[Question #5296] Straw, Chopsticks, Scratchy Throat, Headache, Muscle Ache, Congestion
76 months ago
|
I would like to ask your advice about my situation. I have been told of the status of a coworker who also happens to be a friend.
6 weeks ago, during drinks, he took a sip of my drink using my straw which I used to drink after. I know he accidentally bit his lip previously and that it bled at one point. I talked to a counsellor and she told me to be careful next time and that I should get a test before the end of the year to make sure of the results. I took a 4th generatin Ag/Ab test 6 weeks after this scenario. Are these results good or should I wait for 6 months to get another test?
Also, 2 weeks ago, during dinner, the same person picked up, held, and handed me my chopsticks. This person has wounds, scratches, and scrapes on his hands. I used the chopsticks to eat while I had 2 mouth sores and some time before I also had bleeding gums. 11 days after this, I started to have scratchy throat. The next day, I had headache, some muscle ache, and congestion. I slept and when I woke up, I still had a bad headache and congestion and a few hours later, I felt feverish with chills. I took 1 paracetamol for the fever. The congestion continued the following day with stuffy nose and some coughing. Do these look like signs related to the scenario that I described? I took a 4th generation Ag/Ab test 1 day short of 2 weeks after this scenario with non-reactive results. Although I know this test is probably too early, does it some have value? If what I was experiencing were signs, it should already reflect in the test?Also, 2 days after the person touched my chopsticks, my younger sibling ate my leftover food. I still had mouth sores that time and my younger sibling had a tooth removed a few hours before. 9 days later, my younger sibling told me that his throat is painful, he feels fatigued and he also has a cold.
I'm so worried that I got affected and my younger sibling. Are the situatons that I describes causes of concern? Please help me clarify.
![]() |
H. Hunter Handsfield, MD
76 months ago
|
Welcome to the forum. Thanks for your question and your confidence in our services.
---
You needn't be at all worried. These all were completely zero risk situations in regard to HIV transmission. Here are some details.
Nobody in the world has ever been known to acquire HIV from events like this. For example, even after 10+ years of lving in the same household with HIV infected persons, sharing toilets, towels, eating utensils, and sleeping in the same bed, no household contacts ever catch HIV (unless of course they also are sex partners of the infected person or share drug injection equipment with them). Cuts, nicks, hand scrapes, etc. make no difference. If HIV could be transmitted in these ways, it would be far more common than it is; would not be heavily concentrated as it is among gay men, sex workers, and injection drug users; and there would be at least occasional infections in people who did not have these traditional risks. (Whenever someone with newly diagnosed HIV says s/he doens't know where it came from, or they s/he has no apparent risk factors, it always turns out s/he is wron -- either because they don't want to admit the truth, or because of unrecognized expsoures, like a sex partner being infected but previously unknown to them.) The same applies to the straw sharing with an infected person with a cut and bleeding lip. In fact, swalliowing a small amount of HIV infected blood is no risk.
You should not have been advised to be tested after the shared straw event, and also did not neeed HIV testing after any other the other events. The symptoms you describe are not at all typical for newly acquired HIV. And of course that your sibling got a sore throat means nothing: people get viral colds, sore throats, etc all the time.
If you are sexually active without a mutually committed monogamous uninfected partner, then on that basis you need HIV testing from time to time. Same if you ever use injection drugs and share injection equipment. Other than these, there is never a reason for HIV testing. (Well, health experts recommend everybody be tested once, in case of unrecognized risks. But you've not done that, so need not do it again unless and until you have real risks.)
So all is well, no worries at all! I hope this information is helpful. Let me know if anything isn't clear.
HHH, MD
------
![]() |
H. Hunter Handsfield, MD
76 months ago
|
In case you read my reply before I corrected a typo: if you did, re-read the start of paragraph 5: "You should NOT have been tested...." Sorry for any confusion.
HHH, MD
---
76 months ago
|
Thank you for your response and clarification, Doctor. Although I understand your explanation, I would like to ask some clarifications.
I understand what you're saying that no one has ever been affected by the scenarios I've described, even people living in the same households. Is it because it's scientifically not possible because of certain factors, i.e. blood can no longer affect when exposed to air or a small amount of blood is unable to affect etc.? I guess what I'm trying to ask is, is it backed up by science?
Let me also clarify that during the straw incident, I also had a wound in my molar which was a little big and was bleeding sometimes. I read an incident where someone was affected from kissing because the two people had wounds in their mouth and bleeding gums. Although I did not kiss the other person, if there was blood on the straw and I had a wound in my mouth, can this affect? Let me just clarify that I also had a 4th generation Ag/Ab test 6 weeks after this incident with non-reactive results. Are those results good?
