Two exposures I wanted to run by you along with my symptoms. 

1) 4 weeks ago  condom protected sex with genital rubbing together which was unprotected and possible fluid and precum mix on the end of my penis during this process. Worried if it hit my urethra that I could contract something. Is it likely to catch something this way?

2) 3 weeks ago, passed by two heroin users gesituclating I'm the street (not one to judge but its obvious with black bruises on arms and area of city I was in has a lot of drug rehab/methadone clinics). I think I felt  something hit my eye as I passed, it's hard to tell because I wear contacts and it was windy. I rubbed my eye on with the inside of my shirt (not outside) as I have a fear of bloodborne virus. The next day I looked at spot on my t-shirt and saw faint beige stain - exceptionally faint. The shirt was on fresh and I'm worried it was blood residue or blood that hit my eye. I gather the process of wiping whatever it was off my eye could've rubbed it into the membrane. Was this a plausible risk?  

 1 week and rubbing had a sore throat for a week, hard to swallow. 

4) 3/4 weeks on respectivelyI've developed an unusual rash on my hands. It is largely pink and on the overside of both hands not the palms  it feels dry and there are some small red bumps (about 5 in total). You can see the white blotches of my regular skin tone in between. I haven't had rash since I do bad a penicillin allergy 10 years ago. I also have intenstinal/lower ab pain and am struggling to use the toilet. Does this sound like seroconversion of hiv? This wasn't in tandem with the throat 

Don't panic:  that doesn't mean I believe you have HIV. I am certain you do not. But anxiety like yours almost always is better resolved by a negative test result than by exprt opinion based on probabilities and statistics, mine or anybody else's. And when people delay testing fo fear of the result, anxiety always declines after testing, even if the result is positive. Clearing the air and knowing is less stressful than the worry ahead of time. This doesn't apply only for HIV testing:  also think of the woman with a breast lump who delays mammography, or someone with symptoms of intestinal cancer who is fearful of having a colonoscopy. And anyway, if you have HIV, you have an absolute ethical and social responsibility -- to yourself, everyone who cares for you, and your current and past sex partners -- to know it. It isn't the test that give someone HIV (or breast or colon cancer). You have it or you don't. In your case, almost certainly not. So I have no patience with not testing for fear of the result. Just do it.

Now to the most important stuff:  Nobody in the world has acquired HIV from either sort of sexual exposure you had or from casual contact with infected persons' blood, saliva, or other body fluids. It is statistically unlikey your female partner has HIV. And even if she did, without penile insertion into her vagina or rectum, there was no HIV risk. As for passing potentially infected persons on the street, just don't worry. Even if one had HIV and you contact a body fluid from him, there is no chance you were infected.

Finally, new HIV infection would never cause a skin rash localized to the hands or abdominal pain or altered bowel habits. Same for sore throat and trouble swallowing, which of course are day to day symptoms of minor colds and other viruses or allergies. Without fever and ohter symptoms, for sure this isn't due to HIV.

Bottom line:  As implied above, just get tested for HIV. The home test you have, when negative, would be around 70-80% reliable for the 3 week and 90% reliable 4 weeks after exposure. Not conclusive, but should be reassuring. But the best thing is to have a lab based antigen-antibody (4th generation) test, which would be 98% conclusive now and 100% conclusive at 6 weeks.

I hope these comments are helpful. Let me know if anything isn't clear. (Sorry about the lecture. Call it tough love, if you like. But it's really just common sense.)

HHH, MD

Thanks for you sound advice. I have been rereading it over the last few days and it has helped me a lot. The lecture was appreciated.

Can I just ask if the development of a mouth ulcer  (now 4 weeks to the day) along with continued nausea and altered bowel.habits (though improving with fibre/fruit) and sore groin nodes changes anything? It's sort of alarming especially as I've never had a mouth ulcer before. 

I still haven't used my biosure home test  yet and thought about doing it soon

"..thought about doing it soon" doesn't cut it. I will have no additional comments or advice until and unless you report your test result. Or get smart and get a lab based test. (Why are you so focused on the least reliable of all HIV tests?? One that sometimes never becomes positive in people with HIV??

Whatever test you do, I will not reply (except to close the thread) if you come back with anytning other than your test result. Grow up and just to it.