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Strep Throat or Thrush (acute hiv phase)

Two weeks back, I had pain swallowing and a feeling of thick mucus in the back of my throat. Upon inspection, I noticed that the tip of my uvula was lighter in colour (almost white) and I also had small white spots on one of my tonsils. I used mouth wash and salt water twice daily to reduce the pain, and after several days the pain and spots subsided, leaving a raspy throat and I slight dry cough. I didn't have any other symptoms (fatigue, fever, swollen lymph nodes, etc). The total duration was around a week and a half.
Is this a sign of strep throat or more likely thrush?
I am worried because I suspect an acute phase of HIV. I tested negative almost 4 weeks after my "encounter", and the throat incident happened 6 weeks after the encounter.
I plan on getting tested at the 3 month mark, but worry in the interim.

Thank you.
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replied March 31st, 2016
Welcome to e health forum.

First and foremost, you need to know that Sex with every person does not cause HIV (even in case of sex workers, she has to be infected before she can pass it on to you).

Even in case a person has sex with a infected person, the chances of contracting the infection would be as follows.
Risk of acquiring HIV are as follows:
A. Female-to-male transmission is 0.04% per act and
B. Male-to-female transmission is 0.08% per act.
C. The rate for receptive anal intercourse is much higher, 1.7% per act

In your case, if you think that you might be at risk, you can always get tested. If your test results after 12 weeks is negative, it can be considered confirmatory that you do not have HIV.

Most likely cause of your symptoms would be due to common viral infections (common cold) which are common when you come in close contact (as during handshakes during meetings, kissing, sexual intercourse, etc) with new individuals, when nasal or oral secretions can be passed on to infect others.

Every person would carry various pathogens on his person. This may be on the skin or in his secretions (nasal, skin, etc). The person would have immunity to such bacteria, as a result of long term association. But if a different person comes into contact with him, the germs (bacteria or viruses) may be transmitted to them and they may develop symptoms as they may not be immune to the particular strain of virus/ bacteria.

The best way to avoid such instances and mental anguish related to them would be to avoid practice monogamy (have a single and trust worthy sex partner). In a monogamous couple, since both the partners are used to each other’s company, the chances of either of you getting infected and becoming symptomatic would be less likely.

Most of these cases improve on their own within a few days without treatment. Some measures like adequate rest, anti-inflammatory medications (advil, tylenol), good diet can help in recovery.

If the symptoms are severe and troubling, consulting your doctor for proper prescription medications (including antibiotics- if required) can help you recover.
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