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What Causes Fever And Inflammation In Mouth After Having Unprotected Sex?

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Posted on Mon, 30 Mar 2015
Question: Is my hiv tests conclusive. Do I need further testing.

I have had unprotected sex with a sex worker in Bangkok 5 months before. Since then I have tested in XXXXXXX Lanka asiri hospital. My test results are as follows.

1. After 22 days. Hiv meia test for hiv1 and 2 . Negative. Rt-pcr rna for hiv1 and 2. Not detected. Rna test detects more than 100 copies .

2. After 41 days same tests done. Same result.

3. After 89 days same tests done. Same result.

But after 4 months I have fever. Fever comes and goes at night. Body aches. Bad feeling back of neck. Bad feeling armpit. Difficulty in upper mouth. Inflammation in mouth. I have rashes which look like pinpoints mostly dark brown. Pinpoints very small. My skin is very dry. I am loosing weight. My questions are

1. Am I infected with hiv. If not what might the cause be for these symptoms. As I got after from Bangkok.
2. How much I can rely on the pcr rna tests. Will the test detect all subtypes.

Thank you
doctor
Answered by Dr. Bharatesh Devendra Basti (25 minutes later)
Brief Answer:
Negative for HIV. Allay fears.

Detailed Answer:
Hi
Thank you for query. I am Dr Bharatesh D Basti answering your query.
Welcome to health care magic.
I have gone through the details.
HIV RNA PCR is negative repeatedly is conclusive. You are free from HIV.The current tests detect all subtypes .So you can allay fears of HIV.They are >99% sensitive after 10 days of exposure.You are free from HIV from that exposure.

The symptoms may be due to any simple viral fevers or other infection. They are non specific and are not related to HIV.Some of the oral symptoms may be due to anxiety or stress or vitamin deficiencies.
So relax.I would have advised some vitamin supplements.
Forget about the episode.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
Dermatologist and venerologist.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bharatesh Devendra Basti (2 days later)
But doctor I have tingling sensation all over my body. In my lymph nodes which comes and goes. my neck is little swollen . when I touch them on my neck it pains little. Most painful is the lymph at the bottom of my neck. I have strep throat even. I feel burning sensation in my mouth and in neck. I have burning sensation in my skin. mostly upper arm. even my eyes have the burning feeling. and on the roof of the mouth it pains. although I eat I am loosing weight fast. I have never ever experienced these kind of things my whole life. I have found from Internet that the subtype and strain mostly in Bangkok is difficult to diagnose by a blood test. and it advance fast to hiv/253657?iL=true" >aids.

1. In your experience have you ever diagnosed a patient with hiv after a negative rt-pcr rna after 3 months of not detected result.

2. how much do you know about the pcr test done is XXXXXXX Lanka asiri hospitals.

3. In your opinion what is the best I can do. I am from Maldives. where hiv is very less. so proper medication is also not available.

4. do I have to test again.
doctor
Answered by Dr. Bharatesh Devendra Basti (9 minutes later)
Brief Answer:
Go for Elisa HIV 1&2 antibodies to allay anxiety

Detailed Answer:
Hi
Thank you for follow up query.

PCR repeatedly is negative is almost conclusive.
I have not seen any person becoming positive after repeated PCR negatives.
I would feel that they will cover all serotypes.
If you are still anxious you can go for Elisa for HIV 1&2 antibodies now.It will be conclusive.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bharatesh Devendra Basti (3 days later)
I am afraid to do anymore test.

I need some information about hiv lymph nodes. when the lymph nodes swallow due to hiv will it be visible. or only can feel when I touch. when a area have a little pain I touch them and feel them like beans inside. but not visible to eyes. I have small brownish dots all over my body hands. trunk. chest. groin also I have a rash. still my throat there is a problem. I have leniar XXXXXXX in my mouth.

can this be because of stress and anxiety or hiv.

These symptoms are acute or advance hiv symptoms
doctor
Answered by Dr. Bharatesh Devendra Basti (50 minutes later)
Brief Answer:
Symptoms not due to HIV.

Detailed Answer:
Hi
Thank you for follow up query.

As I have said earlier the test is required to relieve your anxiety.It is most likely to come negative.
It will remove your fears totally.
The linea XXXXXXX is just epithelial thickening due to chewing,it is normal and needs no treatment.
The lymph nodes are transient and are due to any oral cavity or respiratory infection. It is not due to HIV.
Get examined by a doctor regarding brown spots.It may be fungal infection due to sweating.
Just get Elisa for HIV done without fear or anxiety.
You can get back for any clarification.
Thank you
Dr Bharatesh D Basti
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Bharatesh Devendra Basti

Dermatologist

Practicing since :1998

Answered : 1764 Questions

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What Causes Fever And Inflammation In Mouth After Having Unprotected Sex?

Brief Answer: Negative for HIV. Allay fears. Detailed Answer: Hi Thank you for query. I am Dr Bharatesh D Basti answering your query. Welcome to health care magic. I have gone through the details. HIV RNA PCR is negative repeatedly is conclusive. You are free from HIV.The current tests detect all subtypes .So you can allay fears of HIV.They are >99% sensitive after 10 days of exposure.You are free from HIV from that exposure. The symptoms may be due to any simple viral fevers or other infection. They are non specific and are not related to HIV.Some of the oral symptoms may be due to anxiety or stress or vitamin deficiencies. So relax.I would have advised some vitamin supplements. Forget about the episode. You can get back for any clarification. Thank you Dr Bharatesh D Basti Dermatologist and venerologist.