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Sex with stranger 6 month ago
Age 33 i had sex with someone 6 month ago. Protection was used. But i am having white tongue and sore throat on and off. Abdomen pain. Today i have done hiv 4 generation, urine routine. Gonnorhea and clamdiya, vdrl, hep b and c all negative. Still having white tongue. 6 month hiv result is sufficient. Do 8 need further any test. I will be very thankful for ur support.
Answers (16)
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Dear patient ,
Tab .flucanazole150mg once a day for 7 days
Tab. Multivitamine afternoon for 1 month
Next Steps
maintain oral hygiene
avoid smoking and alcohol
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It's a oral candidias.....fungal infection cozd by disruption of oral mucosa .....mainly due to weekend immunity..........hiv negtv .. rules out the std... reason....as of now ..u have to use ....tab flucanazole 200mg once a day on day1.....then followed by Tab flucanazole 100mg for 5 days
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Most probably its a fungal infection
Next Steps
tab flucanazole 150mg od for 7 days
Maintain oral hygiene
Avoid smoking & alcohol
Reduce sugary foods
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Tab fluconazole 150 mg 1_0_0(7)
Tab razo D 1_0_1(14)
Tab multivitamin 0_0_1(7)
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Hiv is unlikely. Consult a physician physically.
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If your 4th generation HIV test is negative at 6 months, it is conclusive. No further HIV testing is needed for that exposure.
Since you used protection and all other STI tests (Gonorrhea, Chlamydia, VDRL, Hep B, C) are negative, HIV is not the cause of your symptoms.
White tongue + sore throat on and off is usually due to:
• Fungal infection (oral thrush)
• Acidity / gastritis
• Poor oral hygiene
• Anxiety-related dryness
Abdominal pain may be gastritis or stress-related.
You may need oral examination and possibly antifungal treatment if thrush is confirmed.
Based on your symptoms, this may require proper clinical assessment and prescription. You may book an online consultation with me for detailed evaluation and personalised treatment plan.
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Report seen its non reactive with very good index value which is for academic interest.
Toung may be fungal infection THRUSH
Tab fluconazole150 one per day after food for five days.
As SUCH NO RELATION WITH EXPOSURE.
I M A SR CONSULATANT RETIRED DOC FROM ART CENTER GOVERNMENT SECTOR.
NO FURTHER TEST IS REQUIRED.
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Your situation is medically clear:
• Protected exposure
• 6 months passed
• 4th generation HIV test negative
• All other STI tests negative
Next Steps
✔ No further HIV test needed
✔ Consider trial of PPI (anti-acidity medication) for 2–4 weeks
✔ Maintain good oral hygiene (tongue cleaning gently)
✔ Check Vitamin B12 if symptoms persist
✔ ENT consultation if white coating is thick and scrapable
See doctor urgently only if:
• Persistent weight loss
• Recurrent fever
• Severe swallowing difficulty
• Persistent oral ulcers
Otherwise, this is non-HIV related.
Health Tips
✔ Stop repeatedly googling symptoms (increases anxiety cycle)
✔ Avoid spicy/oily food if reflux suspected
✔ Drink adequate water
✔ Reduce late-night eating
✔ Manage stress actively
Your testing is medically reassuring. The remaining symptoms are very unlikely to be HIV-related.
If you’d like, I can help you break down whether this is reflux, fungal, or anxiety-driven in a structured way. Booking an online consultation would allow a focused evaluation so you can stop worrying and get a clear, final closure on this issue.
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Dr. Rajni Rupam
General Physician
7 yrs exp
Giridih
• The Result: Your index value is 0.181, which is well below the 1.00 threshold for a reactive result. This indicates that neither HIV antibodies nor the p24 antigen were detected in your blood.
• You mentioned the exposure was 6 months ago.
• For a 4th generation combo test, the "window period" (the time it takes for a test to become accurate) is typically 18 to 45 days.
• By 90 days (3 months), these tests are considered conclusive by most health organizations (such as the CDC).
• At 6 months, a negative 4th generation test is definitive. You do not need further HIV testing for this specific incident.
Addressing Your Symptoms
While you can be confident that your symptoms (white tongue, sore throat, abdomen pain) are not caused by HIV, they are still real and deserve medical attention.
• White Tongue: This is often "oral thrush" (a yeast overgrowth) or simply geographic tongue/debris. While thrush can be associated with immune issues, it is much more commonly caused by antibiotics, smoking, poor oral hygiene, or dry mouth
.
• Sore Throat and Abdomen Pain: Since you have already tested negative for Gonorrhea, Chlamydia, Syphilis (VDRL), and Hepatitis, these symptoms may be related to non-STI causes, such as acid reflux (GERD), strep throat, or general viral infections.
1. Consult a GP or Dentist: Show them your tongue and describe your throat/abdomen pain. They can determine if you need an antifungal for your tongue or if your symptoms are related to gastric issues.
2. Mental Wellbeing: Health anxiety can sometimes cause or worsen physical symptoms like abdomen pain. Since your results are conclusive, try to focus on resolving the specific symptoms with a doctor rather than worrying about HIV.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Kindly do connect and consult
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Few more details needed for further evaluation. Kindly consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
No.need of hiv retesting
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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Dr. Dinesh Mehta
General Physician
3 yrs exp
Jaipur
You need to clean it regularly...it can be Oral Candidiasis... you need a treatment for it...
Are you taking any medicine before??
Consult for better and further management
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