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Suggest Treatment For Oral Thrush, Fever And Diarrhea

Posted on Wed, 16 Nov 2016

Question: Hi , I have possible exposure to hiv , after 48 hours i got oral thrush then night fever and Diarrhea , after 8 days I got orchitis and join pains itchy skin , arm painless and not itchy rash , dry cough , dry skin, frequency urination , pain in the pines but not when urination tiredness , yellow eyes , I got black spot under my feet as well, it test urine for chlamydia after 5 days it was negative. I am scared , is this due to Hiv infection ? I test after 14 days it was negative , I test other STD all negative after 19 days.

Thanks

Answered by Dr. Kathy Robinson (45 minutes later)

Brief Answer:
acute symptoms occur within 2 weeks

Detailed Answer:
Hello and thank you for your question.
The symptoms and problems you had at 48 hours and at 8 days were not caused by HIV.
There is an acute HIV syndrome that includes flu-like symptoms such as fever, sore throat, and fatigue, but this only occurs 2-4 weeks after exposure and lasts for a week or two.
What you need to do is get the current symptoms treated and have another HIV test 3 months after exposure. If that is negative then you can relax and feel sure that you are not HIV positive.
Try to lower your stress. Exercise regularly. Take a multivitamin daily. Eat lots of fresh fruits and vegetables. Get 8 hour of sleep nightly.
Take care of yourself and in the future use protection for sexual encounters
Regards,
Dr. Robinson

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Kathy Robinson (1 hour later)

Thanks for year immediate reply and your advice, what is the accuracy of 4th generation test after 14 days, and can early symptom occurs without any detectable p24. I mean which one exist before symptom or p24 as i understand from what I read , the p24 is the virus it self !! and I did not find any explanation for the penis pain as I read most of the pain increase with urination but my situation is not.
Also , I read that thrush can be caused by diabetes and i was suffering from back head headache, can it be the cause in this situation?
Thanks you very much

Answered by Dr. Kathy Robinson (5 minutes later)

Brief Answer:
thanks for he follow up

Detailed Answer:
Hello,
The 4th generation test is very good but limited at 14 days because some people do not convert to positive within the first two weeks.
Yes, it is possible for symptoms to occur in 2-4 weeks before you become positive on the test, but not before 2 weeks.
Thrush is caused by a yeast and yes it is more common in diabetics, but can occur in almost anyone.
Urinary frequency may indicated elevated sugars so you should get checked out for that. Pain with urination is often caused by stones or infection so it is good that you got checked for chlamydia.
Drink plenty of water and get checked again if this pain continues
Regards,
Dr. Robinson

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Kathy Robinson (13 minutes later)

Thanks for your reply , my doctor request for full blood test including liver and kedney issues and hebtaite. with regards to the penis pain it all gone with the orchitis or epididymitis ( the situation was with testiclule pain and swallowing in the left side testecle ) and it is gone within 3 days. is epididymitis or orchitis hiv symptom or can it devlop orchitis? chlamydia test was done after 19 days I hop it is definte ?

thanks again

Answered by Dr. Kathy Robinson (2 hours later)

Brief Answer:
thanks for the follow up

Detailed Answer:
Epididymitis and orchitis may occur in people with HIV but they are not caused by HIV, they are caused by other organisms. Chlamydia and gonorrhea are the most common organisms but other bacteria can also be involved.
Regards
Dr. Robinson

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Kathy Robinson (47 hours later)

Dear Dr

I got the test result of the full blood test I got the following issues :
- Total white blood count (XaldY) below the range 3.5 [ 4.0-11.0]
- Neutrophil count (42J) below the range 1.0 [2.0 -7.5]
- red blood cell count (426) above the range 6.08 [ 4.5 - 5.5]
- Mean cell volume (42A) below the range 76.2 [80-100]
- mean cell haemoglobin level below the range 24.8 [27 - 32]

note : some reactive lymphocytes seen , some more mature

the test was done on day 24

thanks

Answered by Dr. Kathy Robinson (4 hours later)

Brief Answer:
consistent with infection like the orchitis or epididymitis

Detailed Answer:
These are consistent with your recent infections. Just make sure you get the HIV test repeated in 3 months. There is nothing alarming in these results.
Regards,

Dr. Robinson

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Kathy Robinson (14 minutes later)

thanks Dr

so the low Neutrophil not related to hiv early infaction ?

can yeast infaction case orchitis or epididymitis ?

what is the causes if low Neutrophil and high red blood cells ?

thanks

Answered by Dr. Kathy Robinson (0 minute later)

Brief Answer:
answers

Detailed Answer:
Hello,
Yeast does not cause orchitis or epididymitis.
The low WBC and neutrophil count can be from any sort of viral infection and do not necessarily man HIV.
the RBC, MCV and MCH are just variants of normal. If your hemoglobin and hematocrit are normal this is not a concern
Regards
Dr. Robinson

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Kathy Robinson (0 minute later)

and what is the explination of "some reactive lymphocytes seen , some more mature" and causes ?

thanks again