Sexually Transmitted Diseases/does this sound like hiv

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Question
rash
rash  

rash
rash  
dec 16 i gave a girl oral for 5 min and she gave me oral for 5 min. I DO HAVE BLEEDING GUMS. (where they pulled my wisdom tooth it has been bleeding for over a year.) I CAN spit blood out. (a small amount but i can spit blood out). On the 6th of this month i came down with what i think is a rash and a cold. which i have right at this moment my temp is 99.3. here are photos of the rash. Would you please tell me if this look like an hiv rash?

http://i63.tinypic.com/2ppbtoy.jpg
http://i65.tinypic.com/2qvz70h.jpg
http://i68.tinypic.com/a1jvyw.jpg

it is the dark spots i am worried about.

if you need anymore pics just let me know.

Also I was wondering:
1. which does it resemble
2. is it wide spread. covering the whole torso.
3. are the bumps clustered together or spaced out.
4. does it look like one pimple and 3 inches away another pimple or are they all compacted like 10 pimples on a patch of skin?
5. Would you be able to notice the rash without looking for it.

I am worried because i am not sure if it will be safe to have sex with my wife.

Thank you for your time To answer my question Mr. Mark

Answer
Hello Reese,
First, it is abnormal for you to continue to have bleeding from your mouth, gums, or tooth socket for a year.   It sounds like you may have gingivitis, which should be treated by a dentist, since UNTREATED dental infections have been associated with heart disease when you get older.

Your skin looks like a normal variation of skin that occasionally may develop little blemishes and areas of increased or decreased pigmentation for a variety of reasons. It appears to be a normal appearance of the skin, even though it may cover the whole torso, in a variety of clusterings or spacings.  "Pimples" are inflamed oil glands or hair follicles. I do not see any pimples in the two images shown. A fever, by the way, is considered GREATER than 99.6, and temperatures vary by about 2 degrees, from about 97.6 to 99.6.  

The acute HIV viral syndrome that some people get early in the course of infection usually is like an acute influenza (or viral syndrome) with fever greater than 100, fatigue, malaise, headache, etc.

Good luck!
--mark  

Sexually Transmitted Diseases

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Mark P. Behar

Expertise

Almost any question or concern about gay men's health issues, sexually transmitted infections, abnormal Pap smears, anal cytology (anal "Pap smears"), etc. There is no such thing as “d/d free” or “clean” (free of infection), so why do so many of us deceive ourselves into thinking that some people are indeed totally free from a potentially infectious disease, like HIV, herpes, hepatitis, syphilis, chlamydia, warts, gonorrhea, etc., just because they say so? Clinical laboratory tests are not perfect, and having a “negative” or “nonreactive” test does not mean that a person is free from infection. Perhaps at the moment the test was taken, the person was uninfected; or, perhaps, the test wasn’t sensitive enough to detect presence of the infection. There is really no way that anyone can determine that they are truly “disease free,” and there are over a hundred of infectious conditions that can be spread without your knowing anything. Rather than trying to “pre-screen” or “serosort” a potential sex-mate with deceptive questions that are impossible to know by today’s technologies, a wiser option may be to consider everyone infected with something, and either use appropriate protective measures (“safer sex”), or accept the responsibility and consequences of possibly “catching” something from someone who’s hotter than expected (pun intended!). There is much research that supports the contention that an HIV positive person reliably taking HIV medications, and having an undetectable viral load, presents a lower risk for transmission of HIV than people who may think or say they are HIV negative, but are not. Food for thought!

Experience

Family Practice PA since 1981; Volunteer Clinician for Brady East STD (BESTD) Clinic, Milwaukee, since 1977; answered STD questions submitted to their web site. Professionally lectured at national and regional Physician Assistant and Nurse Practitioner conferences, and at national gay & lesbian health conferences on topics including HIV/AIDS, herpes, hepatitis, STDs, human papilloma virus (the cause of venereal warts), abnormal Pap smears, gay and lesbian health issues, among others.

Organizations
Co-Founder, Lesbian, Bisexual, & Gay Physician Assistant Caucus of the American Academy of Physician Assistants, Inc.; American Academy of Physician Assistants; Wisconsin Academy of Physician Assistants; National Co-Chair (2012-16), National Association of Black and White Men Together: A Gay, Multiracial Organization for All People (NABWMT)

Publications
Journal of the American Academy of Physician Assistants (JAPA) Q Visions, Quarterly Newsletter of the NABWMT

Education/Credentials
Bachelor's of Arts, 1972 (University of Wisconsin, Milwaukee, WI) Graduate Credits Experimental Psychology, 1972-75 (Tulane University, New Orleans, LA) Physician Assistant, Bachelor's of Science, 1981 (George Washington University, Washington, DC); Masters in Physician Assistant Studies, 2000 (University of Nebraska Medical Center, Omaha, NE)

Awards and Honors
Colposcopy Recognition Award (CRA), the American Association of Colposcopy and Cervical Pathology; Distinguished Fellow, Clinical Preceptor, American Academy of Physician Assistants; Fellow, Wisconsin Academy of Physician Assistants

Past/Present Clients
Brady East STD Clinic, Milwaukee, WI Milwaukee Health Services, Inc. (Martin Luther King Heritage Health Center), Dept. of Family Medicine and Early Intervention Program for HIV Infected Persons

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