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Dr. Andrew Rynne

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What causes sore throat after protected intercourse?

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Dr. Bharatesh Devendra Basti

Dermatologist

Practicing since :1998

Answered : 1765 Questions

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Posted on Tue, 5 Aug 2014 in HIV and AIDS
Question: hi doctor..i am XXXXXXX from New XXXXXXX .on april 12th i had a sex with a CSW in XXXXXXX ..i used a protection but i am not sure whether the protection broke or not..because it was a shady dark place..so i dont know the status of condom afterwards.well in the course of event it was just a 3 mins encounter and she even rubbed my tool with her legs and above her undergarment without condom.From next day itself i started getting body aches and muscle pains,then after complete 1 week i had a sore throat plus cold which lasted for a complete 2 weeks..in the mean time to make matters worse i had a small rash on my arm and one on my feet which looked like some insect had bitten..but the muscle aches and extreme fatigue continued for a month..in a meanwhile i got HIV1 and hiv 2 antibody test on 9th day ,4 weeks and 6 weeks ,80 days and 93 days all negative..hiv elisa on 15th day as negative...hiv pcr qualitative on 14th day as negative..hiv pcr quantitative on 30 days and 44 days as negative...To add to the symptoms...i even had a small lump in my rectum area..which came and went but sometimes the area near rectum itches alott...also small pimples near my lips ,a small cuts on my lips,my left hand remains mostly a bit red in color(my palm area) then the usual..and even i get a burning sensation sometimes under my feet..these are the entire symptom list...i dont know what to do...doctors are sayin ur tests r coming negative....can u please tell me what it is...even my Vitamin b 12 and vitamin D came out to be low...vitamin D at 13.15 and Vitamin B 12 at 142 ....my anxiety has also increased alott...my heart beat kind of remains around 100....pls doctor guide me and help me.....
doctor
Answered by Dr. Bharatesh Devendra Basti 38 minutes later
Brief Answer:
HIV unlikely so relax and take supplements.

Detailed Answer:
Hi
Thank you for query. I am Dr Bharatesh D Basti answering your query.

You had a protected intercourse.
The symptoms you had initially and later are not specific to HIV.
Even deficiency of vitamins B12 other vitamins can lead to oral and peri orificial lesions even the hand burning sensation signs due to peripheral neuropathy.
As the tests are all negative including PCR test.
So you can allay the fear of HIV .
Take the vitamin supplements B complex and Vitamin D Supplements on consultation with your doctor.
You can clean the perianal area with warm water twice daily.first try with simple antifungal creams like clotrimazole.
So relax have a balanced diet with extra proteins and all vitamin supplements. Do some exercises meditation yoga and forget all these to reduce your anxiety.
You can get back for any clarification .

Wish you good health.
Thank you
Dr Bharatesh

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Bharatesh Devendra Basti 15 hours later
hi doctor..thanks for the answer..i have some doubts like...hiv rna pcr Quantitative if i take today after 98 days..will it be confirmatory and conclusive??...and i also had rashes in the anal area last month when i walked alot in the hot weather in XXXXXXX ..shud i test for herpes??..when according to u is the test conclusive for HIV?....
doctor
Answered by Dr. Bharatesh Devendra Basti 9 minutes later
Brief Answer:
Fungal rash likely.

Detailed Answer:
Hi
Thank you for follow up query.
There is no particular date/time to tell negative.But all the tests are negative.
So you can totally allay the fears.there is no need for further test.If you still fear go for test after 6 months to remove your anxiety
The itching may be due to perianal dermatitis .or Fungal infection likely since hot humid weather favors fungal infection.You can use antifungals like clotrimazole .if does not subside consult dermatologist
You are becoming too anxious.
Allay all fears of HIV.
You can get back to me for any clarifications else please close the discussion and rate.
Thank you
Dr Bharatesh

Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Bharatesh Devendra Basti 26 hours later
hi doctor..this will be my last query...after 98 days yesterday i again went for all STD tests....VDRL,Herpes and Hiv Antibody...and all came negative...but i have a new problem now that is one of my gums is swollen any remedy?....so according to u..i shud end my hiv testing forever..or i shud retest again..if yes then when???
doctor
Answered by Dr. Bharatesh Devendra Basti 16 minutes later
Brief Answer:
Take Vitamin supplements.Not necessary.

Detailed Answer:
Hi
Thank you for follow up query.

The chance of acquiring from unprotected intercourse with a positive HIV patient is 1: 200 to 1: 2000 .
Yours is protected intercourse and the status of HIV in the partner may be negative. so you need not worry .
Again all the tests are negative.
So you can totally allay the fears.there is no need for further test.
If you still fear go for test after 6 months to remove your anxiety and be free for ever.
The gums swelling may be due to deficiencies of vitamin B or c .So as earlier said please take Complete Vitamin supplements with B and C in it.
You are becoming too anxious.
Allay all fears of HIV.
You can get back to me for any clarifications else please close the discussion and rate.
Thank you
Dr Bharatesh
Above answer was peer-reviewed by : Dr. Vaishalee Punj
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Dear Dr. Srinivasan

Name - Nitin

Age - 36

I have had recurring problem of red spots (isloated) on my penis head for 3-4 years. I have consulted many docs with varied diagnosis.

I was single then and made to believe it was fungal, it comes on its own and have been getting treated accordingly by a dermatologist.

Recently i got married and again recurringly had red infection on my penis. Along with this, my wife also developed infecion and was put under Gynea treatment, again for fungal infection and Fas Kit prescribed to both along with aplication of fungal infection creams. For the reason not transfering infection bw me and wife, we have stopped having intercourse (unprotected) however my wife was ok but I kept developing these red spots/ infection.

However on repeated occurances we consulted a different dermatologist and he suggested Herpes but blood test reports ruled out. However he insisted that indeed it is Herpes and sometimes the medical reports do not show the same. I was put on Famtrax 250 for 1 week along with application of topical anti-biotic(fusidic acid cream). The red spots kept going and coming but doc clamed it is Herpes geting cured and that takes time to cure as in past i have been exposed to steriod in form of anti-fungal creams. Post a week of Famtrax, i was put on antialergic and anti-biotic cream for a week.

the red spots have gone but now there is recurring white spots (small pimple types) which come and go. On showing to doc, he said its miliaria of penis and common and due to non drying of the area. I was asked to take urine test (culture and routine) and culture cam normal. Routine test pointed to some epidrmal cells (UT infection, I have mild recurring burning sensationtoo) and doc asked me to take Disodium Hydrogen Citrate (Alkasol) for a week. I am currently on Alkasol and Antialergic.

But the white spots are coming and going everyday still. I am not sure if im cured yet but doc says im fully cured but the white spots can be ignored and i can have unprotected sex with my wife.

Problem is i want to start a family soon but am confused due to various diagnosis. I do not want to pass on to my wife and abstain from sex.

Please suggest cure for white spots.

i wll be very greatful.



Kind regards

Nitin

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