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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Sore Throat, Body Aches, Runny Nose, Swollen Neck And Diarrhea?

Hi I m worried I could be hiv positive I have flu like symptoms such as a sore throat I have body aches but no fever a runny nose and swollen kneck although it s a small area and the whole neck is not swollen just this small ball like thing in the kneck. Also sore throat comes An goes I believe I could have been exposed in under two months. Last but not least I know have diarrhoea an I did have night sweets which lasted a few days at the start.
Mon, 5 Jun 2017
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General & Family Physician 's  Response
Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.

Your suspect to HIV positive is likely if you suspect yourself getting exposed to it in past. If the exposure to HIV positive person in last more than 3 months, you can do an HIV test (HIV- 1 and HIV- 2 antibodies). If it is less than 3 months, it is better you should go for CD4 counts with HIV DNA PCR test and after completion of 3 months again do HIV-1 and HIV -2 antibody test.

Second likely is TB Infection. All these also likely to come in TB infection. You always need not present with a cough for TB infection. So, for which you need proper diagnosis with ultrasound (USG) of the neck for the swollen nodes and if required FNAC, chest X-ray, and blood work up.

The third possibility is you may have developed any viral infection with acute pharyngitis. For which you need a physical examination with a general physician and blood work up like CBC, ESR, and throat swab C/S.

There is also likely for typhoid fever with acute pharyngitis. So, need evaluation with typhi dot test for IgG and IgM.

Meanwhile, till the test results come, you can start with antibiotics, Betadine gargling 3 times a day, Pre Pro Biotic, antipyretics if fever, antiallergic, and others.

So, it is better to visit a general physician in a clinic for proper evaluation to above possibilities and a proper treatment.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Anuradha Das
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What Causes Sore Throat, Body Aches, Runny Nose, Swollen Neck And Diarrhea?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your suspect to HIV positive is likely if you suspect yourself getting exposed to it in past. If the exposure to HIV positive person in last more than 3 months, you can do an HIV test (HIV- 1 and HIV- 2 antibodies). If it is less than 3 months, it is better you should go for CD4 counts with HIV DNA PCR test and after completion of 3 months again do HIV-1 and HIV -2 antibody test. Second likely is TB Infection. All these also likely to come in TB infection. You always need not present with a cough for TB infection. So, for which you need proper diagnosis with ultrasound (USG) of the neck for the swollen nodes and if required FNAC, chest X-ray, and blood work up. The third possibility is you may have developed any viral infection with acute pharyngitis. For which you need a physical examination with a general physician and blood work up like CBC, ESR, and throat swab C/S. There is also likely for typhoid fever with acute pharyngitis. So, need evaluation with typhi dot test for IgG and IgM. Meanwhile, till the test results come, you can start with antibiotics, Betadine gargling 3 times a day, Pre Pro Biotic, antipyretics if fever, antiallergic, and others. So, it is better to visit a general physician in a clinic for proper evaluation to above possibilities and a proper treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anuradha Das