Question 1

Is there a vaccine for dengue?

Accepted Answer

Dengvaxia is available in some countries for vaccination and had some safety issues post marketing. ICMR has developed and has done trials on a tetravalent dengue vaccine which is supposed to release soon.

Question 2

So about three weeks ago, I had a situation where the condom broke during intercourse, and it was only for like 13 seconds. The girl is confirmed HIV positive, and I've been really stressed since then. I did a PCR qualitative HIV test on the 13th day after it happened, and then a duo combo HIV test the next day, both came back negative. Then I took another duo HIV test on the 23rd day, and that was negative too. Do these results mean I'm in the clear, or should I still be worried until I hit the 28-day mark for the confirmatory duo test?

Accepted Answer

Considering your medical abortion on Dec 22, 2020, and subsequent periods on Feb 2 and Mar 6, it's likely that your body is recovering from the abortion.

_Possible reasons for stomach growth:_

1. _Bloating_: Hormonal changes after the abortion might cause water retention and bloating.
2. _Weight gain_: Emotional eating or changes in appetite after the abortion could lead to weight gain.
3. _Uterine enlargement_: Although unlikely, it's possible that your uterus is still enlarged from the pregnancy, causing your stomach to appear larger.

_Recommendations:_

1. _Wait and observe_: Monitor your symptoms and stomach growth over the next few weeks.
2. _Maintain a healthy lifestyle_: Focus on a balanced diet, regular exercise, and stress management.
3. _Consider a home pregnancy test with a sensitivity of 20 mIUmL_: To confirm the absence of pregnancy.

Question 3

I've had a couple of HIV tests after possible exposure. At 3 months, both the 4th gen rapid test and HIV antibody test from the lab came back negative. Then I waited until 5 months and did another 4th gen CMIA test for p24 AG and antibodies, and that was negative too. I'm really anxious about whether these results are conclusive. Do you think I need any more testing, or can I finally relax?

Accepted Answer

Post-COVID-19 Recovery Symptoms

_Your Symptoms_

1. _Low-grade fever_: Mild fever, usually less than 101F (38.3C).
2. _Body pain_: Mild muscle and joint pain.
3. _Stuffy nose_: Nasal congestion.

_Possible Causes_

1. _Residual inflammation_: Lingering inflammation from the COVID-19 infection.
2. _Post-viral fatigue syndrome_: A common condition after viral infections, characterized by persistent fatigue, muscle pain, and other symptoms.

_Medication and Self-Care_

1. _Over-the-counter pain relievers_: Acetaminophen (Tylenol) or ibuprofen (Advil) for body pain and fever.
2. _Decongestants_: Pseudoephedrine (Sudafed) or phenylephrine (Sudafed PE) for stuffy nose.
3. _Rest and hydration_: Prioritize rest, drink plenty of fluids, and maintain a balanced diet.
4. _Monitor symptoms_: If symptoms worsen or persist, consult your doctor.

_Consult Your Doctor_

1. _Schedule a follow-up appointment_: Discuss your symptoms and receive personalized guidance.
2. _Report any severe symptoms_: If you experience difficulty breathing, chest pain, or severe headache, seek immediate medical attention.

-Klebsiella pneumoniae in urine and sputum suggests a bacterial infection, which can cause urinary tract infections or respiratory issues like pneumonia. Treatment typically involves antibiotics, and it's important to follow the doctor's guidance to clear

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