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More on HIV symptoms

stop aids signI previously wrote an article on early HIV symptoms.

I am still receiving a lot of questions with regards to HIV symptoms so I am writing another article to provide more details.

What is HIV ARS?

When people talk about ‘HIV symptoms’ they are generally referring to the symptoms that appear soon (2 to 6 weeks) after a person is infected with HIV (as opposed to late AIDS symptoms which take years to develop).

These symptoms are a result of the body mounting an immune response to the HIV infection, NOT due to the infection itself. That is why you find similar or identical symptoms with other infections.

It is also commonly known as Acute-Retroviral Syndrome (ARS, ARVS), acute primary HIV illness, acute HIV syndrome and Acute Sero-Conversion Syndrome.

HIV Symptoms are due to the immune system responding to the virus that is why many other infections can cause the same symptoms.

What are the early symptoms of HIV infection?

Because the whole body is reacting to fight off the virus, it is not surprising to find a variety symptoms affecting all bodily systems.

General – Fever, Sweats, Lethargy, Malaise, swollen lymph nodes, weight loss

Skin – Rash, ulcers , Sore throat

Digestive – Nausea, Diarrhea, Loss of Appetite

Neurological – Headache

Musculo-Skeletal – Muscle aches, Joint aches

Not everyone will develop all these symptoms. These symptoms can develop in varying combinations.  The most common symptoms are fever, sore throat, rash and swollen lymph nodes.

Only 40% to 70% of people infected with HIV will develop ARS symptoms

Who gets HIV ARS symptoms?

It is estimated that between 50% to 90% (some say 40% to 70%) of people who have been infected with HIV will develop HIV ARS. There is no way to predict who will develop ARS and who will not.

When do HIV symptoms appear and how long do they last?

HIV symptoms can appear anytime between 2 weeks and 6 weeks after infection. Most people who do develop the symptoms do so at 3 weeks.

Symptoms generally last for at least 2 weeks but have been known to last up to 10 weeks.

‘Flu-like’ is not ‘Cold-like’

HIV ARS symptoms are often described as ‘Flu-Like’. Many people think having a Flu is similar to having a Cold and this has led to a lot of confusion.

Many patients see me for minor cold symptoms such as running nose, sore throat or a mild cough and are worried to death about HIV.  These are Cold symptoms, they are not Flu symptoms.

For those of you who have had the Flu before, you will know what I am talking about. With a Flu, you will be very sick. The fever is high and persistent, the bodyache is very bad and you literally cannot get out of bed.

To be more precise, ARS is also described as mononucleosis-like symptoms.

The HIV ARS Rash

This is a great source of worry for many people I see. I have seen people coming in with literally one tiny red dot on their forearm convinced that it was a HIV rash. It is not.

The HIV rash usually comes on 2 to 3 days after the onset of the fever and lasts for at least 2 weeks. It is a Morbiliform (looks like measles) Exanthem rash consisting of macules and papules up to 1cm in diameter which are pink to red in colour. Each lesion remains discrete and do not become confluent. It is widespread and always (100%) involves the upper thorax and collar region also commonly (60% to 40%) affects the face, arms, scalp, thighs and palms in descending order of frequency.

Basically, the rash is BAD. Your friends and colleagues are going to take one look at you and ask ‘Hey why do you have a rash? Go see a doctor’.  If you have to hunt for individual spots or patches randomly on your skin, it is not a HIV rash.

The HIV ARS Rash looks like Measles

The HIV ARS Fever

Where do I start? I have patients measuring their temperatures hourly and freaking out when it hits 37.1⁰C because they read somewhere that ‘normal body temperature’ is 36.9⁰C and therefore they have a fever and therefore they have HIV. That is paranoia.

The HIV ARS Fever is high, usually above 38.5⁰C when taken from the ear.  The HIV ARS Fever is long, usually lasting for at least 2 weeks most of the time longer. It is usually associated with other symptoms such as lethargy, malaise, muscle aches and joint aches.

The HIV ARS Lymph Nodes

This is another great source of worry. I have seen patients who cannot stop rubbing their necks feeling for lymph nodes and melting into a panic state whenever they feel a lump that they have not felt before.

First of all, you can feel normal non-enlarged lymph nodes especially in thin people. So being able to palpate a lymph node does NOT mean it is enlarged.

