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Hiv testing and their result post pep
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STDs & Related Infections
Question #10959
329 days ago
621

Hiv testing and their result post pep

Sachin

Hello sir on 20 march 2025a jhola chhap doctor give me two injection one was dexamethasone and other was was multivitamin but syringe are all ready used to other patients I don’t know the status of patient which is before me that’s why I took pep Viropil on 21 march 2025 with in 24 hours for 28 days I have done hiv combo test just after completing the course of pep 22 April 2025 it’s come negative and other was done after 29 April and 3rd was done 05 May 2025 at 45 days after exposure and 4th was done at 54 days after exposure and 26 days after pep course and now I have done tri dot test at 145 days 11 aug 2025 all come negative but my symptoms are continuing

$12
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Doctors' responses

Reliability of These Results 4th generation HIV combo tests (Ag/Ab) are conclusive 45 days after last exposure for most people, and 6 weeks after PEP completion according to CDC/WHO guidelines.

You have:

Multiple negative tests well beyond this window.

A 145-day (almost 5 months) test — way past the conclusive period — also negative.

Medically, HIV infection is ruled out in your case.

Possible reasons for ongoing symptoms:

PEP side effects: Fatigue, body aches, digestive changes can last a few weeks after stopping.

Anxiety & hypervigilance: Constant worry can cause real physical symptoms (palpitations, tingling, fatigue, muscle tension).

Other infections: Hepatitis B, Hepatitis C, or other unrelated illnesses could cause similar symptoms — these need separate blood tests.

Nutritional deficiencies or stress-related issues. What to Do Next For peace of mind:

You do not need further HIV testing, but if anxiety persists, a final repeat after 6 months post-exposure can be done — it will also be negative.

Screen for other risks from needle reuse:

HBsAg (Hepatitis B)

Anti-HCV antibodies (Hepatitis C)

Get basic blood work (CBC, Vitamin B12, Vitamin D, Thyroid).

Manage stress (mindfulness, physical activity, avoid constant online symptom-checking).

Future protection:

Get Hepatitis B vaccination if not already immune.

Avoid unverified practitioners for injections.

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Hello dear hope you are doing well. I forgot to update could you please update the symptoms and signs you are experiencing Regards

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Hello dear Please be aware See you are already have taken antiviral therapy I think the symptoms if there are not related to hiv. However for your confirmation, Iam suggesting some additional medications which can be taken after confirmation in person with general physician Tab didanosine/ zidividune Tab nevirapine In addition please get following tests for confirmation Eliza for hiv antigen Immunosorbant assay Pcr if recommended Please share the reports in consultation with general physician Hope iam able to provide you best treatment options Regards

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What symptoms do you have?

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9 replies
Sachin
Client
329 days ago

CBC is normal and don’t know about b12 but I took 6-7 injections of b12

Sachin
Client
329 days ago

It’s occurred from 2-3 months continuous but my antibodies test come negative

Sachin
Client
329 days ago

White tongue with burning pain and anal itching wbc go low some time but I have done 25 tri dot test all come negative

How do you know CBC is normal?

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Sachin
Client
329 days ago

How can I send you if you have any medium to send report please tell me

Kindly tell your HB, RBC, MCV value .

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No option…you can opt for individual one…

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Tell me your HB, RBC and MCV value.

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Clotrimazole mouth paint Apply thin layer to tongue 3–4×/day after meals × 7–10 days

Clotrimazole cream for anal area – apply 2×/day after washing & drying area

Investigation CBC Vitamin B12

Follow up with reports. Thank you

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You took PEP (Viropil) within 24 hours, completed the full 28-day course, and have had multiple HIV tests up to 145 days (about 5 months) post-exposure, all of which are negative this strongly rules out HIV infection. Persistent symptoms after such reliable testing are not due to HIV, and may instead be related to anxiety, side effects of PEP, nutritional deficiencies, or another unrelated medical condition. Please consult a physician (internal medicine) for a full health check-up and discuss your ongoing symptoms, as no further HIV-specific testing is needed.

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Hello Sachin ,

He calm and happy You’ve taken all the right steps, and your tests confirm you’re HIV-negative. Now, it’s time to address other possible causes of your symptoms. Stay reassured!

Next Steps:- Stop HIV Testing - Your results are conclusive; further HIV tests are unnecessary for this incident.
Explore Other Causes: to investigate your symptoms (e.g., viral infections, stress, or autoimmune conditions).

What are the symptoms you have at present which is bothering you ???

Take healthy food have some exercise daily and you will be all right.

With regards Dr. Zahir Zolih

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Based on the timeline provided for your HIV testing, it looks like you’re quite diligent with follow-up tests after the potentially risky exposure. Let’s break down what you’ve done so far. You were given injections with possibly reused syringes, which can carry a risk of blood-borne infections, including HIV. Taking post-exposure prophylaxis (PEP) quickly, within 24 hours, was a prudent move as it significantly reduces the risk of transmission when taken appropriately. You completed a full 28-day course of PEP, and your numerous HIV tests following this were all negative, including the tridot rapid test at 145 days post-exposure. According to current medical guidelines, negative results at this stage—especially after PEP—are highly reassuring, as they suggest you did not acquire HIV from the incident.

It’s important to note that after completing PEP, it’s often recommended to retest at 3 months (approximately 90 days) post-exposure for the most conclusive results. Your tridot test at 145 days, well past this window, strongly indicates you’re not infected with HIV. If your symptoms persist, they may not be related to HIV; it’s possible another issue is causing them. Symptoms of HIV seroconversion typically appear 2–4 weeks after exposure, not months later once the tests are negative. Your ongoing symptoms could be due to a range of other factors, from stress and anxiety to unrelated infections or conditions.

To address your symptoms, a thorough check-up with your primary healthcare provider is recommended. They can help rule out other causes and guide you towards appropriate treatment. Additionally, if you have concerns about other potential exposures or infections, it might be wise to get tested for other sexually transmitted infections (STIs) and discuss your symptoms and history with a healthcare professional who can assist in diagnosing and managing any other possible health issues.

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