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What Are The Early Signs And Symptoms Of HIV?

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Posted on Thu, 12 Nov 2015
Question:
Hi. I am a boy who had unprotected anal sex with a guy on sept 17 2015 and on day 10 or 12 started deep tiredness, on day 14 stated numbness all over my body and itchy inside penis tube with clear discharge ( look like rain water) and itchy around anus, and on day 17 started severe headache and fever, on day 19 started itchy rash on my torso( face, chest, back, shoulder, arm) and blood test on day 19 for HIV came back negative, then afterward sore throat, lower back pain, lower abdominal pain, urine frequently, and small red spot on tongue, and under tongue look like wart and bump on lower lip What these symptom? Can be HIV ? Genital herpes Or Stress? My partner tested negative infront of me, but I dun know his sex history. He told me that he tested every six months but I seem not believe him.
I am stressful one or two weeks before these symptoms appear but the stress didn't focus on HIV but on other matter ( study and financial) then one or two weeks after sex encounter I started fear and stress on HIV then everything ( acute HIV symptoms) started to appear in me gradually, sometime it happen altogether like fever and headache and rash something else which mimic acute HIV symptoms. Please advice ! Thanks!
doctor
Answered by Dr. Sunil Jangid (52 minutes later)
Brief Answer:
Your symptoms are due to excessive stress and extreme fear of HIV.

Detailed Answer:
Dear Rosatymat,

Welcome to HCM.

You had unprotected anal sex with a guy who was tested negative for HIV and your test result in 19th day was also negative than no need to worry about HIV as the risk is less in your case.

First of all, you have to tell me the name of HIV test which came negative. Second, symptoms of ARS also take at-least 2-3 weeks to develop after the infection occurs so don't get feared about HIV.

As far as your symptoms are concerned they are mostly due to some allergy or fungal infection for which you can consult your local physician and go for some investigations to isolate the cause. Also please upload a photo of the rash.

The other most important reason for headache, fatigue, tiredness and other symptoms is excessive stress and fear of HIV which is not good for your health so be relaxed and move ahead.

You can go for repeat testing after one month with 4th generation HIV CMIA Duos test which detects the presence of both antigen as well as antibody and it is highly reliable after one month.

Thank You
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sunil Jangid (4 hours later)
The test we took was RAPID BLOOD TEST, and both result were negative but i tested on day 19 after encounter( i think it is too early, and i also don't know my partner sex history. All symptoms like ( fever, heafache, rash, sore throat, coating on tongue, joint pain, night sweat, lower back pain, neck ache started two weeks after expose except deep tiredness which started before two weeks. The liwer back pain occur during lie down on bed after few minutes of sitting. I really worry about this. You said stress? Are stress cause all these symptoms like bump on back of tongue, coating on tongue, red spit on tomgue ( see pictures) and more which i decribed above.
doctor
Answered by Dr. Sunil Jangid (7 hours later)
Brief Answer:
You can go for repeat testing after one month with 4th generation HIV test.

Detailed Answer:
Dear XXXXXXX

You had rightly said that rapid test on 19th day is very early so you can go for repeat testing after one moth with HIV CMIA Duos 4th generation test which is more accurate and highly reliable.

As far as symptoms are concerned some of them are due to stress or anxiety and other are due to alllergy or some other infection ( viral or fungal). So don't worry much as the risk is very less.

Thank You
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Sunil Jangid (39 minutes later)
This is the picture of what happen on my tongue and skin (rash but the rash gone away). Another qyestion on thid topic, is PCR test accurate at 6th week after expose? If YES how many percent Accutate fir pCR at that period? And if PCR test come back negative, is it the final one or i should confirm another test? I heard that coating on tongue is also caused by acute hiv infection. What and how do you think about the symptoms on my tongue? Few night till now i experience might sweat. I really afraid about contract hiv. My parents want me to get married soon. If i had hiv my life would be over. Please help to tell me about what happen to me. I want to tell you that, this is anal sex that i am a bottom and that guy cum inside me. I heard that anal sex is very high risk, isn't it? How do you rhink about all my symptoms? Is antibody test at three months concluded? Thanks!
doctor
Answered by Dr. Sunil Jangid (1 hour later)
Brief Answer:
PCR test at 6 weeks and antibody test at 3 months is considered conclusive.

Detailed Answer:
Dear XXXXXXX

HIV PCR test is 100% accurate at 6 weeks and if it came back negative you can consider it as highly conclusive. The antibody test is also conclusive at 3 months as the window period for HIV varies from 15 days to 3 months.

