[Question #6352] Follow-up to previous question

15 months ago
I absolutely hate that I am back asking questions again, but I'm curious about something and would like to know if I can stop being worried about it. Totally worth am extra $25 and I know I can't ask anymore for 6 months. This should be it. Doctor Handsfield, thank you for your early replies as well.

After I got my RNA test back as not detected, the same day I got my results, I came down with a sore throat and it felt like my glands were swollen. This has me worried. A week later I used one of the Oraquick tests thinking that if I somehow had undergone the ARS, I would have antibodies, but it too was negative. Then I thought, maybe i screwed up taking it? 

I'm tripping out over this..I will be taking my 4th Gen at 6 weeks, and I know you said not to worry about my next test, that it will be negative. I'm just really concerned right now.

Can ARS present as just a sore throat and tender glands? Whenever I think about it I get filled with anxiety. I'm just really scared I guess. I know the CDC and you guys say the risk is very low, I'm just concerned. Any feedback would be helpful.

Thanks,

Def
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
15 months ago
Welcome back, but I'm sorry you found it necesssary. (There is no 6 month limit of any kind on new questions. However, there is a limit on anxiety driven questions whose answers are obvious, regardless of when they are posted.)

It is not possible to have a negative RNA test in the presence of ARS symptoms. Therefore, your symptoms are not possibly due to ARS. You caught a cold,t hat's all. I see no neeed for an AgAb (4th generation) test at 6 weeks. But if you need the additional reassurance, do it at 4 weeks and save yourself another 2 weeks of worry. The combination of your RNA results and AgAb at 4 weeks will be 100% conclusive.

Yes, ARS could cause that combination of symptoms. But it's impossible in your case, because of the negative RNA test.

You do not have ARS and there is no realistic chance you have HIV. Do your best to stop worrying.

HHH, MD
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15 months ago
Thank you for your reply. 

I think I'll do that. I'll take the 4th Gen test at 4 weeks instead of 6. This is driving me insane. Would it be okay if I did it at 27 days instead of 28? Would that be too much of a difference?

I got my results 3 days after I had my blood drawn. Does this change your opinion any? So there was a three day window between having my blood drawn, and these symptoms.

Thank you so much for understanding and not judging me for the anxiety I feel. I appreciate what you guys do. 

Thanks Dr. Handsfield,

Def
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
15 months ago
27 should be equally reliable as 28 days, expecially since there is no chance you have HIV. And no, 3 days make no difference.---
15 months ago
Dr. Handsfield,

I would like to thank you again for answering my questions, and calming my anxiety. I appreciate you. I know you're closing up this thread in your next message, and trust me, there won't be anymore anxiety driven questions, because-

My 4th gen agab came back non reactive, as predicted.

I have one last follow up question, which is based on curiosity. I know you said that the combination of my RNA test and the 4th gen test was 100% conclusive. I'm not doubting you at all, and I won't be getting retested because I trust your advice, but what makes that conclusive over just the 4th Gen at 6 weeks? 

Thanks again, and I hope you and your family have a great Christmas/Holiday.

Def
H. Hunter Handsfield, MD
H. Hunter Handsfield, MD
15 months ago
It's just a matter of statistical probabilities. The combination of RNA plus AgAb (4th gen) gives negative results on two measures of the virus itself (RNA, antigen) plus antibody. AgAb give only one antigen measure. Statistically, it elevates the reliability at 4 weeks to a level that is close enough to 100% to be considered conclusive.

That completes the two follow-up comments and replies included with each question. As implied above, the forum does not permit repeated questions on the same topic or exposure. This will have to be your last one; future new questions along these lines may 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.
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