Hi to all moderators,

Something happened that is driving me nuts. I am really hoping and praying for the best. I recently moved back to Canada and live with roommates, one who is positive (who I know is not on meds and is a real slob) and the other status unknown. At the time of the incident I had a cold sore developing (maybe day 2 or 3) on my upper lip. Ok so this is what happened:

- The HIV + person went to the bathroom (we only have one in the house)
- right after he finished and left the bathroom I entered (I really had to pee as I was holding it for some time and waiting outside that bathroom door to get in)
- When he opened the door I went in and I straight away whipped out my penis and just peed to get that relief and to my horror as I looked down at the toilet bowl for aim all I see are feces (huge chunks - the guy did not flush!) and some reddish substance which I have to assume has to be blood.
- I continued to pee bc nothing has happened so I thought ok just continue and then flush all together. To my horror a second later I felt what was toilet splash (feces + the red substance) land right smack onto my cold sore. Like a direct hit. I stood there frozen! Completely frozen  :'(... thinking what the f just happened! I just continued to pee as the feces and red substance is kind of drying on my cold sore now. I finish peeing and flush and then wipe this substances off my cold sore with my t-shirt (the area turns out to be reddish brown on my t-shirt). Now I'm freaking panicking and saying to myself get the hell out of the bathroom, which I do and go to my room and just start crying and crying crying.
It's like as hard as I put things into perspective like Jim mentioned above the only things to worry about are unprotected vaginal and anal and it's just that simple. I've read posts saying hiv cannot survive in a toilet bowl (but I used the toilet bowl mere seconds after him), I've read feces cannot transmit the disease but I saw feces with blood, and to make this worse the toilet bowl feces and blood made it right onto my cold sore and was on there for a couple of minutes. What are the odds, why is shit like this happening to me.

Moderators what's my risk here? Should I go to emergency room for PEP?


Thank you for your inquiry. From what we gather from the question, you were asking about the possibility of HIV transmission through bloody feces on broken skin. From the information given, this scenario is determined to be No Risk (Transmission of HIV is not possible in the given scenario).

The scenario mentioned above does not meet the three components of the transmission equation. When HIV is exposed to oxygen in the environment it undergoes a rapid reduction in concentration. (1) In the scenario you described, the exposure to the fluid to oxygen would have essentially rendered any HIV inactive, effectively reducing the risk of HIV transmission to zero.

Due to the fact that there is no risk of transmission, I do not think that PEP is necessary.

Recommendation: No need for HIV test with the scenario provided, refer to a healthcare professional for other health related questions


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