Enlarged lymph nodes are about 1cm in diameter. In HIV ARS, there are usually many of such lymph nodes in the neck, groin and underarms. They are usually tender (i.e. painful to touch).

The HIV ARS Sore Throat and Mouth Ulcers

The sore throat associated with HIV ARS is bad. It is not a little discomfort in the throat or the sensation of having to clear your throat. It is painful. If you ever had Strep Throat before, it feels like that.

It is commonly described as an exudative tonsillitis. In other words, you will be able to see white or yellow pus-like substance on the tonsils. The tonsils themselves will be red and swollen. About 20% of the time, there are also ulcers round to oval in shape, 5mm to 10mm in diameter with a white base and red halo on the inside gums, tonsils or roof of the mouth.

Anxiety can frequently cause the muscles around the throat to tighten leading to some throat discomfort. This is NOT HIV.

What other diseases have the same symptoms as HIV ARS?

First of all, the Flu. And by that I mean an Influenza infection, not a cold. See above for details.

HIV ARS symptoms also mimic the symptoms of infectious mononucleosis very closely (also known as Mono or Glandular Fever). HIV ARS symptoms can also be mistaken for an acute Hepatitis A or B infection, Parvovirus infection, Cytomegalovirus infection and Toxoplasmosis. It can even be mistaken for Rubella (German Measles).

Take  home message: Do not assume and do not self-diagnose based on symptoms. Go get tested.

Click here for HIV Testing FAQ

Conclusion

The only way to know for sure if you are infected with HIV or not is to get tested. Until that is done, try not to worry about your symptoms.

If you have to worry, then worry if you fulfil the following criteria:

  1. You have had a high risk exposure 2 to 6 weeks ago
  2. You have a fever above 38.5⁰C that just does not go away
  3. You have multiple small red spots covering your face, neck and upper chest
  4. You have a really bad sore throat with ulcers in your mouth
  5. You have been diagnosed with another STD like Gonorrhea or Chlamydia
Click here to learn about other factors that increase HIV risk

If you had a high risk exposure to HIV within the past 72 hours, you can take medicines to reduce your risk of actually contracting HIV. Find out more on HIV PEP Treatment.

Click here for info on PEP Treatment at Our Clinic

Remember, you are not doing yourself any good by hunting for symptoms. Take a deep breath, calm down and focus on getting the HIV tests done.

Click here for Info on STD Symptoms in Men
Click here for Info on STD Symptoms in Women
Click here to see the full range of our HIV/STD Services

 

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About Dr. Tan
Dr. Tan graduated from the National University of Singapore in 2001. His residency was in the two largest public hospitals in Singapore; Tan Tock Seng Hospital and Singapore General Hospital.

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2,468 Comments

  1. Hey Doctor, Please get back to mee…

    I have just been suffering from anxiety that I might have HIV. I had unprotected sex that lasted less than a minute with a girl whose status is unknown. A week and a half later I got tested and found out I had Chlamydia (Certain it came from this exposure), got an injection shot, 4 pills in front of the doctor and doxy for 18 days. Did an Elisa test too but HIV came back negative. I suffered worse anxiety thereafter fearing that I might have HIV, lost a few pounds. And oral thrush. Even had little red dots, I believe it’s called Petechiae, popping out at random places. Never at clusters. So 6 weeks and 3 days later after exposure, I got a 4th generation HIV test which came back as negative/ nonreactive. How certain can I be that I do not have HIV now? Still afraid.

    • I would consider your HIV test results conclusive. If anxiety is the issue, then you should see a psychiatrist.

  2. noreen sax

    Hello doctor,
    I had a non-sexual exposure question. Can someone get hiv from a surface material? A man came to repair something in my house and he handed me a plastic nob and it slightly pierced my skin on the finger. He, of course, had touched it a seconds before. I did not see any blood. Next day I got flu-like symptoms. 6 days later I have a horribly itchy rash and stomach problems. Diarrhea and bloating. Can this from HIV infection? Thanks for any help. I also a did a 4th generation rapid test, two weeks later, and it negative, and now real 4th genration blood test on the 26th day day. Awaiting results. Am I in danger?

