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Avatar universal

ANXIETY!!

Hello Doctor,

I really don't understand why you said you wouldn't answer any more questions from me. I was direct & to the point and relatively brief with my concerns. So I apologize for evidently aggravating you. So please be patient with me as I am suffering from extreme anxiety and will probably be committed to an insane asylum before I get tested at the 90 day mark.

As my original thread stated, I am a strictly hetero-sexual male that had unprotected sex with a virtual stranger(woman). 10 days afterwards I developed a deep dark rash on each of my upper thighs(groin area) as well as red blotches on my forearms which disappeared in 2-3days. Now 26 days after my intitial contact with this woman, the only thing that remains is what appears to be heat bumps on my thighs and to a smaller degree on my inner forearms where the rash was.

I have read so much on the net, and from my understanding that a rash will generally appear on the torso or trunk area of a person? Is that correct? I haven't had any rash appear on my torso(trunk area).

I have suffered other symptoms of primary HIV, but only after I discovered this rash which sent me into a downward spiral.

I have experienced night sweats, but have also had those in the past in my lifetime and have tested negative annually as well as testing negative (only 12 days) after this exposure which I am sure was too fast.

I don't expect you to analyze me over the net, but again give your opinion based on what I have told you.

So my final questions are:

1. Will the rash normally appear on the torso during Primary HIV infection, or is it indiscriminate about where it may show up?  

2. I tested at only the 12day mark. With the rash subsiding, what are my chances that a negative HIV result is assuring?

3. Are there any other STD's that could explain my episodes? I have had no burning sensation from the uretha or any other genital sores, blisters, etc of any kind. Should this make me feel better about not contacting the HIV virus?

4. Are heat bumps(in resemblence) residing after a rash normal or indicative of Primary HIV infection?

5. Could HIV be transmitted through kissing if the HIV infected person had bleeding gums. (I don't know if she did, but just a question) and if so, what are the odds of it being transmitted?

And finally give me your general opinion in my case.

Thank you for your patience and understanding


6 Responses
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239123 tn?1267647614
MEDICAL PROFESSIONAL
I didn't continue to respond on your earlier thread because I had provided clear responses, informed you that my opinion was firm that you don't have HIV, that I couldn't help further, and that any further advice should come from a health care provider.  You seemed resistant to my advice. That's fine, but in that case it is clear I'm not the resource you need.  An online doc can't diagnose anything, and is not an appropriate source to go for emotional support; I do not accept that role or responsibility.

The bottom line is that the only way for you to manage these issues is to see a health care provider in person.

1) Neither your groin rash nor a "heat bumps" rash sounds like the skin rash seen with primary HIV infection.  Because of that, and because the exposure you described was low risk, it is unlikely you have HIV.  But the only way to be sure is to be tested.

2) 12 days is too soon to rely on an HIV antibody test result; most people with HIV do not yet have a positive result at 12 days.  But you're now at 28 days and a test will be more reliable.

3) Syphilis can cause skin rashes that can appear as red bumps.  However, that is a sign of the secondary stage of syphilis, which appears from 2 months to a year after infection.  If you have syphilis, which sounds very unlikely, you didn't catch it durin the encounter you described in your previous thread.  Your symptoms don't sound like any other STD.  

4) I can't tell from your description what is causing the red bumps or whether what you have is normal.  As I said above, it doesn't sound like HIV.

5) As far as is known, HIV has never been transmitted by kissing, with or without bleeding gums.  "Could" it occur?  Perhaps.  Does it occur with any measurable frequency?  No.

My general opinion is that it is unlikely you have HIV or any other STD, and that the exposure you describe was unlikely to result in any STD or HIV.  But because HIV is what is on your mind, you should have a final HIV test at least 6 weeks after your exposure.  And see a health care provider about your rash.

HHH, MD
Helpful - 0
Avatar universal
Kissing - maybe like 1 in 1,000,000,000,000. aka 0
Helpful - 0
97676 tn?1340405373
Rashes can be caused by a number of things, so dont jump to conclusions.  I know first hand how health anxiety can affect your life.  I suffer from a chronic anxiety condition and I actually take medication for it.

If I was you, I would get another test now, even though you are only in the 3-4 week mark.  But it will be somewhat reassuring to know the results.  I have read on here, as well as heard from two GP's that most, if not all modern hiv tests will be near if not on the 100%, (99.997& dont quote me), mark at 40-45 days.  The thing is newer tests are highly sensitive and accurate.  Thank the lord for science.  Most doctors and GP's will tell you 3-6 months to protect their asses.  But HHH MD's word can be trusted as he is a professional in the practice of medical science and STD's.  He is one of the best.  

Like I said, it wont hurt to get tested again.  Then, after you get this result, go again at 40-50 days and again at 90.  I know that is a bit much, but it is the only way to ease your anxiety.  There are many people in your boat so you are not alone.

As for the anxiety, I would talk to your GP and ask for treatments available for it.  I am on Lexapro which has helped me drastically.
Helpful - 0
Avatar universal
I just want to second what Ryn said. See a doc about your rash and other symptoms, find something to distract yourself, and get tested at 6 weeks and then 12 weeks. The only way to get thru an HIV scare is to follow through with the testing window guidelines, but do so in a sane and non-neurotic way. Forget trying to pinpoint symptoms and match them to early HIV symptoms, it's so inexact you might as well use a Ouija board. The test is the only thing that works.

J
Helpful - 0
Avatar universal
I have one final question.

I noticed a tiny circular abrasion on my penis head (pinker than the rest) after pulling out. No blood or open sore and no scarring since. Could this have been an entry point for the virus?
Helpful - 0
239123 tn?1267647614
MEDICAL PROFESSIONAL
I doubt it.

HHH, MD
Helpful - 0

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