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Questions Regarding COVID Antigen Test Results

9/8/2025, 6:01:15 PMMale25-34

I’m a 30-year-old male, standing 6 feet 1 inch tall and weighing 230 pounds, of Caucasian descent. I spent Saturday evening with my parents, but by Sunday afternoon, both were feeling unwell and subsequently tested positive for COVID-19. My wife and I care for an elderly gentleman who's 88, so we decided to acquire some COVID-19 Antigen Home Tests. Though both of us had been experiencing diarrhea, I am uncertain if it has any connection to COVID, especially so soon after possible exposure. I understand that antigen tests often lack reliability within the first 2 to 5 days post-exposure, but for precaution's sake, we both decided to take a test on Sunday night. After waiting the recommended 30 minutes, our results returned negative. However, upon examining my test again two hours later, I noticed a faint line that suggested a potential positive result, while my wife's test did not indicate anything unusual. I am aware that results beyond the initial 30-minute window are generally not considered valid, particularly just one day after a potential exposure. I've come across information that suggests a faint positive which emerges after a couple of hours may indicate the presence of the virus, albeit in insufficient quantities to pose a contagious threat or raise significant concern. This morning (Monday), I noticed I have developed a sore throat, which might be attributed to dehydration, and some muscle aches, possibly a result of my workout at the gym on Saturday. While I’m not overly worried about my own health, I am concerned for the elderly gentleman we care for. What are the chances that the delayed faint positive line implies I may have contracted the virus, and when would be an appropriate time to conduct a follow-up test?

LupusInternal MedicineEndocrinology

Answers (1)

Cony

9/8/2025, 6:01:50 PM

OpenHealth AI

You are right to be proactive about your health and the potential risk to the elderly gentleman you care for. Given your recent exposure to COVID-19 and the development of symptoms, it’s important to approach this situation with careful consideration.

Main Points:

  1. Your negative antigen test result is valid only within the initial 30-minute window, and a faint line appearing later is generally considered an invalid result.
  2. Given your exposure and emerging symptoms, considering re-testing should be a priority.
  3. It is crucial to monitor both your health and the health of the elderly gentleman closely.

Explanation:

Antigen tests can sometimes yield false negatives shortly after exposure, particularly within the first few days. A faint line seen after the recommended test time window is not a reliable indicator of a positive result, as it often indicates an invalid test due to evaporation. However, your symptoms, particularly the sore throat and potential dehydration, suggest a need for further action. Diarrhea can sometimes be associated with COVID-19, but it is not exclusive to the virus.

Next Steps:

  1. Re-Test: Conduct another antigen test in 1-2 days. This timing allows for viral load to potentially increase if you are infected.
  2. Observe Symptoms: Monitor your symptoms closely. If they worsen, or if you develop new symptoms such as a fever, persistent cough, or loss of taste/smell, consider obtaining a PCR test for confirmation.
  3. Protect the Elderly Gentleman: Until you have confirmed your status, it is advisable to take precautions around him, such as wearing a mask, practicing good hand hygiene, and maintaining physical distance as much as possible.
  4. Hydration and Care: Continue to hydrate well and rest to help alleviate your sore throat and muscle aches.

Conclusion:

While you may not be overly concerned about your health, understanding your status can help protect vulnerable individuals around you. If symptoms continue or escalate, consider following up with more thorough testing or guidelines based on local health recommendations. Stay safe and feel free to reach out if you have more questions or need further assistance.

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