From the photos it looks like you have glossitis or some sort of fungal infection in the tongue nothing much I can comment so you can consult some dermatologist or ENT specialist to isolate the cause and take further treatment as advised.

The risk of transmission of HIV through anal sex is high as you had rightly heard. You can go for PCR test or 4th generation test after one month to get the accurate result. Till then be relaxed and hope for the best. Don't be so panic or anxious.

Thank You
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Sunil Jangid (36 minutes later)
So, the symptoms and pictures i sent to you is not Acute hiv symptoms or what? What about my position? Is it high risk or not? I really scared to grt tested. Can i get married after pcr test after one month negative? What about the rash? Is it hiv radh or what? Is my condition high or low risk? My joint also pain as well as neck. I also frequent fart... Can you tell me what is the main thing that cause all these symptom because i never experience all these symptoms before. Please help!
doctor
Answered by Dr. Sunil Jangid (27 minutes later)
Brief Answer:
These are not acute HIV symptoms and you can marry after PCR being negative

Detailed Answer:
Dear XXXXXXX

The symptoms you have are not acute HIV one in my opinion. What I can say is don't take so much of stress and no need to be so panic because it is not good for your health.

You can definitively go for marriage if PCR comes negative after one month as it is very accurate and highly reliable. The risk in your case is low as your one test result after 19 days came back negative.

The rash is mostly due to some allergy or infection for which you can take tab Avil and consult your doctor to isolate the cause and further treatment.

Don't get scared from being tested because one's you are done with negative PCR than it is 100% confirmed that you are free from HIV. So go ahead with testing and hope for the best.

Thank You
Above answer was peer-reviewed by : Dr. Sonia Raina
doctor
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Follow up: Dr. Sunil Jangid (33 minutes later)
Thank you Dr. XXXXXXX But some/ many doctors said PCR test is less accurate in adult but most accurate in infant. Is it correct? Should i take PCR DNA or RNA? Can i take 4th generation and PCR(DNA/RNA) at the same time/date? I hope if this case was bad news you should have been provided bad news not cheery news all the time( some doctor provide only good news while bad news is much more) so that i can make my mind in advance but if this case is fine is ok.another thing i have done a research on internet about acute hiv symptom and they match all what happen on me. Again, i never experience all these symptom in my life... What about other STDs?Thanks!
doctor
Answered by Dr. Sunil Jangid (3 hours later)
Brief Answer:
You can go for HIV RNA PCR and 4th generation test both at same time.

Detailed Answer:
Dear XXXXXXX

You can go for HIV RNA PCR and 4th generation HIV test both at the same time. For other STDs you can go for tests like VDRL, RPR etc.

I know most of the doctors are giving good news only even when something bad is also there but this is not the scenario in your case in my opinion. I also know that all your symptoms are similar to acute HIV but still I don't agree with this.

Once again I will advice you to go for HIV RNA PCR or 4th generation test after one month which will clear all your doubts about HIV. Till than don't take so much of stress. Be relaxed and hope for best.

Thank You
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Sunil Jangid (1 hour later)
Hopefully you read this.
So, how many percent could i be hiv? Or how many percent would i be safe? If all those symptom mimic an acute hiv why still you dont agree with it? Next week will be my sixth week after encounter. I will take PCR test then. I really worry about this. My partner told me that he is clean and safe but how could i believe him? I cannot sleep at night. I always think about this... My wedding day will be soon but if i had hiv, how could i get married? Hopefully you tell me the truth not cheery advice all the time. If PCR test came posi**ve meaning i were HIV+? No more test to confirm? Please help me. I really worry. I cry all the time. I am hungry but no feeling to eat. I am sleepy but no feeling to sleep( close my eye). No feeling to do anything just lie down and think... Please help me... My joint and neck are hurt now. The rash gone away maybe four days ago. My doctor said it was stess, but i dun think cause a lot of symptoms like this. Everything occures gradually. My tongue also pain. And itchy under arm, armpit, mild pain on both thigh, buttock and genital area... Please help..,ciating on tongue as well. Please advice and tell me the truth... Thanks!!!
doctor
Answered by Dr. Sunil Jangid (26 minutes later)
Brief Answer:
In my opinion the chances of getting HIV infection are very less or remote.

Detailed Answer:
Dear XXXXXXX

First of all, your blood test for HIV on day 19 was negative and your partner also said that he was clean and safe than the chances of getting an infection very rare or less.

