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Sore throat, chills, no fever, cough, nasal drainage, nausea, difficulty breathing, diarrhea, night sweat. Worried about HIV

Jul 2012
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Practicing since : 1993
Answered : 1196 Questions
I am worried that I may have HIV. I haven't been tested yet. The reason I think so is because on Wednesday, Feb 19th I had a progressive sore throat. The OTC meds did little to relieve the discomfort. In the evenings, I would get chills but no fever. The chills would only last for an hour and at around 9pm for a few days. My body felt achy and my skin was sensitive to touch. About 4 days after the sore throat started, it went away and I had all of this crud in my chest. My nose kept draining clear mucus. I was coughing and I couldn't get any thing up most of the time, but when I did, it was green color sputum. I was coughing like crazy. I was nauseous but I think it was from all of the crud draining into my stomach, and that was the only time I was nauseous and I didn't vomit. I had a little difficulty breathing and I didn't sleep at all that friday night. I did have a few night sweats as well. The next morning, I went to the doctor. The NP thought that I had the flu. She did a culture, and the test came back negative. She gave me an albuterol treatment in the office, and she gave me an injection of steroids and antibiotics. When the flu test came back negative, she concluded that I had bronchitis. She also gave me a script Azithromycin to take for 5 days. Since the office visit, Everything has cleared up but I have had diarrhea ever since. At first I thought it was from the antibiotics. For a while its been yellow in color, now its brown in color to dark brown, its sometimes watery and other times just clumpy. Ive taken Imodium but it doesn't seem to help much. It doesn't matter how much I eat, and ive tried eating foods to constipate like a ton of cheese, still the diarrhea persists with no relief. I also have noticed my lymph nodes in my arm pits. I do have insurance and everything, but I have the lowest level due to never getting sick. I am afraid to get tested at the doctors office because it will be in my medical record and it will be passed onto my insurance company. If I am positive, I am afraid that I wont get the weight loss surgery that im scheduled for, I may not be able to upgrade my insurance with a lower deductible next year. I was hoping to get an FDA approved home HIV test that you mail in and the analyze my blood for HIV infection. I would do it now, but I have read that I need to wait 3 months after the initial symptoms. Is that true? how long does the diarrhea last in early symptoms of hiv infection? From what i have read, it sounds like a lot of symptoms that I am having. I already have hypertension and GERD from being obese. I think that maybe with weight loss surgery would help me stay healthy if I have HIV or not. So If I wait to get treatment until after my surgery, which would be in October or Novemeber, Would I be waiting too long to get treatment? I had a one night stand about a month or so ago, but I havet been sexually active and will refrain from that for sure so no one else will be at risk. would weight loss surgery effect any HIV therapy that I would receive as far as absorption? Maybe I should get the sleeve instead of the bypass? Maybe the sleeve will be better. I havent found much about the affects of gastric bypass and HIV positive patients. If I have it, I dont want anyone to know, anyone. What am I to do????? Im scared and Im desperate for answers. I need your help Doctor. PLease I need your advice
Posted Tue, 9 Apr 2013 in Sun Burn
Answered by Dr. Praveen Rodrigues 34 hours later
Hi there.
Thanks for your detailed description & history. From my side & from all your descriptions & details regds the clinical features et al, i must confess that my first impression & clinical gut feel from the 25 years+ that i have practiced medicine, is that there is much ado about nothing are Fine! I do understand your anxiety & it would be great if you could elaborate a bit on your sexual history & the reason for all this suspicion of HIV..? unprotected sex with commercial sex workers? etc. As for the time interval, it does not have to be 3 mths after symptoms to be tested. PCR testing enables you to test as early as a week or two after sexual exposure. For the ELISA test though, the recommended period is 4-6 weeks after sexual exposure & to be repeated at a 6 mth interval for conclusive results. There is no cor-relation between this HIV status & your bariatric surgery. In India they do various types of sleeve or bypass surgeries at a much better rate & you would do well to consult with a bariatric surgeon on this score. Dont worry it will be discreet, cost effective & No-one will know. As for the HIV status, just these symptoms do not constitute an AIDS disease. Relax. Get the ELISA for HIV done on your own at a lab near you without using your insurance & breathe easy.
Cheers & God speed!
Regds..Dr Praveen Rodrigues MD
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