Symptoms And Stages Of Hiv Infection
FAST FACTS
- There are three stages of HIV infection. The symptoms vary in type and severity from person-to-person.
- Stage 1 after initial infection can feel like flu but not everyone will experience this.
- Stage 2 is when many people start to feel better and may last for 10 years or more. During this time a person may have no symptoms.
- Stage 3 is when a persons immune system is very badly damaged and can no longer fight off serious infections and illnesses.
- The earlier a person is diagnosed with HIV and starts treatment, the better their health will be over time.
- Some people dont get any symptoms during stages 1 and 2, and may not know they have the virus, but they can still pass on HIV.
The signs of HIV infection can vary in type and severity from person-to-person, and some people may not have any symptoms for many years.
The stages below describe how HIV infection progresses in the body if it is left untreated. Without antiretroviral treatment for HIV, the virus replicates in the body and causes more and more damage to the immune system.
However with effective treatment, you can keep the virus under control and stop it from progressing. This is why its important to start treatment as soon as possible after testing positive.
Stages Of Hiv Infection
Stages of Infection
There are four stages of HIV and as with all illnesses, how it progresses, how long it takes and the affect it has on the individual depends on a number of factors for example, general health, lifestyle, diet etc.
Stage 1: Infection
HIV quickly replicates in the body after infection. Some people develop short lived flu-like symptoms for example, headaches, fever, sore throat and a rash within days to weeks after infection. During this time the immune system reacts to the virus by developing antibodies this is referred to as sero-conversion.
Stage 2:Asymptomatic
As the name suggests, this stage of HIV infection does not cause outward signs or symptoms. A person may look and feel well but HIV is continuing to weaken their immune system. This stage may last several years and without a HIV test many people do not know they are infected.
Stage 3:Symptomatic
Over time the immune system becomes damaged and weakened by HIV and symptoms develop. Initially they can be mild but they do worsen, symptoms include fatigue, weight loss, mouth ulcers, thrush and severe diarrhoea. The symptoms are caused by the emergence of opportunistic infections they are referred to as opportunistic infections because they take advantage of a persons weakened immune system. Some examples of opportunistic infections are PCP, toxoplasmosis, TB and kaposi sarcoma.
Stage 4:AIDS/Progression of HIV to AIDS
What Are The Signs & Symptoms Of Hiv And Aids
When first infected with HIV, a person may have:
- fever
- increased number of infections
- infections that are more severe than is typical
Without treatment, HIV can lead to a very weakened immune system and progress to AIDS. Illnesses that happen in AIDS are called “AIDS-defining conditions.”
AIDS-defining conditions include:
- very fast and severe weight loss
- a lung infection called pneumocystis pneumonia
- Kaposi sarcoma
- lymphoma
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You’ll Know You Have Hiv Because Of Your Symptoms
Myth. Some people don’t show signs of HIV for years after being infected. However, many can have some symptoms within 10 days to a few weeks after infection. These first symptoms are similar to the flu or mononucleosis and may include fever, swollen lymph nodes, sore throat, rash, and muscle aches. They usually disappear after a few weeks and you may not have symptoms again for several years. The only way to tell you have HIV is to get tested.
Diagnosis In Men Vs Women
Doctors diagnose HIV in both men and women by testing a blood or saliva sample, although they could also test a urine sample. This test looks for antibodies produced by the person to fight the virus. The test typically takes around 3 to 12 weeks to detect antibodies.
Another test looks for HIV antigens, which are substances that the virus produces immediately after transmission. These antigens cause the immune system to activate. HIV produces the p24 antigen in the body even before antibodies develop.
Usually, both the antibody and the antigen tests are done in labs, but there are also home tests that people can take.
Home tests may require a small sample of blood or saliva, and their results are quickly available. If the test is positive, it is essential to confirm the results with a doctor. If the test is negative, a person should repeat it after a few months to confirm the results.
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Hiv Symptoms Signs And Diagnosis Topic Guide
What Are The Symptoms Of Hiv Infection
Most people have no symptoms or just a mild flu-like illness when they are first infected, and it may be difficult to tell the HIV apart from other viral infections. This illness, called seroconversion illness, often occurs around 10 to 14 days after infection.
Seroconversion illness can have a range of symptoms, including:
- swollen lymph glands in the neck, underarm or groin areas
- rash
After the initial illness, people with HIV infection usually have no other symptoms. However, the virus remains in the body.
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Needle And Syringe Programs
Needle and syringe programs provide clean needles or syringes to people who inject drugs, reducing the risk of the transmission of HIV and other blood-borne diseases such as hepatitis B and hepatitis C. This is sometimes referred to as needle exchange.
