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Is Swelling Of Esophagus Due To HIV?
Question: I am in a panic and need help I have oral thrush candida albicans dubliniensis was the report that came back from the throat dr my Esophageal is swollen according to an x ray so I assume I have Esophageal candidiasis it all started 8 months ago when I had tonsillitis and I was sick with a cold I have chest pain arm pain and numbness in my hands i feel weak as well problem is the Dr don't want me taking anything but niyastatin becuse my bilirubin is at a 3.0 but my liver ensyms are normal besides the bilirubin can candida cause elevated bilirubin I here a lot of stories on the net about hiv the hospital gave me a rapid hiv test and it came back negative should I be worried they want me to go to geisinger infectious disease but not untill the end of October I'm scared and this is freaking me out the hospital keeps giving me x ray and blood work and tell me I have no infection and it's not life threatening have to any advice im.scared wait almost 2 months to go see this specialist any advice I'm really scared ad I see these Horry stories about organs shutting down and people. dieing I do also have lower right side abdominal pain and feels like my stomach is tight
Brief Answer:
No sighn of candidiasis and HIV infection is unlikely.
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
First of all don't get information on websites and make yourself got depressed. That will lead to unnecessary confusion only.
I saw the pictures sent by you. There was no sign for oral thrush at all. Your tongue was not inflamed. No curdy deposits over either tongue, buccal cavity or palate or tonsillar area. All white coating are not due to candidiasis. The presence of candida in the throat on investigation might be due to a normal flora and non pathogenic when you are immuno-competent. Your report of swelling of esophagus also not necessarily due to HIV.
You had not mentioned anything about your sexual activities, when you had your HIV test and what was the type (antigen or antibody type) of test you had.
Increased level of bilirubin without changes in liver enzyme level might be due to certain drugs also and it would settle spontaneously after sometime and can be ignored. Tonsillitis is common problem can occur to anybody. Your physician would take care of such problems easily.
You are unlikely to have HIV infection.
Dr S.Murugan
No sighn of candidiasis and HIV infection is unlikely.
Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query.
First of all don't get information on websites and make yourself got depressed. That will lead to unnecessary confusion only.
I saw the pictures sent by you. There was no sign for oral thrush at all. Your tongue was not inflamed. No curdy deposits over either tongue, buccal cavity or palate or tonsillar area. All white coating are not due to candidiasis. The presence of candida in the throat on investigation might be due to a normal flora and non pathogenic when you are immuno-competent. Your report of swelling of esophagus also not necessarily due to HIV.
You had not mentioned anything about your sexual activities, when you had your HIV test and what was the type (antigen or antibody type) of test you had.
Increased level of bilirubin without changes in liver enzyme level might be due to certain drugs also and it would settle spontaneously after sometime and can be ignored. Tonsillitis is common problem can occur to anybody. Your physician would take care of such problems easily.
You are unlikely to have HIV infection.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I'm not sure what type of hiv test the nurse stuck her self with a needle when she drew my blood and said they had to do a rapid hiv test and hep test this was on 7-14 at the hospital I did have my gallbladder removed do to gallstones at that time and I'm with the same partner I been with for 2 years
Brief Answer:
Once again assured that you are free from HIV infection.
Detailed Answer:
Hi,
Welcome back.
You have only monogamy relationship. Rapid test means antibody based test only. It is almost sure that you are not having HIV.
Removal of gall bladder might be a reason for increased bilurubin level without any alteration in liver enzymes.
So you need not worry at all.
Dr S.Murugan
Once again assured that you are free from HIV infection.
Detailed Answer:
Hi,
Welcome back.
You have only monogamy relationship. Rapid test means antibody based test only. It is almost sure that you are not having HIV.
Removal of gall bladder might be a reason for increased bilurubin level without any alteration in liver enzymes.
So you need not worry at all.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
can oesophagitis be causing my chest pain arm pain and numbness in my hands ?
Brief Answer:
Chest pain can occur,but painful swallowing is more common with esophagitis
Detailed Answer:
Hi,
Welcome back.
Esophagitis in HIV is a very late manifestation and can occur after 10 or more years after the infection (That too, in the absence of ART or immunity declines beyond a critical level). Swollen esophagus would not be visible in a plain X-ray, can be visualized only with contrast pictures.
Odynophagia (pain during swallowing) is the commonest symptom with esophagitis and usually associated with oral thrush. In your case there is no oral thrush seen in the picture sent by you.
Chest pain can be a presentation for esophagitis.
Dr S.Murugan
Chest pain can occur,but painful swallowing is more common with esophagitis
Detailed Answer:
Hi,
Welcome back.
Esophagitis in HIV is a very late manifestation and can occur after 10 or more years after the infection (That too, in the absence of ART or immunity declines beyond a critical level). Swollen esophagus would not be visible in a plain X-ray, can be visualized only with contrast pictures.
Odynophagia (pain during swallowing) is the commonest symptom with esophagitis and usually associated with oral thrush. In your case there is no oral thrush seen in the picture sent by you.
Chest pain can be a presentation for esophagitis.
Dr S.Murugan
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
problem I have is my throat is swollen they did not give me a barium x ray just a normal x ray and they showed it to me my throat looks like it's in closed it feels like there's food stuck down my throat every day that white film on my toung can be brushed off but comes back the next day after I wake up I enclosed 2 more pics just to make sure also I don't no why the lab throat culture tested positive for candida albicans dubliniensis but my tongue is not sore when I brush it theres no soreness I do have a lot of stomach acid coming up to my throat area so maybe the inflammation is caused by acid reflux since my galbladder had been removed I feel lots of back wash of acid during the week wonder if this is the key im going to see an upper gi on Friday I hope to no more
Brief Answer:
All the white coating over tongue is not necessarily due to candidiasis
Detailed Answer:
Hi,
Welcome to HCM Back.
In two pictures Iam not able to find any evidence for candidiasis, whereas one is doubtful.
All white coating is not due to oral thrush. One can have white coating without a candidiasis, which sometimes need to be cleaned for some individuals. Presence of Non-pathogenic candidiasis in oral cavity is not uncommon.
Gall bladder surgery can have some repercussions over the white deposits of the tongue. That may be well explained by your GI Specialist rather than me. Soft tissue would not be visualized better with an ordinary plain X ray.
Dr S.Murugan
All the white coating over tongue is not necessarily due to candidiasis
Detailed Answer:
Hi,
Welcome to HCM Back.
In two pictures Iam not able to find any evidence for candidiasis, whereas one is doubtful.
All white coating is not due to oral thrush. One can have white coating without a candidiasis, which sometimes need to be cleaned for some individuals. Presence of Non-pathogenic candidiasis in oral cavity is not uncommon.
Gall bladder surgery can have some repercussions over the white deposits of the tongue. That may be well explained by your GI Specialist rather than me. Soft tissue would not be visualized better with an ordinary plain X ray.
Dr S.Murugan
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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