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Herpes, Hepatitis A - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Very Good Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3607 Questions
User :   hello
Doctor :   HI
User :   this is a ongoing query, so would you please read my chat history first?
Doctor :  
Doctor :  
Is it something to do with herpes?
User :   She has taken a couple of blood tests, and I have the data sheet with me and would like you to check it out too
Doctor :  
User :   yes, but there are some other factors present, and I would like to know more about it
Doctor :   go ahead
User :   Tested Feb. 27 AST(GOT) 187 ALT(GPT) 109 GTP 83 amylase 56 CRP 0.32 White Blood Cell count 0000 Neutro 89 EOSIN 0.8 Lymph 5.6
User :   Tested March 1 AST(GOT) 331 ALT(GPT) 439 GTP 226 CRP 1.69 White Blood Cell count 4540 Neutro 67 EOSIN 5.7 Lymph 19.2
Doctor :  
User :   from the charts, the doctor says it's more likely hepatitis, but may be it has already peaked as the numbers between GOT and GPT has reversed
User :   First of all, what do you see in this chart, and do you think it's hepatitis too?
User :   As I mentioned before, there is another possible factor to this thing
User :   since she has a serious case of insomnia (not able to sleep, right?), she was prescibed a couple of sleeping pills which will let a average man sleep for more than 12 hours
Doctor :  
User :   she started taking the medication about a couple of weeks ago, so I thought there also may be a possibility of allergetic reaction from sleeping pills, and pain killers that she takes 3-4 times per week
User :   the test for hepatitis A will come today
User :   What I want to know is, with all the data taken under consideration, do you think her hepetitis-like symptoms ae
User :   are not herpes related
User :   she has no fever, stomach pain is almost gone, headache and insomnia are the main problem she has at the moment, but I restrained her from tak
User :   taking painkillers and sleeping pills to avoid the possibility of damaging her liver
Doctor :  
since the ast and alt levels are increased it is more indicating towards hepatitis.
Doctor :  
But she will need to consume medicines
User :   which medicine are you refering to?
Doctor :  
User :   She is taking IV everyday
Doctor :  
User :   do you think it's safe to do that?
Doctor :  
IT is necessary for her to do that
Doctor :  
in order to keep the pain at bay.
User :   so you don't think that her sleeping pills and painkillers are the cause
Doctor :   cause for hepatitis?
User :   yes,
User :   yaes
User :   yes and no
Doctor :  
it is v unlikely.
User :   hepatitis no, but hepatitis like symptoms caused by medicine causing allergic reaction, maybe
User :   they how about from herpes?
User :   then how about from herpes
Doctor :  
Can you tell which painkiller is she taking?
User :   this question has been in my mind and I can't sleep...
User :   oh, this one is made in Japan called Naron Ace by Taisho Pharmaceutical
Doctor :  
what about the name of the sleeping pill?
User :   oh god, I don't know at the moment
User :   but the doctor said they're very strong
Doctor :  
Its ok
Doctor :  
it appears it is some anti inflammatory medicine
Doctor :  
since when is she consuming this medicine?
User :   it relieves pain (headache, menstral pain, lowers inflammation and also temperature
User :   this one she has taken for a few years
Doctor :  
Doctor :  
see certain drugs are suppose to cause hepatitis
User :   If it's medicine related, I think the sleeping pills are more likely, since she started taking them just a couple weeks ago
Doctor :   ok
Doctor :  
well in that case i will need to know the name of the medicine?
User :   but what I really want to know is if there's a high possibility that the cause is herpes related
User :   the last time we had sex (with condoms of course) was last Tuesday
Doctor :  
herpes is a viral disease
Doctor :  
caused by both HSV 1 and HSV2
User :   But I assume if it genital herpes, it should affect her genital areas instead of her liver
User :   yes, I know about them quite well
Doctor :  
is there presence of blisters or sores?
User :   not at all
User :   not even a hint of tingling sensation whatsoever
User :   I thoroughly washed my genital with body soap before wearing condoms
User :   but all the precaution may not be enough
Doctor :   it may be more conclusive of hepatitis.

User :   If it's not hepatitis A, I get very nervous
User :   but the doctor says that there are lots of other viruses that cause hepatitis, they usually won't check it and leave it as a cause from a cold
Doctor :  
see i can assure you of one thing
Doctor :  
that is please have patience
Doctor :  
wait for the test reports to come
Doctor :  
let your doc see it
Doctor :  
and fix a modality for treatment
User :   I am just worried sick, and want to know the answers
Doctor :  
before that, discussing the probabilities will make you feel more sick,since you dont know what exactly is wrong.
User :   Even with the reports, there may be without conclusive answer to it, liver is a very complex thing
User :   well thank you anyways, and by the way
User :   what is your speciaty sir?
Doctor :   General Physician
User :   okay, I will try to go to bed and think about it tomorrow
Doctor :  
ok, provide yourself some quality rest.
User :   thanks
Doctor :  
Thanks for consulting HealthcareMagic. Bye for now.
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