The types of NSP outlet vary, from participating pharmacies to vending machines. Find an NSP in your state or territory:
You can also find a local needle and syringe program using the healthdirect Service Finder. Select By name and type needle into the search bar.
Skin Rashes And Skin Sores
Most people with HIV develop skin problems. Rash is a common symptom of HIV, and many different types of skin rashes are associated with the condition. They may be a symptom of HIV itself or the result of a concurrent infection or condition.
If a rash appears, its a good idea to have a healthcare provider review ones medical history. They can use a complete medical history to determine which diagnostic tests are needed.
Sores, or lesions, may also form on the skin of the mouth, genitals, and anus of people with HIV.
With proper medication, however, skin problems may become less severe.
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The Most Common Symptoms Of Seroconversion Are:
- sore throat
- fever
- rash over the body.
Seroconversion is a sign that the immune system is reacting to the presence of the virus in the body. Its also the point at which the body produces antibodies to HIV. Once seroconversion has happened, an HIV test will detect antibodies and give a positive result.
Seroconversion illness happens to most people shortly after infection. It can be severe enough to put someone in hospital or so mild that its mistaken for something like flu although a blocked or runny nose is not usually a symptom.
If you do have HIV, your body fluids are highly infectious during the early weeks and months after transmission. However, once youre on effective treatment and your viral load becomes undetectable you cannot pass on HIV.
It can take up to six months from starting treatment to become undetectable.
How Do I Avoid Passing Hiv On To Someone Else
If you are infected with HIV, the best way to prevent spreading HIV infection to others is to:
- take your medication as prescribed there is a very low risk of passing on HIV if your own infection is under control
- use condoms and a water-based lubricant for anal and vaginal sex
- never share needles, syringes and other injecting equipment
If you have HIV infection, you are expected to notify anyone who is at risk of exposure from you:
- Tell people you have had sex or taken drugs with . Your doctor can help you decide who may be at risk and help you to contact them either personally or anonymously.
- Tell anyone you intend to have sex with about your HIV status . This is required by law in some states.
If you are pregnant, talk to your doctor about starting antiretroviral treatment to prevent the infection passing to the baby during pregnancy, childbirth or breastfeeding. Read more about HIV and pregnancy.
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Second Stage: Clinical Latency Symptoms
After your immune system loses the battle with HIV, the flu-like symptoms will go away. But thereâs a lot going on inside your body. Doctors call this the asymptomatic period or chronic HIV infection.
In your body, cells called CD4 T cells coordinate your immune systemâs response. During this stage, untreated HIV will kill CD4 cells and destroy your immune system. Your doctor can check how many of these cells you have with blood tests. Without treatment, the number of CD4 cells will drop, and youâll be more likely to get other infections.
Most people don’t have symptoms they can see or feel. You may not realize that you’re infected and can pass HIV on to others.
If youâre taking ART, you might stay in this phase for decades. You can pass the virus on to other people, but itâs extremely rare if you take your medicines.
When Should Someone Seek Medical Care For Hiv/aids
All sexually active adults should know their HIV status and should be tested for HIV routinely at least once. This is the only way to know whether one is HIV infected. It is not unusual for a person to get HIV from a person they never knew could have HIV again, most people with HIV do not know it for years. Testing is important yearly or more often if a person has risk factors for HIV. If someone has a history of engaging in unprotected sex outside of a mutually monogamous relationship or sharing needles while using drugs, he or she should have an HIV test. Early testing, recognition of the signs and symptoms of HIV infection, and starting treatment for HIV as soon as possible can slow the growth of HIV, prevent AIDS, and decrease the risk of transmission to another person. If a woman is pregnant and infected with HIV, she can greatly reduce the risk of mother-to-child transmission by getting treatment. HIV testing is routinely offered at the first prenatal visit.
HIV testing is available through any health care provider, as well as anonymously and confidentially. Home tests for HIV are available for purchase in most pharmacies and online. The U.S. Centers for Disease Control and Prevention offers a tool to help the public find their nearest HIV testing site by zip code at https://gettested.cdc.gov. You can also text your ZIP code to KNOW IT , or call 1-800-CDC-INFO . Knowing one’s status is the first step to avoiding AIDS.
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What Can Effective Hiv Treatment Do
HIV medication keeps you healthy so you can live a normal lifespan.
Treatment can also reduce your viral load to undetectable levels so that you wont be able to pass on HIV to anyone else. It can take up to six months from starting treatment to become undetectable, so its important to test and start treatment on time.
Fever And Night Sweats
People with HIV may experience long periods of low-grade fever. A temperature between 99.8°F and 100.8°F is considered a low-grade fever.
