Symptoms After Risky Behavior: When to Seek Medical Help - Internal Medicine

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Hello,
It sounds like you are experiencing some distressing symptoms following a risky behavior incident, and I understand how concerning this can be. Based on your description, you have undergone testing for HIV and syphilis, both of which returned negative results. However, you are still experiencing persistent throat pain and discomfort in your knee area, which has lasted for about two months.
First, it's important to note that while your negative HIV-RT PCR test at 35 days and the negative HIV antibody and syphilis tests at 90 days are reassuring, they do not completely rule out the possibility of other infections or conditions that could be causing your symptoms. The throat pain and knee discomfort could be due to a variety of reasons, including viral infections, bacterial infections, or even non-infectious causes such as inflammation or musculoskeletal issues.

Given that your symptoms have persisted for an extended period, it would be advisable to seek medical attention. Here are some steps you can take:
1. Consult a Primary Care Physician: Start by visiting your primary care doctor. They can perform a thorough evaluation, including a physical examination and a detailed medical history. They may also ask about other symptoms you might be experiencing, such as fever, fatigue, or any changes in your overall health.

2. Consider an Ear, Nose, and Throat (ENT) Specialist: Since you are experiencing throat pain, it may be beneficial to see an ENT specialist. They can examine your throat for any signs of infection, inflammation, or other issues that might not be apparent during a general examination.

3. Rheumatology Consultation: If your knee pain persists, a referral to a rheumatologist may be warranted. They specialize in joint and musculoskeletal disorders and can help determine if there is an underlying inflammatory or autoimmune condition contributing to your knee discomfort.

4. Additional Testing: Depending on your physician's assessment, they may recommend further testing, such as throat swabs, blood tests for other infections (like viral hepatitis or other sexually transmitted infections), or imaging studies (like X-rays or MRIs) to evaluate your knee.

5. Monitor Symptoms: Keep track of your symptoms, including any changes in severity, new symptoms, or patterns that may emerge. This information can be helpful for your healthcare provider in making a diagnosis.

6. Mental Health Support: Engaging in risky behavior can sometimes lead to anxiety or stress about potential health outcomes. If you find that your worries about your health are affecting your mental well-being, consider speaking with a mental health professional for support.

In summary, while your initial tests for HIV and syphilis are negative, it is essential to follow up with a healthcare provider to explore the cause of your ongoing symptoms. Early intervention can lead to better outcomes, and addressing both physical and mental health concerns is crucial for your overall well-being. Don't hesitate to seek help, as your health is a priority.
Take care, and I hope you find relief soon.