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Based on your symptoms and blood test results, you have experienced fluctuations in white blood cell counts, which can occur due to various reasons, including infections or immune responses. While some symptoms might raise concerns, they do not directly indicate HIV. Risk from exposure is difficult to quantify without specific information, and testing is crucial for accurate assessment. I encourage you to speak with a physician who can offer appropriate testing, guidance, and reassurance. 

An ESR level of 65 indicates increased inflammation in your body. While it's not normal, it doesn't automatically mean something serious. Common reasons for elevated ESR include infections, autoimmune disorders, or chronic illnesses. You may or may not experience symptoms such as fatigue or fever. It’s essential to discuss this result with your physician, who can further evaluate your overall health and recommend necessary tests or treatment. 

You have a common cold and cough. Whe­n blowing your nose or coughing up phlegm, you notice blood. This happe­ns because coughing irritates the­ delicate blood vesse­ls in the nose and throat. Howeve­r, blood can signify other issues like sinus infe­ctions or severe conditions. Pay atte­ntion to the amount of blood - a little may not be conce­rning, but persistent or exce­ssive bleeding warrants me­dical attention. For now, avoid blowing your nose forcefully and stay hydrate­d to soothe your throat. If blood persists, consult an ENT specialist to rule out serious proble­ms.

It’s important to recognize that flu-like symptoms, such as headache and fever, can arise from various causes, including viral infections or stress, rather than solely indicating HIV. Your blood test results show temporary changes that can occur due to many factors and may return to normal as your body recovers. While assessing your risk for HIV needs a thorough evaluation, the best step is to consult a physician for personalized testing and advice. They can provide clarity, discuss your concerns, and guide you on the appropriate steps for health and reassurance.