  3. Hello I did read the whole article and it did kind of make me feel a bit better. I just am worried about a few questions I have. Is the rash really bad with early HIV just like it was explained in this website. I recently had a red flat rash were my chest area was at like the collar area but no bumps just literally flat red. I am unsure if maybe it is allergy related since I sneez sometimes. Anyway my doctor took only a HIV 1 & 2 antibody test at 7 weeks after I had intercourse with my ex. I do not know his HIV status only his other STDs which he had tested for which were negative. I asked him about his HIV test he said he thought they did it but I feel like what of that was a lie he. What of he didn’t think they did he knew they didn’t and maybe didn’t want to tell me about his HIV status that is what has mee worried. Six weeks after I had intercourse I began to get chills and a sore throat. I went to the doctor and the doctor saw that my throat was getting read like I was getting sick. It wasn’t a severe sore throat as explained in this website about HIV. It just hurt and felt uncomfortable like when you start coming down with something. Anyway I took antibiotics for a bit since the side affects were affecting me so my doctor had me stop the meds. I did get better from my sore throat though it didn’t last long. After that on the 7th week it was only an HIV antibody test. Which came back negative. I felt relived till I started getting a rash on the 8th week on my chest neck area it is only red and flat with no bumps. I do sneeze sometimes not a lot. Anyway I am unsure if the HIV test is reliable I an unsure if I should of just waited for three months instead. And also unprotected intercourse didn’t last long though it was only about two min because i then told him to put protection. Even then I am still scared. Should I just go back and take a retest at three months so around 12 weeks? And as for the symptoms could it have been just me being sick not like early hiv sick just the rash put me at a worry

    • Dr. Julian Ng

      Hi,

      If the HIV test you did was only testing for antibodies, then my suggestion would be to retest 3 months after exposure. If the test you did was a 4th generation HIV test which tests for both Ag and Ab then the results would be considered as conclusive.

      • noreen sax

        Hello doctor,
        I had a non-sexual exposure question. Can someone get hiv from a surface material? A man came to repair something in my house and he handed me a plastic nob and it slightly pierced my skin on the finger. He, of course, had touched it a seconds before. I did not see any blood. Next day I got flu-like symptoms. 6 days later I have a horribly itchy rash and stomach problems. Diarrhea and bloating. Can this from HIV infection? Thanks for any help. I also a did a 4th generation rapid test, two weeks later, and it negative, and now real 4th genration blood test on the 26th day day. Awaiting results. Am I in danger?

  4. I had unprotected sex with sex worker and I took PEP within 48 hrs.I have tested many times in the time of 90.148 days with the method of eclia ag/ab negative.But on the day 151 I get hiv testing (ab) resulting in response.Then 1 week I go to the hospital and do 2 elisa test (ag/ab) and eclia (ag/ab) the result was no response. The same day I also do 1 load the amount of hiv virus rna that results is a 20/cps < ml.Now I'm at 240 days after exposure I've done 2 eclia testing (ag/ab) and rapid hiv (ab) both are negative.I have more ars in the days past. now the red spot and several lymph nodes on my neck it's killing me every day. I also have HsBAg Anti HCV negative test negative at the time of 180 days after exposure
    My question is
    1. My tests in the time of 240 days haveconcluded? Hiv testing (ab) fastresponse there is like?
    2. My symptoms were due to ARS hiv and I still have to worry?
    3. Have 8 months I do not know where is the end. Each day it's killing me. What should I do next to know I have hiv-infected or not
    Sorry my English is not good but the doctor please help me!

    • Your tests are conclusive. No HIV. Move on with your life.

      • am very worried because gaining experience quickly in time of 151 after exposure is positive. And more than half are lymph nodes on my neck. PEP have serum conversion delays do not doctor I too worried about this

        • The Dr. Please help me because I do notknow the quick tests in 151 days afterthe time of exposure is positive as tohow . In addition many lymph nodes on theneck of the I do I am very worried

  5. Hi Doctor Tan,

    Is it possible to be tested at 30d with a 4th gen test and have a false negative ?

    Thank you.

  6. Hello
    I went to a massage parlour on april 28 . It was a regular massage but she offered a happy ending . It ended with a handjob only. Nothing else. No blowjob or penetrative sex. She was completely clothed.
    Iv been extremely stressed out since this event. Havent been able to sleep or work properly.
    I2 days after the event iv developed a cold sore on my upper lip. Iv had cold sores before also in the previous year . Are cold sores a symptom of ARS ?

