Asked for Male | 23 Years
Could My Symptoms Indicate HIV After Recent Sexual Encounter?
Patient's Query
What are the chances that I could have HIV here. I am male and had sex with a woman around a month ago. Halfway through the condom slipped off and I only noticed two minutes after. She assured me she has only slept with one other person but I am not sure if she knows the other person’s health status. I also had some of her vaginal secretions on my finger and forgot that I had yet to wash my hands after and picked my nose, which was a little crusted over because I had a bit of a bloody nose from earlier in the day. The next day she told me that she felt like she had the flu but I felt fine, but the day after that I felt a bit fatigued. The fatigue got better but did not completely wear off after three days, but by then I was on vacation so I drank alcohol for 4 days straight. After those 4 days, I fully felt like I had the flu. I did not feel like I had a fever but I was coughing heavily, my body was really achey, and l had a sore throat. This got better after 4 days, and I suspect I passed this flu onto two of my friends. I say suspect because I am not sure if these are acute symptoms vs the actual flu. The following two weeks after most of my symptoms were gone I felt better but would get random pangs of fatigue occasionally that would be gone after a couple of hours. Additionally, I may have never noticed this before but I could palpate my submandibular glands (which I am not sure if this has always been the case and I just have not noticed), but they don’t feel swollen and feel very normal. I have no swollen lymph nodes I think, but my tongue has become slightly more white than usual, and I had a tiny ulcer on it. This occurred around 2 weeks after recovering from the flu. I don’t think it’s oral thrush because I can’t wipe it off and it doesn’t hurt at all, and it sort of just looks like all my other friends’ tongues, but nonetheless I think it is a bit whiter than usual. I started scraping at my tongue with my nails here and there and could see some white residue occasionally, and I think I have some lie bumps on the tip of my tongue that developed 3 weeks after I recovered from the flu. Last thing is, I have been drinking pretty heavily during the weekends for a while. The only three symptoms I still see now is a slightly whiter than usual tongue that gets a bit better when I exercise or brush my tongue, the new lie bumps, and palpable yet not swollen submandibular glands. What are the chances these are actual acute symptoms vs me just being paranoid (I will be testing myself in the following week - have been waiting so that the test results will be accurate)
Answered by Dr. Madhu Sudan
Considering the chance of getting HIV from having unprotected sex is important. For instance, the symptoms such as tiredness, flulike symptoms, white coated tongue as well as lie bumps which you explained could mean several things and not necessarily that someone has been infected with this virus. It’s good that you intend to go for testing; that way one can never be too sure unless they get checked for it.

Sexologist
Questions & Answers on "Sexology Treatment" (458)
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