I have a question with regard to hiv .

1. Can oral thrush start about 3 months after exposure ?

2. My risks are as below :

1. 20 days bak i kissed someone and i noticed he had chapped lips , u mentioned ay that time that this is a no risk event . however once week after kissing him i had a fever and a sore throat and i did i covid test and it was positive .

2. 3 months bak i was at a party and i suddenly felt pain on my mid back area . i knew someone who was hiv positive there . i fear he may have tried to inject me with a contaminated needle or with blood to infect me .

I have never had anal sex and my last oral sec exposure was 2 years bak aftwr which i tested negative .

Request you to please kindly advise . Thanks again doctor . 

1.  HIV-associated thrush occurs most typically after years of untreated HIV however thrush can occur in anyone at virtually any time. Most people who get oral thrush do not have HIV.  While pushing to get severe or repeated thrush should be screened with an HIV test, the most common outcome of testing is to discover that they do not have HIV.

2.  There has never been a case of HIV proven to have been acquired through kissing, including deep kissing with exchange of oral secretions or kissing between persons who have oral sores or gum disease. Chapped lips would not change this.  The fever and sore throat you describe following kissing someone is far far more likely to be due to a comment, every day viral infection/sore throat and HIV would not be a concern.

3.  I am confident that your fear of having been surreptitiously injected with infected material from a person with HIV is misplaced. These events simply do not happen. How do you been injected, you would have had a visible punctual and the Legion would have drawn blood.

My sense is that you are overly concerned about HIV acquisition. Let me reassure you that for most people their risk of HIV is quite low. HIV is acquired only through unprotected direct sexual encounter with an untreated, infected person or through injection of infected material deep into tissue. Even in those circumstances, HIV is transmitted on less than 1% of exposures and often on far, far less than 1% of exposures.  Please don’t worry.

If you have specific concerns about other exposures or if you would just like to be sure that you were not infected, currently available tests for HIV are among the most reliable tests in all of medicine and provide conclusive results at any time more than six weeks following an exposure. EWH

would thrush cause a white patch in the mouth , my roof of the mouth is slightly red and at the end it looks white . i asked my gp about thrush and she said it isn’t thrush , however when i googled it looked the same as the pic i found 

2. also do u recommend testing based on my kissing exposure ?

3. i felt pain in my mid back at that party that day and i noticed a mark which was raised at the centre of my bak . i couldn’t notice any blood as such . have there been cases where someone has been injected with hiv blood or infected needle in the centre of the back that causes hiv ? the mark was right in the centre of my back . 

plz advise . thanks 

I see no medical or scientific reason for HIV testing related to the events or exposures you described above. On the other hand, if you have not been tested in some time and you feel would feel reassured by a negative test result, testing is easy to obtain and highly reliable. Testing is a personal choice however, if you choose to test, I urge you to commit to accepting your test results before you test and to only test once.

I am unaware of any instances in which someone has been infected with HIV in the men are you describe. EWH 

Final questions :

1: i noticed 2 small red pimples on my upper lip . could it be a symptom of thrush or any sti ?

2: i also noticed a slight swollen node on my neck but i am not sure if it’s swollen or if it’s normal .

3. are swollen nodes visibily swollen ?

4. how safe is having oral sex ? do i need to get tested the next time i have oral sex or is it safe ?

5. i am extremely worried abouu hiv and hence i am unable to have any sexual experiences . even kissing someone gets me worried .

how do i stay safe ? plz advise . thanks 

1.  No.  My sense is that your anxiety is leading you to be hyper aware and causing you to notice things you would otherwise overlook.

2.  Most people have detectable lymph nodes. This is normal. 

3.  Determining whether or not a lymph node is abnormally swollen, as well as how to investigate it should be done by a trained clinician.

4.  STIs are occasionally transmitted or acquired through oral sex.   Oral sex however is a lower risk, less biologically efficient sex act than genital-genital or ano-genital contact.  Kissing is NOT a risk factor for any STI.

5.  I think your level of concern is out of proportion to your risk.  Know your partners, practice safe sex and you will be fine.  If you have multiple partners, we advise testing at any and all exposed sites of sexual contact periodically, typically once a year, sometimes more often depending on how many partners you might have.

Please don't worry.  This completes this thread.  EWH