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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Chest Pain, Shortness Of Breath & Chronic Diarrhea?

Hi, I am a male and about 2 year back I received unprotected oral sex from a stripper. 4 weeks from then I had fever and swollen lymph nodes. I also tingling sensation on the penis right after the exposure for about a week and had the same few weeks later. I got early detection tests done for HIV and herpes 32 hours post exposure - HIV came negative and herpes was equivocal. I have had 4-5 Hiv antibody tests done from then and all have been negative. I had one at 15th month HIV 3rd generation Antibody test (HIV-1 Antibody and HIV 1/O/2 Abs, Qual) which also came back negative. I have experienced chest pain, shortness of breath and chronic diarrhea and intermittent dry cough. Shortness of breath has been constant and I do not have any nasal congestion or sinus issues. I feel dull pain near my ribs, chest and abdomen when the breathing issue increases. My PCP has done EKG, chest xray and some blood tests and has no reasoning for this. I am so worried about this being HIV and it not showing up on my tests. I have read on forums that tests after 6 months are conclusive but these symptoms without explanation are terrifying. As of now, I have the following main symptoms 1. Chronic Diarrhea - been going on for more than 6 months now. Endoscopy done which didn t find anything. 2. Cottage cheese like whiteness on the tongue and redness on the inside upper mouth 3. Neck pain/stiffness I got another HIV test (HIV Screen 4th Generation wRfx) which was non-reactive and this test was done 2 years from the date of exposure. Searching medical sites suggests that there are cases where people are hiv positive but it doesn t get detected on tests for a long period of time as the tests are not 100% guaranteed (antibodies develop differently in different people). I am worried if I am one of those people as I have so many symptoms with no medically explainable reason behind them. What are the chances of me having it without it turning up in the tests that have been done so far? I understand your response that stress could be playing a role however I am not always stressed about this. It just keeps coming back to me every few weeks as my symptoms are just not ready to go away. Medical sites and chronic symptoms without explanation make me question whether the results are conclusive?
Wed, 14 Jun 2017
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Pulmonologist 's  Response
Hello,

Oral sex doesn't cause HIV so don't be tensed, you may be suffering from gastrointestinal problems. Even sometime gastrointestinal problems cause dry cough, breathing problems, and chest pain. Have tab Pantop and tablet Bifilac. You will be alright in a week. Avoid alcohol and smoking and spicy food.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Siva Kumar Reddy
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What Causes Chest Pain, Shortness Of Breath & Chronic Diarrhea?

Hello, Oral sex doesn t cause HIV so don t be tensed, you may be suffering from gastrointestinal problems. Even sometime gastrointestinal problems cause dry cough, breathing problems, and chest pain. Have tab Pantop and tablet Bifilac. You will be alright in a week. Avoid alcohol and smoking and spicy food. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Kumar Reddy