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STDs & Related Infections
Question #11268
273 days ago
491

This worry is killing me i also asked various doctor - #11268

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

Dr. Neeraj Agarwal
I’m an MBBS graduate with a deep commitment to providing meaningful, patient-first care. My clinical training has given me a solid understanding of how to assess and manage a wide variety of health conditions—both common and complex. But beyond just clinical skills, I’ve always believed that the heart of medicine lies in listening. That’s what I try to bring into every consultation: not just treatment, but genuine attention to the person in front of me. I have gained experience across general medicine, paediatrics, emergency care and preventive health. I have treated patients of different age groups and backgrounds, which has helped shaped a more flexible, to diagnosis and management. Whether someone comes with a new symptom or a routine check-up, I aim to deliver evidence-based treatment, explained clearly and tailored to the lifestyle. I’m especially focused on making care accessible and comfortable. Too often, patients feel rushed or confused when they leave a doctor’s office—I try to do the opposite. Taking time to explain options, risks, or even just what’s going on in simple terms is something I take seriously. Communication, I think, is just as important as any prescription. I actively stay updated with current medical guidelines and research, and I’ve been exploring areas of holistic care and preventive medicine too. The more we can do to catch problems early—or better yet, avoid them—the better the outcome for everyone. I’ve seen how small lifestyle changes, when supported properly, can make a big difference to long-term health. There’s still a lot to learn, of course. I think every good doctor keeps learning. But every patient I see teaches me something new, and I carry those lessons forward—with honesty, empathy, and the intent to keep improving.
273 days ago
5

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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Dr. Shayeque Reza
I completed my medical degree in 2023, but honestly, my journey in healthcare started way before that. Since 2018, I’ve been actively involved in clinical practice—getting hands-on exposure across multiple departments like ENT, pediatrics, dermatology, ophthalmology, medicine, and emergency care. One of the most intense and defining phases of my training was working at a District Government Hospital for a full year during the COVID pandemic. It was chaotic, unpredictable, and exhausting—but it also grounded me in real-world medicine like no textbook ever could. Over time, I’ve worked in both OPD and IPD setups, handling everything from mild viral fevers to more stubborn, long-term conditions. These day-to-day experiences really built my base and taught me how to stay calm when things get hectic—and how to adjust fast when plans don’t go as expected. What I’ve learned most is that care isn't only about writing the right medicine. It’s about being fully there, listening properly, and making sure the person feels seen—not just treated. Alongside clinical work, I’ve also been exposed to preventive health, health education, and community outreach. These areas really matter to me because I believe real impact begins outside the hospital, with awareness and early intervention. My approach is always centered around clarity, empathy, and clinical logic—I like to make sure every patient knows exactly what’s going on and why we’re doing what we’re doing. I’ve always felt a pull towards general medicine and internal care, and honestly, I’m still learning every single day—each patient brings a new lesson. Medicine never really sits still, it keeps shifting, and I try to shift with it. Not just in terms of what I know, but also in how I listen and respond. For me, it’s always been about giving real care. Genuine, respectful, and the kind that actually helps a person heal—inside and out.
273 days ago
5

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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Dr. Alan Reji
I'm Dr. Alan Reji, a general dentist with a deep-rooted passion for helping people achieve lasting oral health while making dental visits feel less intimidating. I graduated from Pushpagiri College of Dental Sciences (batch of 2018), and ever since, I've been committed to offering high-quality care that balances both advanced clinical knowledge and genuine compassion for my patients. Starting Dent To Smile here in Palakkad wasn’t just about opening a clinic—it was really about creating a space where people feel relaxed the moment they walk in. Dental care can feel cold or overly clinical, and I’ve always wanted to change that. So I focused on making it warm, easygoing, and centered completely around you. I mix new-age tech with some good old-fashioned values—really listening, explaining stuff without jargon, and making sure you feel involved, not just treated. From regular cleanings to fillings or even cosmetic work, I try my best to keep things smooth and stress-free. No hidden steps. No last-minute surprises. I have a strong interest in patient education and preventive dentistry. I genuinely believe most dental issues can be caught early—or even avoided—when patients are given the right information at the right time. That’s why I take time to talk, not just treat. Helping people understand why something’s happening is as important to me as treating what’s happening. At my practice, I’ve made it a point to stay current with the latest innovations—digital diagnostics, minimally invasive techniques, and smart scheduling that respects people’s time. I also try to make my services accessible and affordable, because good dental care shouldn’t be out of reach for anyone.
269 days ago
5

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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Dr. Tanvi Jain
I am Dr Tanvi, and for me dentistry is not just fixing teeth or filling cavities—it’s about people, their fears, their stories, and honestly their hopes too. Every patient who sits in my chair carries something different. Some come shaking because of old painful dental visits they can’t forget. Some hide their smile, covering it up cause they don’t feel confident. And others just want a straight answer on how to keep teeth healthy without 10 different confusing steps. My role is to meet them exactly where they are, not push, just listen and then guide. My training gave me depth across general and advanced dental care. Preventive treatments are the foundation—catching decay early, sealing, cleaning, building habits before damage sets in. Restorative work is the next layer, where I try to make a broken or damaged tooth look and feel natural, not like a foreign piece stuck inside. Root canal therapy is another area I value a lot—I work to make it painless, efficient, because saving a natural tooth always matters more than replacing it. Orthodontics and clear aligners come in when teeth need correction, and I like how modern approaches make it less scary for adults who never thought about braces before. Surgical dentistry, when absolutely necessary, I handle with caution and precision. Implantology fascinates me—being able to place permanent, natural-looking replacements that restore both bite and smile, it feels like giving someone part of their life back. Cosmetic dentistry and smile design are things I enjoy deeply. Because beyond the medical part, there’s an artistic side to this work—crafting smiles that look real, balanced, and fit a person’s personality. A confident smile changes how someone enters a room, how they feel about themselves, and watching that transformation is always powerful. Patients tell me often that my approach makes dental visits less intimidating. I take time to explain in clear, simple words. I don’t like jargon; it creates distance. I involve patients in decisions—sometimes that means slowing down, repeating, even pausing mid-plan if they feel unsure. From a child’s first dental visit, where trust must be built gently, to an adult sitting in my chair for a complete smile makeover—the promise I keep is the same: care that is gentle, conversations that are open, and results that last. Dentistry for me is science and art together. Science ensures precision, safety, and outcomes. Art is where empathy and customization come in—tailoring every treatment to that unique person, their comfort, their story. My goal isn’t complicated: I want people to walk out not only with healthier teeth, but with a confidence that makes them smile freely again, without hesitation.
273 days ago

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

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Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
272 days ago
5

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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