Expert: John Thai, M.D. - 1/14/2008

Question
QUESTION: gave unprotected oral to a man and than had protected anal with him, that was a year ago, at 4 months had oraquick saliva negative, 6 months had fingerstick oraquick and that too was neg, 9 months had a pcr rna 49-1,000,000 and it was undectable , 11 months had an elisa it was negative,
i have had health problems all year, acute atrophic candidiasis after antibiotics that has come back 3 times, i am very stressed out and suffered from dry mouth, my sugar also runs around 140, have i exclude hiv and be more concerned with other things. thank you

ANSWER: Hi Michael,

First, you need to check with your physician as to whether you are diabetic. Normal fasting blood sugar level should be less than 110 mg/dl. 140 is high. Diabetes can increase the risk of recurrent oral candidiasis. If you have not been diagnosed with diabetes, I highly recommend that you obtain a a series of glucose tolerance test (GTT) and HbA1c. Secondly, check with your physician if in fact you do have oral candidiasis with a simple oral fungal swab test and drug sensitivity.

Controlling your blood sugar level may minimize the recurrence of oral candidiasis. Your physician may elect to manage your differently based on the results.

The chances of HIV causing oral candidiasis in early stages of the disease is very rare. It usually occurs when the immune system is partially to completely compromised.

Regards,

John Thai, MD

---------- FOLLOW-UP ----------

QUESTION: just one more thing do you think my hiv tests have excluded hiv ?

Answer
Hi Michael,

It is unethical for me to exclude any illnesses via the Internet as I have not personally examine you and review your laboratory results. Only the ordering physician, by law, may conclusively tell you your result. Please obtain advisory from your physician.

Regards,

John Thai, MD