I will again advice you not to take so much of stress and tension. Just be relaxed and without having any fear in mind to for HIV RNA PCR test and hope for the best. You can definitely marry after all your doubts related to HIV are cleared.

Thank You
Above answer was peer-reviewed by : Dr. Neel Kudchadkar
doctor
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Follow up: Dr. Sunil Jangid (2 hours later)
Are you gaurentee that after PCR test i can get married? What IF i test again and result would be positive at three months? One more thing you said all the symptoms are similar to acute hiv but you disagree with that. So the question is what and why all these symptoms occurred? I really scare that the PCR test came back negative. My partner negative? Yes, he also tested infront of me one day begore sex and the result was negative, but i dont know about his sex history (he told me that he had many intercourse partners) as well as his window period. And if told me a lie? How can i rely on this reason? My rapid blood test on day 19 negative? How can i rely on this tesult while 19 days is too early... If PCR test negative accurate at six weeks, why most people dont take it so that they could know their result so early, and why this type of test is not recommended by most doctors? Can you also explain me about all my symptoms? Please read my post and hopefully you answer all my questionsand explain more if neccesary... Thank you Dr. XXXXXXX Jangid...
doctor
Answered by Dr. Sunil Jangid (2 hours later)
Brief Answer:
It is not possible that PCR will become positive after tested as negative.

Detailed Answer:
Dear XXXXXXX

It is not possible that PCR test result changes after three months from negative to positive as it is highly reliable and accurate after 4 weeks so you can definitely go for marriage after PCR test result.

Your partner was negative when tested in front of you buy he had multiple sexual partners which is high risk behaviour but your test result at 19 days was also negative so the risk is minimized.

As far as your symptoms are concerned they are very much similar to acute HIV but still I will say they are due to stress, anxiety and tension what you are taking since very long time so be relaxed.

Last and final solution to stable your mind and to clear all your doubts is 4th generation HIV CMIA Duos or HIV RNA PCR test after one month. Till than calm down all your thoughts and don't panic yourself too much which has also negative impact on your health. Always hope for the best.

Thank You
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Sunil Jangid (4 hours later)
Thank you. Yes, Test will be cleared for everything but i just afraid to take it as i afraid it would be positive. And again you said the symptoms are caused by stress but how stress causes all these symptoms? (I dont understand). Now i am stress, i cannot sleep, eat, work, play, ... If the PCR result negative it will be better for me to feel relax, but if the result were positive it would be worse for me. I would be more stressful afterward. Again, if the PCR test came bavk positive, would it be over for me? What could i do? How could i get married? Some doctor would say " TREATMENT". But i am from poor family, living in poor country, i cannot afford for such expensive TREATMEN. I know you are trying to warm me and reduce my stress but if you were me, what and how would you do? Please help and advice plus answer my question... Thanks!
doctor
Answered by Dr. Sunil Jangid (8 hours later)
Brief Answer:
Your continuous thoughts related to HIV is the reason for all these.

Detailed Answer:
Dear XXXXXXX

To be very XXXXXXX you are already in extreme stress so my advice is just go for test. You are afraid that if test will come positive than what but just think of opposite if test is negative than you feel extremely happy and relaxed from all these stressful stuffs.

Again the possibility of being positive is very less in my opinion as per your previous test result and history of your partner eventhough he has high risk behaviour. That is my I am repeatdly telling you just test yourself and you will automatically get the answers of all your questions and doubts.

Thank You
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Above answer was peer-reviewed by : Dr. Prasad
doctor
Answered by
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Dr. Sunil Jangid

HIV AIDS Specialist

Practicing since :2009

Answered : 2017 Questions

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What Are The Early Signs And Symptoms Of HIV?

Brief Answer: Your symptoms are due to excessive stress and extreme fear of HIV. Detailed Answer: Dear Rosatymat, Welcome to HCM. You had unprotected anal sex with a guy who was tested negative for HIV and your test result in 19th day was also negative than no need to worry about HIV as the risk is less in your case. First of all, you have to tell me the name of HIV test which came negative. Second, symptoms of ARS also take at-least 2-3 weeks to develop after the infection occurs so don't get feared about HIV. As far as your symptoms are concerned they are mostly due to some allergy or fungal infection for which you can consult your local physician and go for some investigations to isolate the cause. Also please upload a photo of the rash. The other most important reason for headache, fatigue, tiredness and other symptoms is excessive stress and fear of HIV which is not good for your health so be relaxed and move ahead. You can go for repeat testing after one month with 4th generation HIV CMIA Duos test which detects the presence of both antigen as well as antibody and it is highly reliable after one month. Thank You