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part two-- hiv symptoms or stress? Please help
Sep 29, 2004

Dear Dr. Bob, I wrote you earlier today regarding getting a viral load. My name is Bob as well. Anyway, I am sorry for writing you twice, but I want to convey all of my symptoms. I had an unprotected sexual relationship over the summer of 2003 with a woman who I think may be HIV positive, or at least very high risk. Among my symptoms (and I am sorry to give you a laundry list, but all these symptoms are really scaring me)-- I now tend to bruise very easily, particularly on the fingers. I have more hang nails than usual, accompanied with white streaks at the base of the nail. I have stomach cramps, very bad abdomen discomfort, constant hives and itchy face, watery eyes, and my cheeks have been unusually red and itchy. I also have occasional itching and ringing in my ears. My groin area has been pretty itchy, too, particularly on my inner thighs. I am also noticing more warts and zits popping up. I have very dry skin, and paper-cut-like sores appear more frequently. I also have sores on my lips, or they are very chapped-- I can't tell. Regarding my adbomen pain, my doctor says I have GERD and the rest is stress (He presribed Pecid, which I have been taking for two months) I got a blister near my penis, the doctor gave me a herpes test about a week after it broke and I suspect he didnt get a good sample (it came back negative). I also have joint/muscle pain, and my left middle finger has felt strained for two months. Anyway, I have taken two HIV tests in the last month-- an Elisa and a Rapid test, and both came back negative. Again, its been about a year since I had an unprotected sexual relationship (and about 9 months since I had sex in general). Its very hard for me to believe I am negative given all that is happening. I am thinking of getting a viral load and/or keep testing. I feel like I am going crazy. Please help!

Response from Dr. Frascino

Hello,

Negative HIV tests nine months after a potential exposure are indeed considered to be conclusive and definitive. I see no reason for additional testing, including viral load testing.

Your symptoms are not consistent with HIV ARS or HIV disease. Hopefully the Pepcid your doctor prescribed will help your GERD. Many of your other complaints appear to be dermatologic and/or stress-related. I'd suggest you ask your doctor for a referral to a dermatologist (if the skin symptoms are persisting) and to a therapist who can help you cope with your irrational fears of HIV disease. Read through the archives of this forum. The testimonials you find there should be very reassuring! I believe you diagnosed your own problem when you wrote, "It's very hard for me to believe I am negative . . . ." that's the problem you need the most help with.

Good luck.

Dr. Bob



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