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What Causes Tongue Lesions, Blurry Vision And Swollen Lymph Node Behind The Ear?

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Posted on Thu, 14 Apr 2016
Question: These are the symptoms i had post sex. Rash, sore throat, Penis chancre, lasted for aproximately 2 Weeks immediately after these subsided i had Flu Like Illness. Stuffy Nose, swollen Lymph all over, night sweats for 2 months, White Tongue with Lessions On Side. White Line on inner Cheek. discloration Of Toenails immediately after these symptons subsides. Gastro Intestinal Problems Confusion And Continued Malaise since First Set Of Symptoms, Stiff Neck, Shortness of Breathe ear Ache blurry symptoms reocurring throat issues. The girl I had Sex With Recently Got Over Flu And She was Complaining About Stiff Neck. And Throat Issues. I had a 6 week 12 week 17 week hiv1/o/2 icma antibody test poat exposure negative. And then a 21 week hiv ag/ab negative. Then i had a 28 week hiv1/o/2 antibody test and finally an 11 month hiv1/o/2 antibody test all negative. Still to this day im suffering from tongue lesion on side of tongue, lymph node swelling behind left ear and under left jaw and blurry vision. The girl i slept with unprotected had told me she had just gotten over the flu when i met her and she continued being somewhat ill during the time we dated IF not hiv what other virus could cause this or should i continue to test for hiv. Are the test reliable? It seems to much of a coincidence that i would get sick approximately 2 weeks after having sex with this girl who i found out later was promiscuous.. All this started on february 14 2014 and my last test was january 14, 2015 hiv icma 1/o/2 which was negative. i still have tongue lesions, swollen lymph nodes behind ear and under jaw both on left side, gastrointestinal problems, loose stool, vision blurry, and itching skin until this day i have taken many exams cbc and others which i will enclose here. Can you point me in the right direction as to what is happening if anything is.
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (15 hours later)
Brief Answer:
Some thoughts:

Detailed Answer:
Hello XXXXXXX

I can understand why you would feel frightened with so many symptoms and the duration they have gone on. I think it is likely there are a number of things that may be possible, and also certain things that you don't need to worry about.

1. I see the series of HIV tests you have had, and as all were negative, you don't have HIV. If you had HIV, even if one of the tests was inaccurate/false negative, you would have had a positive HIV test by now. You can rule that off your list.

2. The symptoms that are continuing and their possible causes:
a. swollen lymph nodes: this can be from chronic sinus infections, chronic EpsteinBarr infection, or even chronic fatigue syndrome. The lymph node size and locations should be followed by your doctor. Have you seen an Ear Nose Throat doctor? I recommend going to see one.

b. gastrointestinal problems and loose stool: this can be from irritable bowel syndrome and also from anxiety, certain medications, and malabsorption problems such as Celiac disease/gluten intolerance. Talk with your primary care doctor. If you have had diarrhea for longer than 3 weeks, it is time for an evaluation including stool cultures, and possibly an evaluation by a gastroenterologist.

c. blurry vision: see an eye doctor for starters. If there is nothing wrong there (not needing glasses or a change of prescription) then a neurologist.

Putting all of these symptoms together, it may be chronic fatigue syndrome, Epstein Barr,or other persistent virus and it's possible you picked up a virus that set this off from the girl who had fluish symptoms, but I am quite sure it is not HIV.

If none of the doctors I listed above can help, then consider going to an infectious disease/immunology doctor. You can find this type of doctor at a major medical center or university hospital.

I hope this information helps.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Bonnie Berger-Durnbaugh (11 minutes later)
I have medical records attached. When you view them what would be your recommendation as 1 of the urine analysis have very high Urobilinogen,Semi-Qn which is 4.0. What can you conclude from this and other medical records enclosed
doctor
Answered by Dr. Bonnie Berger-Durnbaugh (1 hour later)
Brief Answer:
Looked at labs:

Detailed Answer:
Thyroid function is fine.

"Bad" cholesterol (LDL) is a bit high and can be brought down with diet.

As of August: Kidney and liver function as per blood test are normal.

Your complete blood count (CBC) is perfect.

The elevated urine urobilinogen does not seem to fit with your other labs. We sometimes see an elevated urine urobilinogen with liver disease, but your liver enzymes do not show a state of liver disease. I am wondering if this is a lab error and just needs to be repeated. If you would like the opinion of a urologist about the urinalysis, you can close this current discussion (as I am a family practice doctor, not urologist) and ask the question about the urobilinogen. In the 1st line of your question, write "FOR UROLOGIST ONLY PLEASE". A urologist will respond about the urinalysis, but it may take a while as one may not be on this site currently. But a urologist will get back to you.





Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Bonnie Berger-Durnbaugh

General & Family Physician

Practicing since :1991

Answered : 3134 Questions

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What Causes Tongue Lesions, Blurry Vision And Swollen Lymph Node Behind The Ear?

Brief Answer: Some thoughts: Detailed Answer: Hello XXXXXXX I can understand why you would feel frightened with so many symptoms and the duration they have gone on. I think it is likely there are a number of things that may be possible, and also certain things that you don't need to worry about. 1. I see the series of HIV tests you have had, and as all were negative, you don't have HIV. If you had HIV, even if one of the tests was inaccurate/false negative, you would have had a positive HIV test by now. You can rule that off your list. 2. The symptoms that are continuing and their possible causes: a. swollen lymph nodes: this can be from chronic sinus infections, chronic EpsteinBarr infection, or even chronic fatigue syndrome. The lymph node size and locations should be followed by your doctor. Have you seen an Ear Nose Throat doctor? I recommend going to see one. b. gastrointestinal problems and loose stool: this can be from irritable bowel syndrome and also from anxiety, certain medications, and malabsorption problems such as Celiac disease/gluten intolerance. Talk with your primary care doctor. If you have had diarrhea for longer than 3 weeks, it is time for an evaluation including stool cultures, and possibly an evaluation by a gastroenterologist. c. blurry vision: see an eye doctor for starters. If there is nothing wrong there (not needing glasses or a change of prescription) then a neurologist. Putting all of these symptoms together, it may be chronic fatigue syndrome, Epstein Barr,or other persistent virus and it's possible you picked up a virus that set this off from the girl who had fluish symptoms, but I am quite sure it is not HIV. If none of the doctors I listed above can help, then consider going to an infectious disease/immunology doctor. You can find this type of doctor at a major medical center or university hospital. I hope this information helps.