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Hello Dr David
my name is XXXXX XXXXX am 26, I had sex (protected) with a sex worker on tuesday 4th feb. I also got a blow job. I have been tested for sti's but there is a time line i'd like to run by you.
I've had varied advice on this, I need some real clarity...here goes
sex was on 4th, i had a mile sore throat on 6th but it went away. I saw a GUM clinic on 7th - they gave me ciprofloxacin as a precaution against chlamydia and antromyacin against gonnorhea until the results came back. the course would run until 9th feb
on 11 feb i got a stronger sore throat and i still have this although the symptoms are subsiding a little bit, there is a little bit of redness but not alot
i saw a gp on 14th feb, she thought it may be viral tonsilitus or something - i am really worried about possible exposure to hiv..i am taking a test on monday, a rapid 10 day test.
websites say you can get a sore throat as a reaction to hiv within days of exposure but some experts say this isn't correct
im worried the condom split or something or i got somehow infected
is this likely?
no, that is not likely.
I bet your sore throat is from a common cold viral infection or from acid reflux.
I doubt it is from HIV.
why do you think this is so? i'm very anxious about it. I don't have common cold symptoms like a runny nose or headaches or stuffyness, it is literally the sore throat, my glands arent up i should add.
it sounds like your anxiety is getting out of control.
it is sir
because you were wearing a condom.
which protects against HIV spread.
but i cant help it, i know i used a condom but it may have ripped, and i wasn't fully erect
i should add, they found strep (mouth) and anaerobes in my ureathra and ive been given metronidazole for 10 days
it wouldn't have ripped.
you would have seen this.
this is your anxiety getting the better of you
can anxiety excasserbate a sore throat?
anxiety can worsen stomach acid production and acid reflux
really...that is reassuring
which can cause sore throat.
what does that mean?
sorry, i know im anxious..
what is this acid reflux?
that is when stomach acid comes up and burns your throat.
I don't feel acid coming up and burning my thrroat.....and there isn't much redness.
you are very helpful by the way
what is your view on the timing of my sore throat, would that be usual for primary infection of hiv to show as this?
you can always have HIV DNA PCR testing now, but i bet your testing will be negative.
we don't use symptoms to tell if a patient has HIV. this is much to unreliable.
we use blood testing to tell for sure.
why are you so sure negative though, i know i used a condom but if it split and i didn't notice? Im a complete moron sir, i'll never do it again. i need to lead a better life.
because HIV transmission is actually a very hard thing to do and is not very common.
HIV is not like the cold virus which spreads very easily.
HIV is actually very hard to spread.
you need blood to blood contact to spread HIV.
sorry i know you know what you are talking about
like from HIV drug use from a contaminated needle. or unprotected anal sex
not through the soft tissue of the penis or the ureathra?
you need blood contaminated by HIV to come into contact with the urethra
actual blood or can this be via vaginal fluids? last question...i think you can tell im paranoid and suffering with anxiety about this...its really upsetting but i brought it on myself
you will continue to worry about this until you get HIV testing
or until you get treatment for your excessive anxiety
vaginal fluids has less HIV than blood.
unprotected vaginal sex with an HIV positive woman has about a 5-10 out of 10,000 chance of contracting HIV.
you can see here
thanks for the reassurance
re: acid reflux, i dont feel heartburn symptoms so i don't think its that
i'll get tested and the results come in on friday
i will let you know the outcome
thank you for the advice
you are welcome
let me know if you have other questions.
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just about the anxiety and the sore throat really...
you can always reach me as Dr. David if you have other questions.
i'll rate excellent
thanks for using JustAnswer.com
anxiety and the link to sore throat??
like i say, i don't have any other symptoms like a sore throat etc
you could have developed a viral tonsillitis like your doctor thought.
if you don't have any acid reflux.