What Do My Lab Test Reports Indicate?

Posted on Mon, 15 Feb 2016

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Mon, 15 Feb 2016 Answered on

Mon, 18 Apr 2016 Last reviewed on

Question : i had a few sexual encounter which was unprotected vaginal sex with a girl i was in a relationship with for about 2 months. 2 weeks after our last encounter i had all symptoms which seemed to be ars.. ALL OF THEM.. I took about 6 hiv test and 2 full std panels all negative even 1 hiv duo test 21 weeks after encounter and my last hiv test was 11 months after encounter which was an hiv icma 1/o/2 test by labcorp which was negative.. I took a a lot of blood test which i have enclosed for to viewed. 1 test showed i had high urobilinogen which was 4.0. Could all my hiv tests be wrong i read that a high urobilinogen was a sign of hidden infection.. i still have swollen lymph behind ear and under jaw both on left side, recently starting sweating at night again since the exposure 2 years ago, tongue lesions, gastrointestinal problems and stomach pain.. i was taking animal pak vitamins and working out at this time which has liver enzymes in them could this be the reason why i have good liver enzyme test but very elevated urobilinogen. I also losing weight significantly in my arms and legs. Please view attachments and give me your best opinion..

Answered by Dr. Shoaib Khan (42 minutes later)

Brief Answer:
HIV can be clearly ruled out; oral supplements or tablets can cause that

Detailed Answer:
Hello sir and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. I have gone through all your attached test results, out of which only your urobilinogen is raised, but all other parameters are normal and do not need any attention.

No, all the HIV tests you have taken and the time duration you have taken them at all indicate accurate results, so you should rest assured that you do not have HIV sir.

Raised urobilinogen does indicate a possible lived disease, but in your case if an ultrasound of the abdomen and pelvis can be conducted then it will provide us with good insight on the liver status.

Your other liver enzymes show normal values, which means your liver should be normal but either way go ahead with an ultrasound examination. Any medications you are on can cause the urobilinogen to be raised as well, as can the vitamins you are on sir.

I hope you find my response helpful. Please do not hesitate to write back to me for any further clarifications, I am always here to help.

Best wishes.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shoaib Khan (8 hours later)

What about the swollen lymphs, the night sweats, the weight loss, all these things came 2 weeks after unprotected encounter, how do they continue to last 2 years later.. My stomach is in pain whenever i eat something not healthy and i have constant burping..

Answered by Dr. Shoaib Khan (8 hours later)

Brief Answer:
Could be another STD; also read up on GERD

Detailed Answer:
Hello once again.

You should go ahead with an STD-panel if you haven't already undergone this, there could be a possibility of another sexually transmitted infection, other than HIV that is.

The abdominal pain and burping could be attributed to a gastrointestinal condition, possibly acid reflux caused by a condition like gastroesophageal reflux disease (GERD) and will require a complete blood count, 24-hour acid pH monitoring, and a consultation with a gastroenterologist. But this could be completely irrelevant to the possible STD. I would also recommend psychiatric counseling to help you cope with the stress of it all sir, I know it can get overwhelming.

Please write back to me with any questions you have, I am always here to help.

Best wishes.

Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar