Question 1

I'm really concerned about my husband. He had a fever and his platelet count was really low, so the doctor first thought he had a viral fever. After some medication, his platelets went up, but when we checked again a week later, they dropped again. They suggested we test for HIV, and we found out that HIV 1 came back reactive, but HIV 2 was non-reactive. They did a rapid ELISA test too. Does this mean he really has HIV? And can we still consider having a baby?

Accepted Answer

The reactive result for HIV-1 on the rapid ELISA test indicates a positive result for HIV-1 infection. However, the non-reactive result for HIV-2 suggests that HIV-2 infection is not present. It is important to confirm these results with further testing such as Western blot or PCR for HIV-1. Regarding having a baby, it is still possible to have a baby if one partner is HIV positive. With proper medical care and treatment, the risk of transmission of HIV to the baby can be significantly reduced. It is important for both partners to consult with a healthcare provider specializing in HIV care to discuss options such as antiretroviral therapy and other measures to reduce the risk of transmission during conception and pregnancy.

Question 2

I'm a bit worried because I've noticed a small lump on the right side of my neck. It feels a bit firm, and I'm not sure if it's something serious or if it could just be a swollen lymph node. It hasn't really changed in size or become painful, but it'...

Accepted Answer

consult general durgron

Question 3

I'm really worried about my mom. We just got her ultrasound report and it says her liver is enlarged at 21.1 cm with increased echo texture, but there aren't any focal lesions. She has diabetes and high blood pressure too. Could this be related, or i...

Accepted Answer

HIV Transmission through Mucous Membranes_

1. _Mucous membranes*: Eyes, nose, mouth, and genital areas are lined with mucous membranes.
2. _HIV transmission risk*: HIV can potentially enter the body through mucous membranes, but the risk is relatively low.

_Eye as a Route for HIV Transmission_

1. _Low risk*: The eyes are considered a low-risk route for HIV transmission.
2. _No documented cases*: There are no documented cases of HIV transmission through eye exposure to infected blood.
3. _Mucous membrane protection*: The eyes have natural protective mechanisms, such as tears and eyelids, which reduce the risk of HIV transmission.

_Precautions and Post-Exposure Prophylaxis (PEP)_

1. _Wear protective gear*: Always wear gloves, goggles, and a face shield when handling patient blood.
2. _Report incidents*: If you experience a splash or exposure, report it to your supervisor and seek medical attention.
3. _PEP*: If you're exposed to HIV-infected blood, PEP medication may be prescribed to reduce the risk of transmission.

Question 4

I'm really worried because after recovering from COVID in May, I've been having chest pain that comes and goes. At first, it eased up but then returned. I had a couple of ECGs; one was normal, but three months later, it showed an irregular heartbeat,...

Accepted Answer

Its understandable to be cautious after taking steroids during COVID. Given that your chest pain and irregular heartbeat are likely due to costochondritis, the suggested medications may help, but steroids like Dexa should only be taken under close medical supervision. It's important to discuss your concerns with your doctor, especially about tapering off steroids safely.

Question 5

I've been having this weird leg pain, mostly in my right leg, and it happens right before I need to pee. The pain goes away once I've urinated. What might be causing this?

Accepted Answer

The leg pain before urinating, especially in the right leg, could be related to various factors, including urinary tract infections, kidney stones  or nerve compression; however, a possible cause is also obturator nerve compression or irritation, which can radiate pain to the leg, especially before urinating, and relief after passing urine.

Question 6

I'm really worried because I was with a call girl and the condom broke while we were together. I'm scared about the risk of HIV. How soon should I get tested after having unprotected sex?

Accepted Answer

Yes, having sex with a torn condom increases the risk of HIV transmission; the Centers for Disease Control and Prevention (CDC) recommend getting tested for HIV at 2-3 weeks, 6 weeks, and 3 months after potential exposure;

Related Questions

I'm a bit worried because I've noticed a small lump on the right side of my neck. It feels a bit firm, and I'm not sure if it's something serious or if it could just be a swollen lymph node. It hasn't really changed in size or become painful, but it'...

I'm really worried about my mom. We just got her ultrasound report and it says her liver is enlarged at 21.1 cm with increased echo texture, but there aren't any focal lesions. She has diabetes and high blood pressure too. Could this be related, or i...

I'm really worried because after recovering from COVID in May, I've been having chest pain that comes and goes. At first, it eased up but then returned. I had a couple of ECGs; one was normal, but three months later, it showed an irregular heartbeat,...

I've been having this weird leg pain, mostly in my right leg, and it happens right before I need to pee. The pain goes away once I've urinated. What might be causing this?

I'm really worried because I was with a call girl and the condom broke while we were together. I'm scared about the risk of HIV. How soon should I get tested after having unprotected sex?

General Physician/ Internal Medicine

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