
Are Tooth Ache And Swollen Nodes Below Jaw Line Signs Of HIV?

Does not look to be HIV,do not worry.
Detailed Answer:
Hello,
welcome to HCM.
I have read your query and understand the concern.
Since you had a protected sex with some unknown lady and you had tested for HIV which came back negative after 26th days, then I do NOT think there is any possibility of HIV infection now.
Also ECLIA test is a 4th generation test and mostly the result of the test is conclusive after 25 days.
Your dry and rough tongue with swollen nodes below jaw line could be either stomatitis (infection of oral cavity) or due to vitamin B12 or folic acid deficiency but it does NOT seem to be related to HIV infection,so there is no need to worry about.Be rested.
You may continue with Vitamin b12 tablets in addition with folic acid which will be helpful to get rid off mouth infection.
Antiseptic mouth wash or saline gargles frequently in a day would be helpful.
Hope this helps and let me know if you have more questions.
Regards,
Dr.Sandip Kabra


Yes,vitamin B12 deficiency may also cause it.
Detailed Answer:
Hello,
Thanks for the reply.
Swollen glands or lymph nodes could also be related to your vitamin B12 deficiency apart from infection.
Since you are taking vitamin supplements and getting improvement from dry mouth and tongue and I will expect you will also see improvement from swollen glands within 5 to 7 days.
Oral short course antibiotics will also be helpful but consult ENT doctor for clinical examination and discuss with him.
As we discussed,ECLIA test is mostly (more than 90%) conclusive after 25 days but you can go for repeat testing after 3 months since HIV incubation period (window period) ranges from 1 month to 3 months which would be 100% conclusive.
Hope this helps.
Regards,
Dr.Sandip Kabra


Better to do after 3 months for a safer side.
Detailed Answer:
Hi,
Welcome again,
As we discussed, swelling is NOT due to HIV infection,you may continue vitamin supplements until you return to XXXXXXX and see your doctor.
If you want to repeat the test for a safer side and to clear remaing doubt,then it is better to do it after 3 months following exposure with that unknown lady.
There is no point in testing after 42nd day.
Regards,
Dr.Sandip kabra


Welcome.
Detailed Answer:
Hello,
You are most welcome.
If you still have anymore queries, then feel free to ask me or please close the discussion with feed back.
Wishing good health.
Regards,
Dr XXXXXXX kabra


Continue that.
Detailed Answer:
Hello,
Welcome again.
It is good that you are improving from the swelling and other mouth related issue.
Also as we expected earlier,improvement will be seen within 5 days and it is likely due to antibiotic and vitamin supplements.
So,in my advise you should continue taking them.
Regards,
Dr.Sandip Kabra


Need some more information
Detailed Answer:
Hello,
Welcome again,
Night sweats with feeling exhausted could have many causes like hot atmosphere,anxiety,palpitations,vitamin deficiency or due to some infection but I will need some information since you have already taken antibiotic.
Which antibiotic you have taken and for how many days?
Did you had hot flashes during sweating?
Fever or any other symptoms like giddiness?
Have you tested for B12? If yes,then what is your serum vitamin B12 level?
Kindly get back to me with these answers.I will guide you accordingly.
Regards,
Dr.Sandip kabra


likely related to anxiety
Detailed Answer:
Hi,
Thanks for sharing more information.
Since you have already taken antibiotic course, I will not think above infective possibility.
All these symptoms are likely related to anxiety with your vitamin B12 deficiency.
So you would require antianxiety drug like tablet deanxit or recital forte.
Vitamin B12 Injections (injection vitcofol) would be more effective than tablets to replenish vitamin b12 store.
Also drink plenty of fluids throughout the day and take over the counter antihistamines (vertin 16 mg) twice daily for symptommatic relief.
If still symptoms persist I will suggest you to undergo some routine blood works,ESR, liver function tests and consult some local physician for further evaluation.
Regards,
Dr.Sandipkabra

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