    Very worried

    • Cold sores are a symptom of herpes. Your exposure risk for HIV transmission is zero. If you are still concerned, please visit us for a proper consult and evaluation.

  7. Hai doctor,

    I had done ECLIA (4th Generation) test after 3 months of possible exposure & ELISA test after 7 months all are showing nonreactive (negative). But still from last 4 months I am having tingling,numbness, and burning like sensation through out the body. Now am loosing my hairs from my legs too.
    Got too much worried.
    My worry is all about my girlfriend. If am infected, probablity for getting infection from me to her is high.
    Please help me to get a conclusion.
    Is there any probability for changing 7 month negative result to positive?
    Should I consider my 7 month result as a conclusive?
    If can conclude my test result as negative, what is the reason for this symptom? (Note: these symptoms start 3 week after my possible exposure. Along these symptoms, I had flue, dry cough and sore through tooo (Which gone 2 week after).

    Thanks for your valuable supports.

    Anticipating for u r reply.

  8. Hai doctor,

    I had done ECLIA (4th Generation) test after 3 months of possible exposure & ELISA test after 7 months all are showing nonreactive (negative). But still from last 4 months I am having tingling,numbness, and burning like sensation through out the body. Now am loosing my hairs from my legs too.
    Got too much worried.
    My worry is all about my girlfriend. If am infected, probablity for getting infection from me to her is high.
    Please help me to get a conclusion.
    Is there any probability for changing 7 month negative result to positive?
    Should I consider my 7 month result as a conclusive?
    If can conclude my test result as negative, what is the reason for this symptom? (Note: these symptoms start 3 week after my possible exposure. Along these symptoms, I had flue, dry cough and sore through tooo (Which gone 2 week after).

    Thanks for your valuable supports.

    Anticipating for u r reply.

    • Dr. Julian Ng

      Hi,

      I would consider your results as conclusive. As for your symptoms, they may be unrelated to HIV. Please see your doctor for further evaluation.

      • 1. Is there any know case regarding 6 month negative result change to positive after 6 months?

        2. If infection happen will it present in all part of our body. Because for testing we are taking blood from a perticular part of our body (just a query)

        3. My doctor is refusing to consult me. He is telling that this all pain are only because my anxiety against HIV. But I know how much am suffering from pain.
        I read in some block that this all pain are due to neuropathic disorder and which are very common in HIV paitients.
        Is there any chance for neuropothical disorder at 7 month of exposure or at advanced stage?
        My girlfriend is forcing me to get marry. If I get status of my HIV, I can make some decision. Still if I have any risk, I don’t want to spoil her life tooo.
        I know what I done was not suppose to do & I regret for that. I hope u can give me a better advice.

        Thanks again for ur usual support.

        • Dr. Julian Ng

          Hi,

          It is generally considered that if HIV test was repeated 6 months post-exposure and it is still negative it is highly UNLIKELY that you are infected with HIV. If you are infected with HIV, it would be detectable in your blood regardless of where you take the blood from. In terms of your symptoms, as I mentioned, please seek further evaluation with a doctor as they are UNLIKELY to be related to HIV. You may also want to consider if the symptoms you experience may be due to your anxiety and may benefit from seeing a psychologist/ psychiatrist to help you manage it.

  9. Hello doc. Today is the 6th day. I didnt have sex just a handjob and massage. Im however worried about body fluids on the bed i was lying on.

    Im down with a slight fever, sore throat and muscle aches.

    If it helps, i was exposed to the rain during the weekend.

    Hope you can help me.

    Don

  10. Horea c.

    Hy, had sex with a sex worker with condom. At the end she took it of and i penetrated her 2 times ..max 2 seconds.
    At day 38 i took a ROCH 4th gen ECLIA method test at best lab in country. It was neg. Should i still be worried? I can t sleep for days.

    • Dr. Julian Ng

      Hi,

      Your results is reassuring. However, in view of the risk, you may want to consider retesting 3 months post-exposure.

      • Horea c.

        Why in some cases you say after 28 day 4th gen test is conclusive and in some you say retest at 3 months? Cause of the guidelines?

        Thank you

  11. Last exposure was end of January and 30th March 2018.

    Did a finger prick 4th gen test in February and a full test for hiv on 10th March.

