[Question #1681] HIV testing

99 months ago

Hi doctors
I have read that immunodeficiency disorder can cause delay antibodies of HIV testing? I have IBD colitis ulserosa, i havent use meds past 2 years. Can IBD or Crohn disease cause delay antibodies?

Ihave done HIV DUO 28 th day after exposure exactly 27 day and 7 hours NEGATIVE
63th day after exposure exactly 62 day and 10 hours NEGATIVE

Are these conclusive without level of risk and despite ihave IBD? Most of europe uses 6 week to certain results. Do i need more tests?

99 months ago

Regardless level of risk? Not "without" typo

H. Hunter Handsfield, MD

99 months ago

From my closing reply to your previous question:

"Please note the forum does not permit repeated questions on the same topic or exposure. This will have to be your last one; future new questions about this exposure, hepatitis B, and testing will be deleted without reply and without refund of the posting fee. This policy is based on compassion, not criticism, and is designed to reduce temptations to keep paying for questions with obvious answers; because experience shows that continued answers tend to prolong users' anxieties; and because such questions have little educational value for other users, one of the forum's main purposes. I trust you will understand."

This question returns to HIV testing, so I will reply -- but there will be no discussion. As Dr. Hook told you, your 4th generation test at 4 weeks was conclusive. You have found unreliable information online. Immune deficiency does NOT make HIV tests artificially negative, except with very serious immune deficiency of the kind that occurs with terminal cancer or potent chemotherapy -- and even that doesn't have any effect on 4th gen tests. In fact, it makes it MORE likely that a 4th generation test will be positive. Finally IBD does not alter HIV test reliability. Your additional HIV test at 62 days was unnecessary. Do not have any more testing for HIV. You do not have it. And I suggest you stop searching the internet about this. You're just seeing information that inflames your fears unnecessarily and missing the reassuring information that also is present.

The policy above will be enforced for any new questions you post on this forum.

Really, mellow out. You apparently are obsessed with a sexual decision you regret. Do your best to separate these feelings from your infection risk from the event. They are not the same. Deal with the former as you need to, but forget the latter and move on.

HHH, MD

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99 months ago

Thank you very much!

99 months ago

I dont know, If i am allowable Ask any more, but iwould be very grateful, If you can answer last time. Can possible acute hep C infection have any affect reability of HIV testing? If not i will do My everything to move on. Many thanks your help doctors, you have been great help for me!

H. Hunter Handsfield, MD

99 months ago

There are NO medical conditions that have any effect on HIV test reliability with the 4th generation (duo, combo) HIV blood test. None.

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