[Question #9949] To Dr. Hook, Please help me
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27 months ago
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Hello doctor, I hope you hear me well. I am a 28-year-old male currently residing in Canada, specifically in Montreal. Throughout my life, I have never had any sexual experience. On 12/04/2023, I decided to try oral sex with a partner I found on a website. It was only oral sex, there was no kissing. I licked for about 10 seconds, and then she performed oral sex until ejaculation for no more than 10 seconds.
The symptoms appeared after 5 days, specifically on 17/04/2023, and they are:
Swelling under the chin, the size of a golf ball, that worsens when opening the mouth (coughing, yawning).
Dry mouth, white tongue, swollen taste buds, and a bitter taste.
Permanent loss of appetite and weight loss.
Loss of morning erections and difficulty achieving an erection.
After 12 days of having sexual intercourse, I went to get a fourth-generation test on April 24, 2023, and the result was negative. I know it's not definitive.
my questions:
1- Do the symptoms of the virus start on the fifth day like this?
2- When I did the test, it had been 7 days since my symptoms appeared. Could the result have been positive if I had the virus?
3- What are my chances of being infected with HIV since I have never experienced these symptoms before, except after my first sexual encounter?
I'm sorry for the English language, as I am using a translator. I hope everything is clear. Thank you."
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27 months ago
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Just to add, the partner was female. My current problems are weight loss, swelling under my chin, dryness in my mouth and nose. When I was infected, there was never any runny nose. I also have dryness in my skin, especially on my hands.
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Edward W. Hook M.D.
27 months ago
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Welcome to our Forum and thanks for your questions. FYI it is by chance that I an answering your questions today. Clients are not able to request one or the other of us. We have worked together for more than 40 years and while our verbal styles differ, the substance of our replies is always the same.
First, the important answer. Your symptoms are not due to HIV or any other STI. Their are no proven cases of HIV which have been acquired as a result of receipt of oral sex and the risk of HIV from performing oral sex on a woman with untreated HIV is less than, on average, one infection per 10,000 sex acts. In addition HIV is rare amongst women. Finally, your symptoms began too soon to be due to HIV and, when symptoms are present due to recently acquired infection, 4th generation tests are always positive. Your symptoms are not due to HIV. In answer to your specific questions:
1. No, 5days is too soon.
2. Yes, see above
3. Your questions are very clear. The chances that you have HIV are virtually zero.
You should see a doctor about the swelling under your jaw. The remaining symptoms may well be due to anxiety.
Please don’t worry. EWH
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27 months ago
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Thank you, doctor, for the clarification. I developed oral thrush on day 6, where my tongue became almost white, and I have white spots on the inside of my cheek wall. Additionally, today, I am suffering from pimples on my lips that resemble herpes, and I think the swelling under my chin is a lymph node. All of these are symptoms of primary HIV infection.
Doctor, my final question is: when do HIV test results become positive after the onset of symptoms? For example, after one or two days of the appearance of symptoms?
If so, the test I took confirms that I do not have HIV, even if it was taken on day 12 after sexual contact.
I wish you good health, happiness, and a long life. I searched for 25 days on the internet until I found you, because you are the only one who gave me reassurance through reading your comments in the Medhelp.
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Edward W. Hook M.D.
27 months ago
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You are overreacting. I suspect your “diagnosis” is based on information you have gathered from the internet which is often misleading. Most people with thrush, if that’s what you have, do not have HIV. Lymph node swelling can arrise from any type of sore throat. I this were HIV, you test would be positive. When symptoms of recently acquired HIV are present, tests are always positive ( although in the absence of symptoms, tests may not become positive until as much as six weeks have passed).
Once again, I urge you to see a knowledgeable, trained clinician and not to pursue internet based self diagnosis. Your symptoms are not due to HIV. EWH
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27 months ago
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Hello again, doctor. After 4 and a half weeks, I took a home test of the third generation called "Insti," and it came back negative. However, I still have ongoing symptoms, and I plan to take another test after 7 weeks.
I live in Canada, and I couldn't go to the doctor because the healthcare system here is poor. I have an appointment in 15 days, but the wait times are very long.I want to know the accuracy of this test after 4 weeks. Is a negative result at this time reassuring? Does it strongly indicate that I am not infected with the virus?
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Edward W. Hook M.D.
27 months ago
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As you should know, we provide up to three responses to each client's questions. This is the 3rd response, after which the thread will be closed. There should be no need for further follow-up as there is NO realistic reason for you to be concerned about HIV or other STIs. You have already proven that your symptoms were/are not due to HIV. Repeat testing will confirm this.
The INSTI test for HIV detects only HIV antibodies and is not entirely conclusive until 8 weeks after and exposure. It is now more than 5 weeks since the exposure that has you so worried. A negative at this time proves that any symptoms that are present or that have occurred in the past were not due to HIV. In the absence of symptoms caused by HIV, testing at this time would be expected to detect over 90% of recent infections.
Again, as I have implied previously, I think you are worrying needlessly.
This completes this thread which will be closed shortly without further responses. EWH
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