Question: Hi doc,

Need ur assistance on my ongoing symptoms and test results

Report details:
34 days
Elisa hiv 1-2 - neg
Hep B and C - neg
Herp simplex virus 1-2 - neg
Ecg- normal
Tsh- normal
Lft- normal

87 days
Elisa 1-2 hiv- neg
Hep b and C - non reactive
Hiv pcr rna quantitative - <72 ul/ml
Vldr - neg
Ana - 1:100
C protein - neg
Esr- neg
Tsh -5.5
Vit D - 17
Uric acid - 470 ( normal 200-420)

Problem dis: unprotected oral( deep kissing , blow job ) with 2-3 csw followed by protected varginal intercourse in 3 consecutive days 5 months back( i was quite drunk so not able to check condom status post intercourse).

Next day of exposure i felt , loose motions , soar throat and with anxiety i have checked all hiv symptoms.

So far symptoms in 5 months
- soar throat, mild pain in multiple body places. Shortness of breath and mild headache and mild sweating.

Than after all this mentAl trauma , i have decided to go for hiv test and here is the results shared before.
Still i am scared of if i have hiv and not showing aftwr 3 month results and why in pcr its stated <72 ul/ml. As per lab 72 is the starting limit of assey.
I have Tsh problem from last 6-7 years abs its a family medical problem.for that i am taking 100 mg tablet daily. Still i am worried of my status and having below queries:

1- why i am feeling very fatique and blurr vision intermittently after 5 months?
2- Do i need to retest at 6 month mark or all my 3 months test are conclusive?
3- does Pcr rna quantitative result <72 considered as negative test along with elisa 1-2 negative antibody test is conclusive at 87 days. in 3 month start of infection what would the viral load UD.
4- before this incident , i was a complete healty guy with hyperthroiad issue , does this immouo deficient issue impact my hiv test or not?
5- can it be possible to have no symptoms and person infected with hiv till 5 months and negative results.

Please suggest.

Hi Doctor,

Thanks for your valuable suggestions and vote of confidence that i am fine.

Doctor m very much worried of lingering issues with my body of last 5 months from exposure till now.
- redness coming and going at multiple locations in body and face.
- very tiredness ( some times dizziness and body swings)
- Mild headaches
- dry hands, face and feets.
- Mild pain in fingers ( hand and feet) joints
- yellow coating on tongue( easy to clean at morning)
- few uclers inside inner cheeks in last 5 months
- intermittent loose motions(1-3 days approx)
- acne at multiple parts of body
- sweating at right underarm always
They issues are shaking by confidence on my results of 3 month.

- Is there any possibility of my 3 month result turn positive with in six month.
- why still some clinics are recommending 6 month window period.
- test are done at XXXXXXX hospitals and vitro eci ki ( chemoscreen asaay) both the times at 34 and 87 days. How much test results are accurate and reliable in XXXXXXX
- Do i need to go and test again at other labs ( lalpath lab or ranbaxy).

I have checked with multiple doctors and they are suggesting it all anxiet

Please suggesty

Dear doctor,
This is my last follow up question on this topic and would like to share some more important facts:

Due to extrean guilt of what i have done(paid sex3-4 time in my last trip) with extream booze with friends, i quit drinking and smoking ( cold turkey) 5 months back( sept 6,2015).
- Was smoking and drinking from last 15 years (3-4 cig/day).
- after this incident I had no further exposure , only protected intercourse 5-6 times with my wife with our failthul relationship( hope this is considered safe with respect to tests).
- This was my first and last mistake and i have learned my lesson well.
-i am very much worried of major 4-5 symptoms ( discomfort in breething (sometimes) , burning mouth and tonge , blurr vision ( weak vision) and pain in neck , arms , legs ( mild , coming and going), mild headache ( from last 4 months).
- i am still fearing to go for unprotected sex with my wife due to these on going symptoms.
- Is there any minor posibility of i need to worry for hiv or to retest.
- I have consulted only internal medicine doctors ( in XXXXXXX , appollo and FORTIS IN Delhi) , do i need to consult any infectecious disease doctor as well.
- I dont want to test now after 5 months of exposure, and scared of any other surprising results.
- what would be the cause of these coming and going weekness , dizziness , head swings and respiratory problems( does SOB related to anxiety or quit smoking if not hiv related).
- how to assaured myself that , i have long healthy life and i am completely out of this danger feelings and physical issues.
- Is the hiv antibody elisa and Pcr rna quantitative ( negative ) at 3 months are considered similar as duo test and 100% conclusive in medical terms.
- this 3 month window period is common for all kind of posible exposures(protected , unprotected oral etc)

Important point- I never had any medical problems in my life ( not even viral fevers ( once in year) except hyperthyroid and vitamin D and B12 deficiency).

Please suggest , how to allay such fears and consider myself in health and well healthy.

Regards
Maddy
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