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This worry is killing me i also asked various doctor
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STDs & Related Infections
Question #11268
319 days ago
567

This worry is killing me i also asked various doctor

Udhay

I had protected oral sex and deep kissing but got hiv anxiety got tested times 4 th gen p 24 negative at 77 days and rapid negative at 3.4 months but i have a small lump in neck and shoulder area with no pain and movable not visible from outside.I found it after i googled symptoms and started looking for lymph node

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Doctors' responses

4th-generation HIV test (p24 antigen + antibodies):

Reliable at 6 weeks, considered conclusive at 12 weeks (84 days).

Your test at 77 days was already highly reliable, and your rapid test at 3.4 months confirms negative. You do not have HIV from this exposure.

Monitor the node only:

If it grows, becomes hard/fixed, or you develop fever, night sweats, weight loss, then see a doctor.

Try to avoid constant checking and googling symptoms — it worsens anxiety.

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You can do treatment with Google.

This google will take people’s life. I think in person consultation is better . This requires physical examination for the lump.

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HIV risk from protected oral sex and kissing is extremely low to almost zero. A 4th generation test negative after 77 days and a rapid test negative after 3.4 months confirm you are HIV-negative—no further HIV testing is needed. The small movable lump is likely a benign lymph node or fatty tissue, but for peace of mind, you can consult a General Physician to examine it.

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Hello udhay Please have a personal consultation with me for accurate history and diagnosis.

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Hello dear See om Google any lump can be similar to malignancy or unwanted growth. See donot be anxious That lump can be a simple dermoid cyst or any inflammatory growth Moreover it could subside by it own I suggest you to please get in person consultation with general physician or surgeon for better clarification Please donot worry. Also ,if possible share results with the concerned doctor for clarification Cervical spine xray Patch test CBC RBS In addition, Kindly note hiv doesn’t spread by kissing Hopefully your anxiety subsides Regards

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Hi Udhay. Please consult a general surgeon. It sounds more like lipoma, which is painless usually and easily resectable. And it’s impossible for HIV to get transmitted through saliva. If you still keep having anxiety regarding HIV contraction, it may point towards Health anxiety. If this continues, kindly seek psychiatrist’s consultation. Regards.

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Given the context you’ve described, it seems like you’ve already taken thorough steps to assess your HIV status, considering multiple 4th generation tests and rapid tests both coming back negative well beyond the window period for reliable results. Typically, a negative result at 77 days for a 4th generation test, which detects both antibodies and antigens, is conclusive. The activities you mentioned, such as protected oral sex and deep kissing, are considered low risk or no-risk for HIV transmission, according to current medical understanding.

In regard to the lump you’ve noticed in the neck and shoulder area, there can be several benign reasons for swollen nodes or lumps, like infections, reactions to recent vaccinations, or even some inflammation. If the lump is small, movable, and not accompanied by other concerning symptoms like persistent fever, night sweats, unexplained weight loss, or enlargement of other lymph nodes, it may not be something to worry about urgently. However, it’s best to monitor it and consult a healthcare provider if it increases in size, becomes painful, or if you experience other symptoms.

Since you’ve already had other consultations, it’s fair to mention that anxiety around health issues can sometimes amplify concerns and symptoms perception, which could lead to over-attention to bodily changes. While managing anxiety is outside the scope of a medical diagnosis, seeking reassurance from mental health professionals or discussing coping strategies with your doctor might provide some relief. If you still feel anxious about HIV, further reassurance could come from speaking to an infectious disease specialist to address questions and concerns directly in a clinical setting.

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