The body develops a fever when something is wrong, but the cause isnt always obvious. Because its a low-grade fever, those who are unaware of their HIV-positive status may ignore the symptom.
Sometimes, night sweats that can interfere with sleep may accompany fever.
Women with HIV can experience changes to their menstrual cycle. Their periods may be lighter or heavier than normal, or they may not have a period at all.
HIV-positive women may also have more severe premenstrual symptoms.
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Signs And Symptoms Of Hiv/aids
The stages of HIV infection are acute infection , latency and AIDS. Acute infection lasts for several weeks and may include symptoms such as fever, swollen lymph nodes, inflammation of the throat, rash, muscle pain, malaise, and mouth and esophageal sores. The latency stage involves few or no symptoms and can last anywhere from two weeks to twenty years or more, depending on the individual. AIDS, the final stage of HIV infection, is defined by low CD4+ T cell counts , various opportunistic infections, cancers and other conditions.
It’s Difficult To Get Hiv From Casual Contact
Fact. You can’t catch or spread HIV from hugging someone, using the same towel, or sharing the same glass. It’s very rare to get HIV from a blood transfusion — the U.S. blood supply is carefully tested. However, you can get the disease from having unprotected sex, sharing needles, or getting a tattoo from unsterilized equipment.
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Opportunistic Infections In Men
As opposed to the acute stage of infection, the symptoms of chronic HIV are primarily related to the development of OIs rather than the virus itself.
In men and women, the expression of these OIs remains more or less the same. At CD4 counts of between 250 and 500, common OIs include candidiasis , herpes simplex, herpes zoster , bacterial pneumonia, bacterial and fungal skin infections, tuberculosis, and HIV-associated meningitis.
The differences between sexes, if any, mainly involve those of the anal and genital tracts. In men with chronic HIV infection, these symptoms may include:
What Are The Signs And Symptoms Of Aids
Having an infection with the HIV virus does not automatically mean that the patient has AIDS. As the HIV virus infects more and more CD4 cells and makes more copies of itself, the patients immune system gets overwhelmed and begins to falter. When the immune system breaks down due to HIV infection, opportunistic infections like fungal infections, pneumonias, and cancers can occur. When this level of HIV infection occurs, it is called AIDS .
Some of the signs and symptoms of progression of HIV to AIDS are:
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How Is Hiv Transmitted Or Spread
The following are the means by which the HIV virus is spread:
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Vertical transmission. HIV can be spread to babies born to, or breastfed by, mothers infected with the virus.
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Sexual contact. In adults and adolescents, HIV is spread most commonly by sexual contact with an infected partner. The virus enters the body through the lining of the vagina, vulva, penis, rectum, or abraded or irritated tissues in the lining of the mouth through sexual activity.
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Blood contamination. HIV may also be spread through contact with infected blood. However, due to the screening of donated blood for evidence of HIV infection, the risk of acquiring HIV from blood transfusions is extremely low.
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Needles. HIV is frequently spread by sharing needles, syringes, or drug use equipment with someone who is infected with the virus. Transmission from patient to health care worker, or vice-versa, through accidental sticks with contaminated needles or other medical instruments, is rare.
No known cases of HIV/AIDS have been spread by the following:
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Saliva
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Malaise
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Enlarged lymph nodes
An HIV-infected child is usually diagnosed with AIDS when the immune system becomes severely damaged or other types of infections occur. As the immune system deteriorates, complications begin to develop. The following are some common complications, or symptoms, of the onset of AIDS. However, each child may experience symptoms differently. Symptoms may include:
Is There Any Treatment Of A Cure For Hiv/aids
Currently, there is no cure for HIV/AIDS. People living with HIV will need lifelong treatment. The best treatments right now are combinations of prescription drugs. These medications include antiviral treatment, protease inhibitors and other drugs that help people who are living with HIV stay healthy. People living with HIV also can stay healthy by doing things like eating properly, exercising and getting enough sleep.
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When To Seek Medical Care
Early diagnosis is key. If you think youve been exposed to HIV or have an encounter that put you at risk for HIV, you should seek medical care right away with a primary care doctor, urgent or walk-in clinic, or, if those are not available to you, a local emergency room.
Doctors can give you a medication called post-exposure prophylaxis after exposure to reduce your chances of developing HIV. But this medication needs to be taken within 72 hours of exposure. Ideally, youd start taking it within the first 24 hours.
If you think you were exposed to HIV in the past for example, if a former sexual partner tells you they have HIV its critical to seek medical care as soon as possible. The sooner you find out you have HIV, the sooner you can start treatment.