1. Your
HIV Risk From This Event Is Extremely Low
The injection was given with a re-used syringe barrel, but the most important part — the needle — is what transmits HIV.
Most local “Jholla chap” practitioners commonly change the needle but reuse the syringe, which does NOT transmit HIV.
You did everything correctly afterward:
Started PEP (Viropil) within 24 hours
Completed full 28-day PEP
HIV 4th-generation Duo on 22 Apr → NEGATIVE
HIV 4th-generation Duo on 13 May → NEGATIVE
HIV Tridot on 20 Sep → NEGATIVE
HIV Tridot on 15 Nov → NEGATIVE
These results are 100% conclusive.
You DO NOT have HIV.
There is no window period left.
Your PEP worked, and your tests confirm no infection.
2. Oral thrush for many months is NOT due to HIV
Because your HIV tests are repeatedly negative, this oral thrush has another cause.
Most common causes of recurrent oral candidiasis in HIV-negative people:
A. Antibiotic use
Antibiotics disturb normal mouth bacteria → fungus grows easily.
B. Steroid exposure
You were given dexamethasone injection on 20 March.
Steroids strongly suppress local immunity for weeks, increasing risk of fungal overgrowth.
Even one steroid dose can trigger prolonged imbalance.
C. PPI use (Pantoprazole, Penta DSR, etc.)
These reduce stomach acid → fungal colonization increases in mouth + gut.
You have taken PPI several times.
D. Dry mouth / dehydration
Common with fever, stress, acidity, anxiety.
E.
Vitamin deficiencies
Especially:
•
Vitamin B12
•
Vitamin D
• Iron deficiency
These are VERY common in people with thrush.
F. Gastritis / reflux contacting the mouth
Acid reflux irritates oral mucosa → easier for fungus to grow.
G.
Diabetes / prediabetes
Sugar in saliva feeds candida.
(Your
HbA1c when last checked? If >5.7, this is a strong factor.)
3. This pattern of thrush DOES NOT match HIV
HIV-associated thrush:
• Persistent white plaques
• Deep painful ulceration
• Weight loss
• Fever
• Lymph nodes
• Recurrent infections
• Happens when CD4 < 200
You have NONE of these features and you have multiple NEGATIVE tests.
Your problem is due to local immunity imbalance, gastric issues, and vitamin deficiency, NOT HIV.
Next Steps
How to Treat Your Oral Thrush Properly
Step 1 — Medicines
• Fluconazole 150 mg every 72 hours, total 3 doses
• Clotrimazole troches 10 mg, 4–5 times/day for 7–10 days
• Miconazole oral gel 3–4 times/day
(Choose either troches or gel + fluconazole.)
Step 2 — Correct the underlying cause
You MUST check:
•
Vitamin B12
•
Vitamin D
•
HbA1c (
diabetes screening)
If you already have these values, share them — I’ll explain.
Step 3 — Lifestyle
• Avoid tea/coffee for 7–10 days
• Reduce
sugar
• Drink plenty of water
• Salt-water gargles twice daily
• Stop unnecessary PPI unless really needed