8-week HIV self-test negative, is inflamed tongue base a symptom?

Nov 25, 2024 Source: Cainiu Health
Disease description:

I performed an HIV self-test 8 weeks after a high-risk behavior, and the result was negative. Recently, I have had inflammation at the base of my tongue and am concerned whether this could be a symptom related to HIV. Is it possible?

Doctor's answer (1)
Dr. Yang Ziqi

After HIV infection, there is a certain incubation period, and symptoms of the acute phase usually appear 2-4 weeks after infection, such as fever, sore throat, and rash. However, these symptoms are not unique to HIV. A negative result from an HIV self-test at 8 weeks cannot completely rule out infection, and further testing is still needed for confirmation. Inflammation at the base of the tongue may be caused by various factors, including local infection, excessive internal heat ("fire"), or vitamin deficiency, and is not necessarily related to HIV.

It is recommended to visit a qualified healthcare facility for more accurate HIV antibody testing or nucleic acid testing to determine if infection has occurred. For inflammation at the base of the tongue, maintaining oral hygiene, drinking plenty of water, and avoiding spicy or irritating foods are advised. If symptoms persist or worsen, prompt medical attention should be sought.