[Question #3454] HIV or any other disease
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89 months ago
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Hello Dr.
I recently met a girl which I don’t know about her hiv status. We did deep kissing for a few minutes.
She also touched her vagina which had vaginal fluids and then touched the tip of my penis (which semen comes from)
10 days after this incident I went to hospital due to a sharp pain and it was figured that I had a kidney stone. After ureteroscopy and removing the stones, my blood tests and urine test showed that I had infections. So I had to take antibiotics.
A few days later I left hospital and one night I realized there is a thick white layer on my tongue which when I was brushing, bleed and it looked like a carper of white stuff.
I went back to doctor and they told me it’s oral thrush and due to antibiotics.
They gave me Fluconazole for 6-7 days(I don’t exactly remember), It did some improvement but the improvements where only when I was brushing the white stuff every couple of hours.
So my Doctor changed the medicine to Nystatin oral drops for 14 days which didn’t do any improvement.
Now I am starting to get worried because If it was really due to antibiotics, shouldn’t it be gone in a few days after stopping them? It has already been a month or so and the white stuff are still there, 2 small bumps are also on the back of my tongue on each side, I cough a lot and have a terrible sore throat.
1)Do I need HIV testing?
2)Can I continue unprotected sex with my long term partner without even a slight risk of infecting her?
3)Can the oral thrush be connected to ARS?
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H. Hunter Handsfield, MD
89 months ago
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Welcome to the forum. Thanksfor your question.
Interesting coincidence, and plain bad luck, that you passed a stone soon after the sexual event described. But that's all it was, a coincidene: it had nothing to do with your urethral pain or passing a stone. And hhere was no risk for HIV or any other STDs. They're called sexually transmitted diseases (or infections) for good reason: you must have sex to catch them, and for purposes of transmission risk, you did not have sex. They are not transmitted by hand-genital contact or by kissing. Furhter, the chance that any particular sexually active young woman has HIV is low, especially if you are in the US or any other industrialized country.
An antibiotic often is prescribed when men have urethroscopy, to prevent infection as a complication of the procedure; and it is true that antibiotics can trigger oral yeast infections (thrush). However, not all white tongue coating is due to yeast, and failure to completely clear with fluconazole is atypical for yeast. But your doctor is the one who examined you and I see no reason you should not trust his diagnosis and treatment.
As for HIV, as I said above, you were not at risk. Contrary to common online advice, oral yeast/thrush almost never occurs during early HIV infection; it often occurs in people with entirely normal immune systems. And you have another obvious cause, your antibiotic treatment.
Those comments pretty well answer your specific questions, but to be explicity to assure no misunderstanding:
1) You do not need testing for HIV.
2) You can safely continue sex with your regular partner. There is no chance at all that you have HIV, and you cannot give someone an infection you do not have.
3) As discused above, there is no chance your possible thrush is due to HIV.
I hope this information helps you move forward without any anxiety, but let me know if anything isn't clear.
HHH, MD
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89 months ago
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Thank you so much Dr. for your reply, It helped me a lot.
Now I have another question from you and I would appreciate it if you could give me your opinion on that.
A few days ago, I was at work, I work in a car workshop, and my friend was using one of the tools over there. The tool that he was using had sharp edges and he had to rotate it, while rotating it, he cut his hands with it and started to bleed.
A bit later (I am not sure how long, may be a minute ) I had to finish the work and since I did not have access to gloves, I used a few tissues to cover the palm of my hand and rotate the object/tool, unfortunately I also cut my hand, a bit of my skin came off and started to bleed.
It is worth to mention that this friend of mine is sexually active and has had condom break situations in past so I am not sure about his status.
Based on the scenario above,
1-Do you think I am at risk of HIV?
2-Do you recommend testing?
3-Is it possible that his blood from the sharp object came in contact with my bloodstream since it caused me to bleed as well?
I am really concerned about this issue and I would like to know your opinion on this.
Thank you
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H. Hunter Handsfield, MD
89 months ago
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To my knowledge, nobody in the world has ever been reported to have acquired HIV due to an injunry in the environment, i.e. in the workplace, stores, shops, restaurants, on the street, or in homes. (Health care settings are different, but even there, health workers have been infected only when they injured themselves in the process of providing care to a known infected patient-- and even these episodes remain very rare.) The lack of such transmissions is true even though many workers in such places might have HIV and get injured from time to time. In other words, exposure to blood in the environment is a theoretical risk for HIV or ohter blood borne infections, but one that appears to have never happened despite billions of bleeding episodes over the decades all over the world. Therefore 1) no you are not at risk, 2) no you do not need testing; and 3) this is a theoretical risk but too unlikely to worry about.
These questions, plus your original question above, suggest you misunderstand HIV risk and may be obsessed with avoiding HIV. Trust me on this: have only safe sex (as you apparently are doing) and never share drug injection equipment with anohter person. Then you will never be at risk for HIV. You can safely disregard and stop worrying about any other kinds of exposure.
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