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Symptoms of HIV

How to Identify HIV Symptoms

HIV (Human Immunodeficiency Virus) is the virus that causes AIDS (Acquired Immunodeficiency Syndrome). The HIV virus attacks the immune system, specifically targeting a type of white blood cell that helps the body fight infections and diseases. Many symptoms could indicate an HIV infection, but these symptoms often overlap with those of other illnesses, such as the flu or a cold. Testing is the only way to definitively determine if you have HIV. However, there are some symptoms that can serve as warning signs of an infection.


Spotting Early Symptoms

1. Determine if You Are Experiencing Unexplained Acute Fatigue

Fatigue can be a sign of many different illnesses, but it is also a common symptom among people with HIV. If you are experiencing persistent fatigue without a clear cause, it may warrant further investigation. It's important to differentiate between acute fatigue and simple drowsiness.

Even if you get a full night's sleep, are you still feeling tired throughout the day? Do you find yourself napping more frequently in the afternoon and avoiding strenuous activities due to a lack of energy? This type of fatigue should be taken seriously.

If this symptom persists for several weeks or months, you should get tested for HIV to rule out the virus.

2. Be Aware of Excessive Fever or Night Sweats

These symptoms typically occur during the early stage of HIV infection, known as primary or acute HIV infection. While many people may not experience these symptoms, those who do often develop fever and night sweats approximately 2-4 weeks after contracting HIV. These symptoms are similar to those of the flu and common cold. If you are in flu or cold season, these symptoms might be attributed to these illnesses.

Chills, muscle aches, sore throat, and headaches are also symptoms of the flu and cold but can also be early signs of HIV infection.

3. Check for swollen lymph nodes in the neck, armpits, or groin

Swollen lymph nodes are a response of the body to infection. This condition does not occur in every primary HIV infection, but it is common among those who do show symptoms. Typically, lymph nodes in the neck are more likely to swell compared to those in the armpits or groin.

Lymph nodes can swell due to many other types of infections, such as colds or the flu, so further investigation is needed to determine the cause.

4. Watch for nausea, vomiting, and diarrhea

These symptoms are often associated with the flu but could also indicate an early HIV infection. If these symptoms persist, it is important to get tested.

5. Pay attention to mouth and genital ulcers.

If you notice mouth ulcers occurring alongside other symptoms, especially if you don't usually have mouth ulcers, this could be a sign of primary HIV infection. Genital ulcers can also indicate the possible presence of HIV.


Recognizing Advanced Symptoms 

1.​ Do not ignore a persistent dry cough.

A persistent dry cough is often associated with the later stages of HIV, sometimes emerging years after the initial infection. This seemingly harmless symptom can be easily overlooked, particularly during allergy season or cold and flu season. If you have a dry cough that doesn't improve with allergy medications or inhalers, it could be a sign of HIV.

2. Observe Irregular Skin Spots (Red, Brown, Pink, or Purple)

In the later stages of AIDS, individuals often develop rashes on their skin, particularly on the face and trunk. These rashes can also appear inside the mouth and nose, indicating that HIV may be progressing to AIDS.

The skin may become thin and red, and spots might resemble boils or lumps. Unlike typical rashes associated with flu or colds, rashes linked to AIDS do not usually come with other common cold symptoms. If you notice such skin changes along with other symptoms, it is crucial to see a healthcare professional promptly for evaluation.

3. Be Cautious if You Develop Pneumonia

If you contract pneumonia, it’s important to pay close attention, as it can be a sign of advanced HIV infection. Pneumonia is a common opportunistic infection in people with weakened immune systems, such as those with AIDS. The presence of pneumonia, especially if it recurs or is unusually severe, warrants a thorough medical evaluation to determine if it may be related to HIV or AIDS.

4. Check for Yeast Infections, Especially in the Mouth

Yeast infections, particularly oral thrush (candidiasis), can be a sign of weakened immunity and may indicate advanced HIV infection. Oral thrush appears as white patches on the tongue, gums, and inside the mouth. If you notice these symptoms, along with other signs of HIV, it’s important to consult a healthcare professional for further evaluation and testing.

5. Check Your Nails for Signs of Fungal Infection

Fungal infections of the nails can sometimes be an indicator of a compromised immune system, which may be associated with advanced HIV infection. Look for changes in your nails, such as discoloration, thickening, or crumbling. If you notice these symptoms, particularly if they occur alongside other signs of HIV, it is important to seek medical advice for proper diagnosis and treatment.

6. ​Determine if Your Rapid Weight Loss Has No Clear Cause

Unexplained weight loss can be a significant sign of various health issues, including advanced HIV infection. If you are experiencing rapid weight loss without any clear reason, it is important to investigate further. Such weight loss, especially if accompanied by other symptoms like persistent fatigue, fever, or night sweats, may warrant medical evaluation to determine the underlying cause and to check for potential HIV infection.

7. ​Pay Attention to Neurological Issues

Neurological symptoms can be an important indicator of advanced HIV infection. These symptoms may include memory loss, difficulty concentrating, confusion, or changes in mood and behavior. If you are experiencing any of these issues, especially in conjunction with other symptoms of HIV, it is crucial to seek medical evaluation. Early diagnosis and treatment are key to managing the effects of HIV on the nervous system.