, she told, there are cuts at the vagina lips but I do not see any blood on my fingers and nails.
After fingering I have pressed her breast and nipples, if at all there is blood on my fingers or nails it would have been spread on her breast and nipples and then I cleaned my fingers with cloth to get off the wet.
After 10 to 15 minutes, in between she wore her cloths for few (atleast) mins and later I did not touch her vagina, I kept my mouth on breast and sucked nipples (sorry for my wording) for few seconds. I never had intercourse with this lady.

when I kept my fingers on her breast and nipples after fingering then the blood from the fresh cuts would have spread on her breast and after (minimum) 10 mins I have applied my mouth then the blood would have entered in my mouth.

If at all there is open sore (some times on the inner edge of my tounge due to heat while toung clean I see little blood coming out) then the blood strains on the breast would have got into my mouth and could be cause of virus.

My be I am thinking too much, but due the my swallow problem and some times I'm feeling I have lost weight for 2 to 4 kgs in this period and feeling thin, I am scared and feeling anxiety which is making me too much nervous.

With in this period my son had some food which I bite, so its not making me feel scared.
I see usually the antibodies gets produced by 28 days, I also see in some cases people who were negative after 6 weeks could be positive. What are the chances in my case. I may get the antibodies produced late due to the low risky event?

Is that the reason I need to get tested after 3 months? Between 6 weeks to 3 months is there a chance of forming antibodies with delay?
What could be the reason the antibodies will get produced with delay?
Sorry for more questions, I am putting these becoz these questions are making me depressed.


Sorry for the big response sir.

Thank you for your life saving clarification.
doctor
Answered by Dr. Arun (12 hours later)
Brief Answer:
Please find answer below...

Detailed Answer:
Thank you for your your further query.

Vagina fingering and breast sucking won't cause HIV. Because HIV virus won't survive more than few seconds in atmosphere. Weight reduction can be because of the stress arises due to the situation. You can allay your fear with such method of sex.

Only immunocompromised individual can develop late antibodies.

Yes to cover up late antibody producer you need to retest at 3 month.

If you are not immunocompromised person you need not to worry.

You can test yourself for the P24 antigen in the SRL lab it is a good laboratory. You can also test yourself with other NABL laboratory.

You can ask me further concern also.

Thank you.
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. Prasad
doctor
Answered by
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Dr. Arun

Infectious Diseases Specialist

Practicing since :2008

Answered : 2434 Questions

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Is Non Reactive HIV ELISA Test After 45 Days Of Possible Exposure Conclusive?

Brief Answer: Please provide information to help you further.... Detailed Answer: Hello XXXXX, Thank you for posting query to HCM. I read and understand your concern, I am Dr Arun Tank, Infectious Disease Specialist answering concern. Duo test has some drawbacks and so not available widely in the market. SRL is the famous diagnostic laboratory chain throughout the XXXXXXX Can you provide me the photograph of the report of the ELISA test? You can ask for further concern here. Thank you,