Also, although you mentioned that the signs that I'm experiencing are not typical, I've read that signs can look like a flu or a cold. These are the signs that I experienced, a scratchy throat, some muscle aches, headache, fever and chills which I took a paracetamol for, and congestion. These eventually led to a stuffy nose, continous congestion, a hoarse voice, and some occasional coughing due to a sometimes scratchy throat. These also started 11 days after the chopsticks incident which according to what I've read is the time when signs typically occur. If the other person had some blood on his hands because of the scratches, scrapes, and wounds and it got transferred to the chopsticks, can it not affect when I had two mouth sores and bleeding gums?
My sibling also felt painful throat, fatigue, and felt like he was going to have a cold 9 days after he ate my food. The next day, he also started having a runny nose. Again, I had two mouth sores and occasional bleeding gums, and he had a wound from a tooth extraction a few hours before when ate my leftover food.
I'm so worried that I got affected and my younger sibling. The appearance and time of the signs. Please clarify, Doctor.
![]() |
H. Hunter Handsfield, MD
76 months ago
|
You are way overthinking all this. Some but not all the symptoms of influenza or colds can go along with an acute HIV infection, but many do not. For example, HIV doesn't cause nasal congestion or drippy nose. Among people with such symptoms, even those at high risk for HIV, probably colds are a million times more likely than HIV.
Since household exposure has never been known to transmit HIV, the biological reasons don't really matter. But they have to do with a) short survival of HIV in the environment, b) not enough blood or body fluids transmitted by such contact, and c) for infection to take hold, blood or fluids with HIV must have contact with certain types of cells that for the most part are deep inside the body.
You could not have infected your sibling if you did not have sex with him or her. HIV is NEVER transmitted by nonsexual personal contact.
And your negative AgAb test 6 weeks after the incident PROVES you did not catch HIV. There are no exceptions.
Trust me on this: you could not have caught HIV and do not have it. Believe it, accept it, and move on without worry.
---
76 months ago
|
Thank you for your patience in answering my questions, Doctor. I read my previous post and your reply and I noticed that I missed some details. Although I know I sound repetitive now, I hope you continue to patiently answer my questions.
The 6-week 4th generation Ag/Ab test is for the straw sharing scenario. For the chopsticks scenario where the other person who has scratches, scrapes, and wounds on his hands picked up, held, and handed me the chopsticks that I used for eating while I have two mouth sores and bleeding gums, I had a 4th generation Ag/Ab test 1 day short of 2 weeks. Does this test have any value at this time? I had this test 1-2 days after starting to feel the signs of getting the cold. Is this test good while I'm experiencing signs?What if blood from his scratches, scrapes, and wounds got on the chopsticks and I used it to eat after when I have sores and bleeding gums?
Doctor, you are saying that despite developing a cold and some coughing 11 days after this chopsticks incident that these are not typical signs because I have congestion? The congestion was not a continous sign. I experienced it mainly while I was lying down or sitting but there were times when it will also go away. Also, I forgot to mention in my last post that I also had some redness in my chest after 14 days of the scenario I described and a mouth sore the day after.
Doctor, you are also saying that despite my sibling developing a sore throat and a headache and a cold and fatigue 9 days after he ate my leftover food that these are not typical signs because he has a runny nose? He said that although his nose is runny, no mucus comes out when he expels it from his nose. He also developed a cough 14 days after eating my leftover. Let me just also say that the leftover is a container of gravy where I repeteadly dunked chicken and fingers that I put in my mouth. Again, I had mouth sores and bleeding gums and my sibling had a wound because he just had a tooth extraction hours before.
Doctor, I read that blood in touch with open wound or sores can. What about my situations? I am so worried about these signs and the time that they appeared. I am worried that I got affected and my younger sibling.
![]() |
H. Hunter Handsfield, MD
76 months ago
|
You are re-asking questions already answered: re-asking or changing the wording won't change the replies. I read and understood all the non-exposure events you describe.
I will just add that you need to be careful reading online information about HIV risks. Like many anxious persons, you are being drawn to information that increases your fears and missing the reassuring information that also is there. You're also putting the most negative spin on most if not everything you find. For example, no responsible resource says you can catch HIV simply by touching an open wound.
I suggest you carefully re-read my replies above and concentrate on every word. If despite that you still remain concerned, I recommend professional counseling. I have to suspect you have OCD or perhaps other potentially significant psychological disability; it is not normal to be so resistant to reasoned, science based reassurance. I suggest counseling from compassion, not criticism. But in the meantime, please do your best to forget about HIV and not be tested for it. There is no chance you are infected, assuming no standard sexual or drug use risks.
That completes the two follow-up comments and replies included with each question and so ends this thread. Please do not be tempted to start a new one on these same questions; we delete repeated anxiety driven questions without reply (and without refund of the posting fee).
I do hope the discussion has been helpful. Best wishes to you.
---