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Environmental exposure

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3 Answers

I am male 40 yrs at India . I had protected sex but unprotected insertive fellatio ( 2 mins ) from a call girl . On the 11th day and 17th day after exposure went for both DNA PCR test and P24 antigen test and all the 4 tests turned out to be negative. Please appraise me about my current status and shud I consider the results to be conclusive . Please let me know wether I shud go for any more tests . If yes , which test and at what time frame . I somehow managed to avoid any sexual contacts with my wife. Looking forward to your kind reply and I am under lot of stress and guilt

Hi, That is true that it gives a conclusive result as told by the company,however since i have not seen many results by myself so i am not very confident since the test is not very old. You may get your test repeated now,just to get it confirmed and you may visit an internal medicine specialist and if you are so anxious you may also have hiv prophylaxis (if the doctor md medicine thinks it right for you). Don't worry as much as i have read about the test it is conclusive but since the test is ...

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1 Answer

i done my test p24 after 32 days past exposure it came negative what is its accurancy or should i wait for 3 months what is the conclusion please help i m very scared.

Hi, The latest test to be introduced in hiv testing is dna pcr test and is said to be of very high value and near conclusiive reports after 28 days of sex it can give you highly conclussive reports.This test i would recomend you to go. However inspite of this test p24 is a very important test and has great accuracy but would recomend you to get the above mentioned test done and you may however repeat p24 at 3 months,and elisa is another very important test which was previously the recomended t ...

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Sir, I had protected sex with a women / sex worker around 37 days back. She was having periods at that time, which I was not aware about. While removing the condom, a drop of blood came on my finger (My condom was not torn or damaged). After around 20 days, I developed a small genital wart on my pence. I immediately went to a dermatologist / STD specialist and told him the entire episode correctly. He told me that it was an HPV virus and the immune system of the body will eventually clear it with passage of time. For the wart I was advised to apply a topical cram "Imiquimod" every alternate day. I was also asked to get a VDRL test. My VDRL test came "Non Reactive" after 21 days of the exposure. However as I was extremely worried about the entire edisode, I decided to get the HIV test done today i.e. after 37 days of exposure. So I got an HIV 1/2 & P24 Combo Test done from . My report has come out to be "Index Value = 0.12" "Result= Non Reactive". My question is, in your opinion how reliable is this report?

Yes that's right - the antibodies can take up to 3 months, sometimes longer, to appear but the p24 antigen assay becomes positive much sooner after exposure. Still no test is fool proof and you should get retested in 8 weeks time - just the HIV 1/2 antibodies will be enough. This is just a precaution to be doubly sure - as it stands you are HIV negative based on your test results. And yes that is a standard laboratory. Regards. ...

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i am whaeatish in complexion but with continous sun exposure i am tanned a lot on my face, arms, back ,neck..i dint care for 10 years but now i realize i look very dark and also my chin and forehead is darker than the rest of my face.what to I do, will chemical peel work for me. Is it harmful

Hello, No Chemical Peels are not harmful if done by a Dermatologist. Peels are also being done by untrained people and these can be harmful, e.g in beauty parlours, and these are not recommended. Peels can produce a marked improvement in skin pigmentation and tanning. There are various types of peels and it usually takes 4-6 sessions to see a noticeable improvement. Sessions are done at 2-3 weekly intervals. Along with peeling other measures like sun protection are a must. A Dermatologist wil ...

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I suffer from random palpitations for about 15 years now, I'm not over/under weight, no medicatons, no none environmental triggers, thyroid is normal, cholesterol is normal, overall healthy female. I've had one doctor tell me what causes this, but I haven't been able to see him again. Every new dr has me wear a holter monitor, last time I wore one I was told my heart stopped for 7 secs while I was asleep but the dr was unable to tell me why. Is this possible? I never noticed anything if it did happen. What would cause the heart to stop that long and is this something I should monitor more closely?

Hi, the pause of heart rhytm for 7 seconds is a very serious duration and im most cases with such conditiom the patient is adviced to have pacemaker (heartbeat regulator device) inserted. If you haven't been adviced yet so the close monitoring is very important. ...

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I get sinus headaches almost 5 to 6 times in a month. Most of the time due to direct exposure of the face to ac in office or cabs. What medication can I take to reduce the pain which usually lasts for 2 to 3 days..

Hi Mam, I have gone through your query; and suggest you that you may take Tablet combination of Fexofenadine 120mg and Montelukast once in the night, Steam Inhalation two times a day at least for five minutes and local nasal decongestant nasal drops two drops three times a day. But to rule out other disease you may go for CT Scan PNS. Wish You Good Health Thanks ...

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Hello doc i had sexual exposure wid a pro before 1 year..2 weeks after exposure i got viral pharyngitis and fever,just after that one night i got severe pain in my knee which spread towards my feet arms everywhere..pain was throbbing,electrical,burning,crashing pain..this pain is still there,m just 27 years old and a sports player,this sudden pain has really degraded my life..i have tested for all veneral diseases upto 7 months in ahmedabad,all negative..even i took rna pcr test also that was also negative,my id doc in ahmedabad told me its all in your mind but infact its not,my whole body is paining,my legs hurts a lot,they get numb,i cant sleep properly bcoz of this pain..i have taken nerve conduction test for neuropathy,that also came normal..i hsve taken ra factor,ana test,anti ccp and aso titre also..all came negative..but my esr and crp were really high at 50 and 60..now both are normal..m fed up from this pain from last 1 year..currently my symptoms are joint cracking popping in whole body including my chest,pain in both feet.soles,knees palms..my both soles of feet and palms of hands have gotten beet red in colour from white,this is what scaring me along with cracking snd pain..currently i am taking libotryp xl 25 and duloxetene 30 mg before sleep..i cant sleep without this medicines because of pain..i wanna try homepathy as i have heard from my frdz and everyone that homeopathy can give best results which allopathy cant..i really want my life back,can i be pain free like earlier?

I hope that homeopathy could help to recover from your problem. Already you have given detailed history of your complaint. Need little more details to provide you the medicine. Kindly contact me to get more clear picture of your problem. So that I could suggest you. ...

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my dad did a test for leptospirosis a week after exposure to contaminated water, the result is negative. I have read articles saying that incubation period of the bacteria is up to 3 weeks. Is it possible to become positive even if the first test is negative? 2 or 3 weeks after exposure, my dad got fever, headache, muscle pain, swollen ankle (I dont know if it's because of his gout. his uric acid result is at 420). He said that it is just flu. He had his urine test recently, color: yellow orange. transparency: slightly turbid. reaction: acidic ph 6.0. specific gravity: 1.030. sugar: negative. albumin: trace. RBC: 4-6/HPF. PUS CELL: 1-3/HPF. CAST: NONE FOUND. crystals: amorphous urates few. epithelial cells: rare. mucous threads: +++. bacteria: rare. Can this urine test result determine if he has leptospirosis?? Can this urine test result determine of his kidney is fine? What does 4-6 /hpf mean? thank you very much for your answer.

Hi, the clinical feature of your father is suspicious. Leptospirosis may sometimes present with fever and muscle pain. There is RBC in the urine which is also abnormal. I suggest you to repeat the antibody and urine test. And don't bother to visit a doctor if the fever worsen. Thanks ...

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