    Protected sex but oral was unprotected.

    When should I get tested again? I’m worried as my flu symptoms persisted since 21st of March.

  12. hiv from insti kit

    Hi Doctor ,

    Thanks for your work , Please help me as i am feeling stressed now a days , i went for hiv test in one of the private labs in india and they have used tridot test for testing and it is negative , they have given the kit to me , unfortunately i have touched the innermembrane kit and i have small cuts in my finger , and i have touched my nose mucous membrane inside , will it pose a potential risk for hiv infection , this incident happened in november 22 2017 almost 5 months now , do i require hiv testing , please help me sir i am worried about this .

    • Dr. Julian Ng

      Hi,

      Tridot HIV test is considered a 3rd Generation test and thus if the test was performed within 3 months of exposure, then you will need to repeat the test after 3 months. Touching the test kit after use will not expose you to HIV transmission as it is your own blood.

  13. Protected viginal sex with CSW. Tested positive for Chlamydia. Sore throat for one month since 3rd week post exposure, rash skin (redness throughout entire body,blanching rash, itching) since 3weeks until now (4months), several neck nodes swollen. Tested with Abbott Architect Combo at 3rd, 7th, 8th, 9th, 11th, and 15th weeks post exposure. Is the test results conclusive? I still have rash skin and enlarged node as of now (17th weeks?

    • Dr. Julian Ng

      Hi,

      Your HIV results are conclusive. Please visit a doctor for further evaluation of your symptoms as they may be due to other medical conditions.

  14. Good evening I have posted here before extremely worried and confused. Had two supposed different exposures from two different individuals. One on September 19,2017 and one on November 23,2017. Had a 4th generation hiv lab test December 13,2017 non reactive. Jan 12,2018 did an rna tma not detected. Jan 21,2018 did an antibody test. February 10 did a 4th generation hiv lab test with an rna which both were non reactive and not detected. Took a few alere determination rapid hiv test the whole month of March and on April 4 took a rapid oraquick hiv test all negative. Have still loose stool since December, weight loss, and sore throat. Tested again 2 days ago 4th generation hiv lab test waiting on those but really scared. Are my test conclusive did I test pass the window period for both exposures? Is it something else? Someone please help me don’t know anything anymore

    • Dr. Julian Ng

      Hi,

      Your results are conclusive for both exposures. Please see a doctor for your symptoms as they may be due to other medical issues.

  15. Syed Ali

    Dear Doctors,
    I have an HIV exposure 3 weeks ago, It was a protected vaginal sex
    and since last week i am feeling body pains and intermitted fever of 99.5 degree F in oral, fever comes in evening arround 6 pm and becomes normal at 11 pm. I am having lack of appetite,fatigue, a single allergy bump like insect bite on my collar bone it feels itchy if i touch it and a groin boil (after having my groin shaved). no lymphedenopathy, no night sweats, no sore throat, no cough. please tell me whether these are ARS symptoms. i am waiting for my 28 days for my first 4th test.

  16. somen singha

    This is somen from Bangladesh.I have made 3
    stupid mistakes in my life and I am paying
    heavily for this Episode. #1 october 29,2014 I
    had protected vaginal sex with a female csw.I
    also french kissed her.Later found the girl HIV
    +.After 5 weeks I experienced severe flue type
    illness.Swollen lymph nodes under jaw and
    neck,loose stool,hedeach,severe muscle and
    joint pain,rash on both arm. I have tested after 3
    months with 3rd generation rapid test,after 5
    months with 3rd generation elisa, after 6.5
    months with 3rd generation rapid test.All are
    negative. Episode 2# July 16 2017 I had
    protected oral and protected vaginal sex with a
    female csw.Don’t know why? Vaginal part only
    lasted 10-15 seconds.The girl seemed a
    consistent condom user.No real symptom aftee
    1-4 weeks. Episode 3 # October 17 2017 I had
    protected vaginal sex with a csw.She offered
    me to have sex without a condom for extra
    charge.But she assured me she gets tested
    every month. Now you are thinking what’s the
    real problem…Actually I’m experiencing the
    symptom of overt aids.Loosing
    weight,fatigue,dizziness,swollen lymph
    nodes,loose stool,stomach upset,nail
    fungus,clubbing nail are making my life
    hell.From 2-3 days I’m experiencing
    dementia.My HIV doctor suggests me to see a
    psychriatist.He says it is inpossible to develop
    aids due to first exposure because all of my ab
    tests are negative and it is very unlikely to
    develop aids in a very short time after second
    and third exposure… I don’t know what to do? I
    cry and pray to God.Ive ruined my life.I haven’t been tested for 2nd and 3rd exposure.

