Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

197 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Stomach pain with belching and swollen lymph nodes. HIV RNA PCR test was negative. Advice

Answered by
Dr.
Dr. Roopa Hiremath

Infectious Diseases Specialist

Practicing since :2002

Answered : 877 Questions

default
Posted on Tue, 3 Dec 2013 in HIV and AIDS
Question: For the last two weeks I have been experiencing weird issues after anal fronttage and a weekend of drinking I am sure of their being no penetration or oral sex because the time when the incident happened I was sober it was the morning after...I woke up the next morning with a bad stomach pain with a lot of belching, bloated, dizziness and gas that last exactly two weeks to the date of the incident (yesterday)...On the 9th day of the incident I took a HIV RNA PCR test which was negative and from what the CDC site says if I had it at that moment it should have appeared but to follow up with an antibody test 90 days after the incident. I was feeling lymph nodes in my neck for about a week all of them were movable and only able to really find them if I tried...Last night I noticed a lymph node right above my adam's apple and this one is swollen not able to be moved...I have no fever or sore throat I don't know exactly what's going on the only thing I did was that incident and got a flu shot on Saturday beyond that I've went to ERs and Urgent Cares my WBC was 2.7 (it's been low since I was a kid), lymph count was a little high 50.7, that's all I remember from the CBC
doctor
Answered by Dr. Roopa Hiremath 1 hour later
Brief Answer: Lymph node swelling Detailed Answer: Hi, Thanks for choosing health care magic for your query. I understand your concern regarding your HIV status. Lymph node swelling can occur due to any bacterial or viral infection which may be sub clinical meaning may not be showing any symptoms. Swollen lymph nodes need to be examined for size, texture, tenderness and whether they are movable or not. If the swelling is very painful, over the counter pain killers can be taken. Your blood reports seems to be normal. Flu shots can cause mild illness similar to viral fever with body pain and swelling of lymph nodes. I suggest you get in touch with your GP and get the lymph node swelling examined. Regarding HIV testing, best test to be done during early infection is HIV RNA PCR. But to announce some one as HIV negative, two consecutive test results should show negative results. I hope I have answered your query satisfactorily. Thanks
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
default
Follow up: Dr. Roopa Hiremath 4 minutes later
So me testing at 9 days post with RNA PCR was fine?
doctor
Answered by Dr. Roopa Hiremath 7 minutes later
Brief Answer: HIV testing during early infection Detailed Answer: Hi Mr. Green, Welcome back. Yes, RNA PCR for HIV is the correct method for testing during early infection. Vaginal secretions and semen are very rich in HIV particles and these particles gain entry through mucous membranes of genitalia during sexual intercourse. (vaginal, anal or oral) After entry HIV particles reach the lymph nodes and multiply there and get spilled into the blood after 4 -11 days. So technically there is no test that can detect HIV within 4 days of exposure. After 4 days, HIV RNA PCR and HIV p24 antigen tests are best tests for detection. Thanks.
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,  
Medical Topics

Recent questions on  Viral fever

doctor1 MD

My daughter is 3 years old. We are from Nepal but have been living in Australia for last one year. She has been getting high fever which gets up to 40 C every 15 to 21 days. It was more severe in winter months here, she has had lots of check ups but nothing has been diagnosed. Many times she has had tonisilitis during fever. Now she is in fever but this time her tonsils are not swollen. Fever started from Wednesday 12 January and it is still high. I took her to GP yesterday and was told to wait before medication is given. She has been on penicillian for treating tonsilitis for last every fever. This may be viral fever so we are waiting. How long viral fever can be and what should be done if fever gets very high?

doctor1 MD

I have viral fever from monday afternoon to tuesday whole day 104.5 F and some non digesion in the abdomen. now the fever is over but i fell extreme weakness and pain on my limbs and other muscles of my body. Beside this some times I would have vomiting feeling also. What to do, tell me please??

doctor1 MD

Hi I m Asmita from India. My son has been detected with viral fever since friday. He has been presribed cefadroxil dry syrup. He is complaining of severe pain in the lower calf muscles of his legs and is finding it defficult to walk. please guide me

doctor1 MD

Hi,I am suffering from fever since yesterday and had headache and legs muscle pain also, I suspect that this is a viral fever since i had blood test and got negative report for malaria.Can you please let me know what is the cure for viral fever and how many days it will take to get well.I had 102 degree fever today morning and i am feeling ok now.Thanks

doctor1 MD

Hi..8.5 month old baby got a fever 99 degree Fahrenheit..Baby little irritated. Duty doc only available. Gave babygesic & sinarest af ( .6 ml, 3 times a day)cani give him other foods now? Citrus fruits? Anything to be worried

doctor1 MD

Hi, my 15 months old daughter was down with fever for the last 3 days.. doc said it was viral fever and was on crocin srops.. her temperature did not rise after 10 pm yesterday and she is not on crocin drops since last night. But yesterday she...

doctor1 MD

I am having FEVER , headache and running nose since 1 day. kindly help me.