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Is Swollen Lymph Node Symptom Of HIV?

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Posted on Wed, 8 Oct 2014
Question: Hi doctor, I'm from malaysia and a male

I have protected varginal sex and receiving unproctected oral sex..

my test were

1.3 weeks ECLIA HIV 1/2 ag ab non reactive and rapid test HIV 1/2 NON REACTIVE
2. 28 days HIV rapid combo test HIV 1/2 ag ab non reactive
3. 8 weeks EIA HIV 1/2 non reactive
4. 12 weeks 2 rapid HIV 1/2 AND 1 EIA HIV 1/2 all came back non reactive
5. 15 weeks rapid HIV 1/2 NON REACTIVE
6 16 Weeks 4th gen EIA HIV 1/2 ag ab NON REACTIVE

Symptom

10 weeks feeling swollen lymph node - doctor claim its normal size
16 weeks lymph node swollen on my neck

Now my question are :-

1.In your experience with my multiple tested, do i have hiv?
2.Does my results conclusive? I do read alot suggesting HIV test detected mostly subtype of HIV..I scared that I got infected unusual subtype hiv since I'm from asia(commonly said there were sub-B and Sub-E or F i dont remember well)
3.Malaysia government officially stated that window period for HIV are between 3 month to 6 month, do i need retest on/or after 6 month?
4.My lymph nodes that (starting on 16 weeks after exposure) now starting to swell more on the neck..do i start to serocnverssion or just my anxiety constantly poking and searching make it appear?

thank you doctor sorry for my bad english
doctor
Answered by Dr. Sankaranantham Murugan (34 minutes later)
Brief Answer:
Both HIV1&2 ruled out. symptoms not related to HIV

Detailed Answer:
Hi,
Welcome to HCM.
Thanks for posting your query
You had a protective vaginal exposure and an unprotected oral sex. Oral sex carries a low risk for HIV/STD.
Your tests done at 12 weeks and after 12 weeks were repeatedly non reactive. They were very much conclusive. Both HIV 1 and 2 were ruled out.

Lymph node enlargement may be due to a lot of reasons. A needle aspiration or a biopsy may confirm the possibility. Definitely it could not be related to HIV as your tests were nonreactive repeatedly. With regards your problem, you follow the advice of your physician.
Dr S.Murugan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (9 minutes later)
thank you doctor..do i need retest on/after 6 month exposure?
doctor
Answered by Dr. Sankaranantham Murugan (11 minutes later)
Brief Answer:
No more test needed.

Detailed Answer:
Hi,
Welcome back.

You don't need any more tests for HIV unless you are on some immunosuppressive drugs like steroids during the window period. Window period for HIV is 8- 12 weeks only and not more than that.
Dr S.Murugan
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sankaranantham Murugan (2 minutes later)
ok why some country like mine the goverment advised to take the test on 3 - 6 month?
doctor
Answered by Dr. Sankaranantham Murugan (19 minutes later)
Brief Answer:
Country design their guidelines asper their expert

Detailed Answer:
Hi,
Welcome once again.
I can answer from my own experience in the field of HIV Medicine for the past 25 years and also from my learning from other experiences which were presented in various international and national conferences and journals. A normal individual is not necessary to repeat the test after 12 weeks at normal circumstances.
Dr S.Murugan
Note: Get personalized answers to your HIV related queries You can choose to talk face to face with your doctor. Book a Video Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Sankaranantham Murugan

HIV AIDS Specialist

Practicing since :1974

Answered : 3112 Questions

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Is Swollen Lymph Node Symptom Of HIV?

Brief Answer: Both HIV1&2 ruled out. symptoms not related to HIV Detailed Answer: Hi, Welcome to HCM. Thanks for posting your query You had a protective vaginal exposure and an unprotected oral sex. Oral sex carries a low risk for HIV/STD. Your tests done at 12 weeks and after 12 weeks were repeatedly non reactive. They were very much conclusive. Both HIV 1 and 2 were ruled out. Lymph node enlargement may be due to a lot of reasons. A needle aspiration or a biopsy may confirm the possibility. Definitely it could not be related to HIV as your tests were nonreactive repeatedly. With regards your problem, you follow the advice of your physician. Dr S.Murugan