I had an incident occur at work where it required me to receive blood work because I was exposed to someone’s blood . As you know I had an exposure over a year ago and had a plethora of negative HIV 4th gen tests the most recent being a year and 2 months from exposure. I am well aware that all my tests are done at times in which they are conclusive but as I have mentioned in prior posts I have had bubbly urine that has continued to this day. Given the circumstances tonight they did blood work and hiv and hepatitis test because of the blood exposure. I received the blood work back and my ALT levels, Albumin and A:G ratio were high. My concern is these levels in relation to HIV based off what I have seen. I know I should have stayed away but given the situation it caused me to worry. I just want your opinion and clarification that there’s no way this test for HIV will come back positive. Is there any possible scenario or situation where I could have tested negative all this time and now be positive given these new levels from the blood work I received. I had put this past me and was doing well but given these circumstances it has raised my anxiety of the exposure from over a year ago. I truly do apologize for returning but I just need some reassurance. Thank you 

Here is a basic fact you apparently have not understood:  Test results for HIV (and for hepatitis b and other blood borne infections) ALWAYS overrule any and all symptoms, all other test results, and exposure history. No matter how typical your symptoms seem to be for one problem or the other, and no matter how high the risk at the time of exposure, your negative HIV and hepatitis test results are valid and to be believed. They prove that your A:G ration, foamy or bubbly urine, and ANY other possible symptoms you have now or in the future are not due to these infections. In addition, exposure to blood (other than by injection) is little or no risk for HIV or other blood borne viruses.

And where did you get the idea that bubbly urine is a symptom anyway? It's entirely normal, happening frequently in all humans. It depends on diet and fluid intake, nothing more:  it's not symptom of any health problem.

Your closing comments indicate you are aware that your underlying anxieties are the main problem here. If they continue despite the repeated, reasoned, science based advice you have had -- perhaps from your own doctor(s) as well as this forum -- you should consider professional counseling about it. I suggest this from compassion, not criticism.

Please also note the forum policy against repeated anxiety driven questions on the same topic. This will have to be your last one; future new questions along these lines will receive no reply and the posting fee will not be refunded. This policy is based on compassion, not criticism, and is intended to reduce temptations to keep paying for questions with obvious answers. In addition, experience shows that continued answers tend to prolong users' anxieties rather than reducing them. Finally, such questions have little educational value for other users, one of the forum's main purposes. Thanks for your understanding. 

I appreciate your response and your patience. To be honest with you I had seen it somewhere online that HIV ultimately affects the kidneys in turn causing proteinuria. Based on your reply and given no new exposures I’m assuming I can expect the HIV test to be negative.  I honestly didn’t want to even test for it but because I had another individuals blood on my hands my job kind of persuaded me to do so. I was just concerned about the new levels and the possible correlation with HIV. I understand the website policy and I apologize for the repetitiveness. I just find comfort in hearing your expertise as you guys tremendously help people everyday. I will move on from this thank you again and have a good rest of your weekend!

If your work supervisor insists on inappropriate HIV testing, probably you should do it -- while also perhaps taking steps to educate him that you were not at risk.

I'm glad you have been comforted by hearing our advice. But as noted above, this will have to be the last time. Best wishes and stay safe.