  17. Ts escort insert the condom by her mouth and did oral sex with her mouth around 3 minutes. Is that activity has hiv risk?

    • Dr. Julian Ng

      Hi,

      Assuming I understand you correctly, if you wore protection when the escort gave you oral sex, the risk of HIV transmission is extremely low. Please visit a doctor for evaluation if you are still concerned.

  18. Rickey Jackson

    Hi Doc. Please help me!!!

    I had a brief encounter with this guy. We kissed for 2-3 minutes. Then I gave him a hand job and he sucked my nipples. He also gave me a blowjob but I didn’t. Then he touched the tip of his penis with my anal opening. There was little to no penetration. He was just touching his penis with my anal opening.

    Could you tell my odds of having HIV? Please reply fast as I am scared to death!

    Thank You so much for your time! 🙂

  19. Hello Doctor,

    Thanks for the voluntary work you do. I had what appeared to be protected receptive anal sex in a high risk situation (although status us not known) but he didnt check the condom when he took it off and threw it away and I didnt see it.

    5 days after it I had scratchy throat. 2 weeks now into it it added swollen glands under my ears (u cant see them unless you stretch out but ENT confirmed they were swollen). i did mention the event and he said he thinks its acute pharyngitis and sent me antibiotics.

    Feel warmer but am going through a lot of anxiety over this but no confirmed fever. saying at the 36.5 C level.

    I know I just need to wait but it doesnt make it easier. your posts (hard sore throat, significant fevel, generalized lymph node issues, etc) makes it comforting but keep wondering what if.

    tks

  20. franklino

    please help me guys with this situation , yesterday i was waiting in bus station , and some homeless guy carried a bag in his hand ( a plastic one ) he passed behind me so the bag touched my ( back of the knee area ) i felt poked when it happened when i came home i searched the area and i found a red dot it was not bleeding but it was itchy and reddish i put some water and soup but it still hurting and itching till now i am so afraid if the bag contained a syringe and the needle went out of the bag and poked me when the bag touched me what if the needle got HIV + blood, am so worried , god , please help me guys what should i do right now do i need to get PEP and get myself testing???!

    • It is difficult for us to determine if there was a needlestick injury, but if there was, the risk of HIV transmission is approximately 1:300. If you are concerned, it is best to speak to a doctor for a proper assessment and consult.

  21. Hi, my question is about Syphilis. I had intercourse on last year March with a prostitute, few weeks later I had genital ulcer and i tested negative for VDRL, HSV 1 & HSV 2 and HIV at 7 month after the exposure. today I’m having a solitary genital ulcer again? is this syphilis? I tested positive for EBV, can EBV cause solitary ulcer on penis?

    • It is difficult to say without a proper evaluation ourselves. There may be other possible causes of ulcers. Please visit us for a proper consult and assessment.

  22. Johnnybravo

    Dear Doctors,

    I had a recent exposure of a protected blowjob (with condom). During the session, I had some frenching with the escort for probably 30 seconds or so and also sucked on her nipples for awhile. Does that put me at risk for HIV? Appreciate your advice and knowledge. Thank you!

    • Dr. Julian Ng

      Hi,

      Oral sex carries a very low risk of HIV transmission while the rest of the the activities you describe carries virtually no risk. If you are still concern, please see a doctor for further evaluation.

      • Johnnybravo

        Dear doctor Julian,

        Thanks for the prompt response! However, if the oral sex was done with a condom and there was no breakage of condom, does it still possess a risk?

        Thank you!

        • Dr. Julian Ng

          Hi,

          If you are 100% sure that there is no breakage in the condom, in theory there is no risk.

          • Johnnybravo

            Dear doctor,

            nothing was leaking from the condom after ejaculation thus I assume there isn’t any breakage. I hope this is the case.

