[Question #1133] hiv symptoms?

48 months ago
Hello, Doctor Hook. As per your suggestion, I have sought treatment for the anxiety related to my strip club visits. I have decided its in my best interest  to not go anymore. My question for you is in reference to my last episode. I had received a clothed lap dance; my clothes on as well. The stripper placed her head in my neck. I did not feel any pain, hence I've concluded being bitten is most unlikely. The only part I was concerned of was if somehow a mark would be left on my neck. I don't even believe she even kissed my neck, I think just her mouth in the near vicinity of my neck  made me nervous. When I got home, my neck looked absolutely fine. No evidence if any skin broken. I did have a pimple the next day. I digress, my questions: 1) 2 weeks after my episode I felt some sinus pressure, which was last Saturday. I took my temp around eight at night and had a 99.2. I took a warm shower and it shot up to 100.0 in  a mere five minute period. 20 minutes later it was down to 99.4. The next morning I had a 99.1. Later that night, however, i had a 98.8. I felt slightly achy in the late afternoon, but later that night I was fine. The next day, Monday, no temp at all. The Tuesday and Wednesday after i had 98 all day except on once occasion each of those days when i had a 99.0. Thursday thru Saturday I had no temp greater than 98.7. I have not had a sore throat nor have I had swollen glands. I do not have a rash of any sort. I had  white spot on the inside of my cheek which went away in 3 days. I  generally felt well. I drove from NY to North Carolina during this week. My questions- 1) Are these temps ars symptoms?  2) White dot on inside of  mouth that went away- is that a symptom? 3- my tongue in general always has a little white in it-it's not fully pink- so now I've been worrying about thrush. If I had thrush, would I have a sore throat. I realize these questions may sound silly. I didn't engage in vaginal, anal. or oral sex. However, do these symptoms point to peeha
48 months ago
One more thing doctor, upon arriving home, my temps were between  98.0-98.7 yesterday, with one exception. Around 6 in the evening I had a 99.1. It went down however to a 98.6 before bed.
1) Do these symptoms change your view in regards to testing ?
2) Is it safe to resume unprotected sex with my significant other?
Thank you
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
48 months ago
As you probably know, Dr. Hook and I take new questions at random. I'll be answering this one.

You appear to have missed a central theme of your many previous discussions:  this is another exposure carrying no risk for HIV.  Here is all you need to know:  If a bare penis (no condom) does not enter another person's vagina, rectum, or (rarely) mouth, there is no risk of HIV. Period. Believe it. As for your symptoms, they are not typical of a new HIV infection. Probably you caught a cold.

Those comments pretty well cover your specific questions. But to be explicit:  1) No, such low (really not abnormal) temperatures do not suggest HIV. 2) HIV doesn't cause transient "white dots" in the mouth. 3) Your tongue doesn't sound abnormal to me, and in any case not an HIV symptom. For the second set of questions (in the follow-up window):  1) No, these symptoms do not change our advice about HIV testing. 2) It is safe to continue unprotected sex with your regular partner.

This is your sixth question in the past 8 months. Repetative anxiety driven questions are not permitted and you are now cut off from any new questions on the forum. Any more will be deleted without reply, and without refund of the posting fee. This policy is intended to protect people from themselves: you have spent $150 asking questions that have obvious answers; and one of the main purposes of the forum is to educate readers other than those who ask questions -- and repeated anxiety driven questions have no educational value.

From a mental status perspective, it is not normal to be so worried after the repeated, reasoned, science-based reassurances you have had. If you continue to remain concerned about HIV without real risk, you should consider professional counseling. THis could be a rather serious mental health issue.

Best wishes and good luck--  HHH, MD

---
48 months ago
Thanks, Doctor. I was reading my question and could see the absurdity in it. Just to let you know, I went to see a mental health counselor toady who believes I have OCD.  Thanks  for the push. in closing, I would really appreciate it if you could please answer my last question- which falls under the umbrella of anxiety and depression. Here's the question, sir: I have felt no fatigue this past week until after my 5 mile run this afternoon. I often run 5 miles daily, however, this was my first run in the past 12 days. I felt unusually fatigued for hours after my run-somthing I don't often experience. Could the  depression, stress and anxiety which has plagued me so horribly this past week contributed to this. I felt fine before I ran, but so very tired after. I really would appreciate if you could answer this question. Have a good night.
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
48 months ago
This forum addresses STD and HIV issues only. But I'll say that feeling "unusually fatigued" after a run could indeed reflect your mental status. And whenever someone suspects his or her own symptoms are psychological or emotional, usually s/he is correct.

I'm glad to hear you have seen a mental health counselor. It would seem you should continue in counseling about all these issues. Good luck with it.
---