Brief Answer: Consult a Psychiatrist to restart the treatment Detailed Answer: Hi Wasim, Thanks for your query. 1. Your abdominal pain- usually cramps or hyperactive intestine- is anxiety-induced. Anxiety also stimulates extra production of stomach acid, which accounts for the dull pain. Heavy head too, is due to anxiety/tension (called 'Tension Cephalgia'). 2. Hence, stopping treatment for anxiety and mild depression was a GRAVE MISTAKE. Again consult your Psychiatrist, who will adjust the doses of appropriate medicines to ensure a normal/near-normal mental state. THIS TIME, CONTINUE WITH THE TREATMENT TILL YOUR DOCTOR STOPS IT. Do NOT stop it on your own! Majority of your problems will go away with Psychiatric treatment. 3. Continue with Pan 40 for at least 6-8 weeks, which will cure your abdominal pain. Also take a single-tablet course of deworming. 4. The small pimples over your penis were apparently due to Herpes simplex infection, transmitted through sexual intercourse with an infected partner. It is now too late to take any curative treatment for the infection as, the viruses would have, by now, entered the nerves and lying there in a dormant state. In any case, get yourself tested for Herpes simplex infection to confirm the diagnosis. 4. There is no point worrying about HIV; get a RNA-PCR test for HIV, at least 5 weeks' after the last sexual intercourse. A NEGAITVE test will rule out HIV conclusively. But, in future, do not ever forget that a protective sex is MOST IMPORTANT. Then why should you be bent upon ruining your life? Consult your doctor and apprise him of my opinion. I am certain that he will agree with me, order relevant investigation for herpes simplex and HIV as advised and, prescribe appropriate treatment, if required. Hope I have addressed to your concerns to your complete satisfaction and you find my response helpful and informative. I will be happy to answer further queries, if any. Take care, Col (Dr.) Rakesh Karanwal

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Brief Answer: Negative test has RULED OUT HIV. Detailed Answer: You had apparently mistyped as 'thing', instead of thigh. The word 'Thing' is commonly used by layman for penis. The latest Negative test CONCLUSIVELY RULES OUT HIV. The rash (if still persisting and is itchy) is most likely a fungal infection. Application of Co-trimazole over the rashes for 2 weeks will cure them. Take care, Dr. Rakesh Karanwal

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Brief Answer: NO more tests required Detailed Answer: You do NOT require any further tests. Stop having guilt feelings and lack of self-confidence. You have to think positive, now that you are perfectly in good health and the fear of HIV removed. Anxiety is a transient and curable mental illness, just like illness of any other organ of the body. There is nothing to be embarrassed or ashamed of. To come back to a normal mental state, happiness and satisfaction, you have to make sincere and determined efforts to regain your self-confidence, rediscover your capabilities and good qualities. Further, a well-balanced diet, adequate sleep, strict disciplined daily routine, regular daily exercises and meditation are indispensable requirements to regain a normal mental health. Acquire as much professional qualification as possible; spend your free-time for some constructive purpose- hobbies, listening to music, reading books/magazines and be in company of good friends. Remember that, every one passes through such mental turmoil at some stage of life. Medications are used merely as a stop-gap arrangement to tide over the bad patch. They are withdrawn and stopped, once your mental health returns to normal. So, I will still recommend that you take regular treatment (as a stop-gap arrangement), under close supervision of your Psychiatrist, ONLY TILL SUCH TIME YOU ACHIEVE A HEALTHY MENTAL STATE. However, I leave the final decision on you, as is your personal right. Take care, Dr. Rakesh Karanwal

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