  23. issaqleo

    would i feel anything if i sat on a needle , cause i have feel that i sat on a needle that had been placed there intentionally but i didn’t felt poked or something

    • How do you “have a feeling” that you sat on a needle but “didn’t feel anything”? I would assume you would feel something, unless you had a problem with your sensory nerves. If you are concerned, please see a doctor or visit us for a consult and test.

  24. somen singha

    This is somen from Bangladesh.I have made 3 stupid mistakes in my life and I am paying heavily for this Episode. #1 october 29,2014 I had protected vaginal sex with a female csw.I also french kissed her.Later found the girl HIV+.After 5 weeks I experienced severe flue type illness.Swollen lymph nodes under jaw and neck,loose stool,hedeach,severe muscle and joint pain,rash on both arm. I have tested after 3 months with 3rd generation rapid test,after 5 months with 3rd generation elisa, after 6.5 months with 3rd generation rapid test.All are negative. Episode 2# July 16 2017 I had protected oral and protected vaginal sex with a female csw.Don’t know why? Vaginal part only lasted 10-15 seconds.The girl seemed a consistent condom user.No real symptom aftee 1-4 weeks. Episode 3 # October 17 2017 I had protected vaginal sex with a csw.She offered me to have sex without a condom for extra charge.But she assured me she gets tested every month. Now you are thinking what’s the real problem…Actually I’m experiencing the symptom of overt aids.Loosing weight,fatigue,dizziness,swollen lymph nodes,loose stool,stomach upset,nail fungus,clubbing nail are making my life hell.My doctor who is the best HIV doctor of my country suggests me to see a psychriatist.He says it is inpossible to develop aids due to first exposure because all of my ab tests are negative and it is very unlikely to develop aids in a very short time after second and third exposure… I don’t know what to do? I cry and pray to God.Ive ruined my life. I haven’t tested for the 2nd and 3rd exposure.

  25. Hi Doctor,
    I had an episode of unprotected insertive anal sex with a CSW of unknown status. I was put on PEP (truvada and raltegravir) within 3 hours of exposure. At week 3 I developed enlarged lymph nodes in my neck area. As far as I can tell this is the only symptom I have. Could ARS lymph nodes be localized to one area of the body without the presence of other symptoms? Is this suggestive of HIV?
    Thank you in advance

  26. Somen Singha

    This is somen from Bangladesh.I have made 3 stupid mistakes in my life and I am paying heavily for this Episode. #1 october 29,2014 I had protected vaginal sex with a female csw.I also french kissed her.Later found the girl HIV+.After 5 weeks I experienced severe flue type illness.Swollen lymph nodes under jaw and neck,loose stool,hedeach,severe muscle and joint pain,rash on both arm. I have tested after 3 months with 3rd generation rapid test,after 5 months with 3rd generation elisa, after 6.5 months with 3rd generation rapid test.All are negative. Episode 2# July 16 2017 I had protected oral and protected vaginal sex with a female csw.Don’t know why? Vaginal part only lasted 10-15 seconds.The girl seemed a consistent condom user.No real symptom aftee 1-4 weeks. Episode 3 # October 17 2018 I had protected vaginal sex with a csw.She offered me to have sex without a condom for extra charge.But she assured me she gets tested every month. Now you are thinking what’s the real problem…Actually I’m experiencing the symptom of overt aids.Loosing weight,fatigue,dizziness,swollen lymph nodes,loose stool,stomach upset,nail fungus,clubbing nail are making my life hell.My doctor who is the best HIV doctor of my country suggests me to see a psychriatist.He says it is inpossible to develop aids due to first exposure because all of my ab tests are negative and it is very unlikely to develop aids in a very short time after second and third exposure… I don’t know what to do? I cry and pray to God.Ive ruined my life I haven’t tested for the 2nd and 3rd exposure…

  27. Harry Potter

    I am using a fake name, but all I want to say is Thank You a million times for putting this information online.PLEASE READ THIS POST. I HAVE NO ONE TO TALK TO! 🙁

    I had an encounter with a man ~ 4 weeks ago. We kissed, he gave me a blowjob and he touched his penis with my hole. Thankfully, he did not penetrate as I stopped him.

    Exactly on the next day, my stomach became bad. I also had very small red pimples on the top of my shoulder ( 4-5 ). I won’t digest anything and would always vomit. But after a week, it resolved on its own. According to your info, this is probably not ARS as it appears after about 2 weeks and not immediately after infection!

    I have been very very very depressed from the last 3 weeks constantly thinking about HIV. Although I have no fever, no swollen lymph nodes, no muscle pain, no puss on my tonsils, my throat feels not exactly as it used to be ( no pain though ) still I just cannot stop thinking about HIV and it is interfering with my daily life. I am 18 years old and I have my finals going on. I JUST CANNOT CONCENTRATE. I HAVE MESSED WITH MY EXAMS! 🙁

    I am going to get an antibody test on 22 March, ( as they say that it will detect 95% of the infections after 5 weeks ). Is there a better test which detects HIV after ~ weeks? I have access to Rapid Test, Standard test, Early detection, Antigen test and antibody test! I have been saving money for the test, so need to worry about the cost of the test!

    AND THANK YOU SO VERY MUCH FOR PUTTING THESE SYMPTOMS ONLINE. YOU DONT KNOW HOW HELPFUL THESE ARE TO ME. MAY GOD BLESS YOU CLINIC SIR :)))

  28. elanglue

    i had sex with prostitute i used condom for both oral and vaginal and i also took 2 tablet of truvada for 2 days after exposure what are my chances of hiv infection?

    • Dr. Julian Ng

      Hi,

      The recommendation for post-exposure prophylaxis is to use 2 different anti-HIV medications for 28 days after exposure. In general, having protected vaginal/ oral sex has very low risk of transmission. If you are concerned you should seek further medical evaluation. If you like you may visit us at: http://www.drtanandpartners.com/where-to-find-us/

  29. Somen Singha

    This is somen from Bangladesh.I have made 3 stupid mistakes in my life and I am paying heavily for this Episode. #1 october 29,2014 I had protected vaginal sex with a female csw.I also french kissed her.Later found the girl HIV+.After 5 weeks I experienced severe flue type illness.Swollen lymph nodes under jaw and neck,loose stool,hedeach,severe muscle and joint pain,rash on both arm. I have tested after 3 months with 3rd generation rapid test,after 5 months with 3rd generation elisa, after 6.5 months with 3rd generation rapid test.All are negative. Episode 2# July 16 2017 I had protected oral and protected vaginal sex with a female csw.Don’t know why? Vaginal part only lasted 10-15 seconds.The girl seemed a consistent condom user.No real symptom aftee 1-4 weeks. Episode 3 # October 17 2017 I had protected vaginal sex with a csw.She offered me to have sex without a condom for extra charge.But she assured me she gets tested every month. Now you are thinking what’s the real problem…Actually I’m experiencing the symptom of overt aids.Loosing weight,fatigue,dizziness,swollen lymph nodes,loose stool,stomach upset,nail fungus,clubbing nail are making my life hell.My doctor who is the best HIV doctor of my country suggests me to see a psychriatist.He says it is inpossible to develop aids due to first exposure because all of my ab tests are negative and it is very unlikely to develop aids in a very short time after second and third exposure… I don’t know what to do? I cry and pray to God.Ive ruined my life

    • Somen Singha

      I haven’t tested for the second and third exposure

    • Somen Singha

      Doctor, please reply me. I haven’t tested for 2nd and 3rd exposure.

  30. hiv from cigratee

    Hi Doctor ,

    Please help me i went to buy a cigratee from a shop , i have noticed the blood stains on the tip of cigratee which we put in mouth after smoking cigratee at the end of the end of smoking i found blood on the cigratee , will is it a potential risk for hiv or hep-b and hep-c , Please help me sir .. i have seen visible blood on the cigratee , please help me sir .

    • I would not consider this to be a risk for transmission of hepatitis or HIV.

      • hiv from cigratee

        Thanks doctor , so no testing is required doctor for hiv and hep ? please sir reply anxiety is killing me .

  31. Hi doctor, I recently had unprotected anal sex.
    I experienced fever, sore throat, generalized weakness, and muscle aches 6 days post intercourse. The fever only lasted one day and the other symptoms were gone 4 days after. On this site it stated symptoms did not occurs until 2-6weeks post exposure and the fever usually persisted for at least a week. I will be getting tested one month after the intercourse date with a 4th generation test but until then I would be interested in your opinion.
    Thank you

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