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Normal liver enzymes and hepatitis - Online Doctor Chats

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

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   HI
User :   i have some questions about hapetitis
User :   is there any doctor available
User :   i need some help pls
Doctor :   Hi
Doctor :  
How can i help you
User :   hi doc
Doctor :  
Its Dr AAAAAAA here
Doctor :  
Please proceed with your query
User :   i want to know if one can get hepatitis b when your liver enzymes are normal
Doctor :  
i will help you in this
Doctor :  
can i ask few Q
User :   besides the last time i had sex was 2 yrs ago
User :   ok
Doctor :  
wats your age ?
User :   22
Doctor :  
do yu have jaundice or yellow discoloration of skin
User :   no
Doctor :   wats the color of urine
User :   sometimes yellow other times a little whit
Doctor :  
any nausea or vomiting
User :   no
User :   but i feel a lil bit itchy
User :   for some days now
Doctor :  
ok
Doctor :  
any abdominal pain
User :   no but after eating this night i felt a liittle pain
Doctor :  
ok
User :   i dnt know if it was b'cos i didnt eat on time
Doctor :  
do yu any rashes or bupms over the penis
User :   it didn't last long tho
User :   no
Doctor :  
or any discharge from the penis
User :   no
Doctor :  
ok
User :   i soo scared doc
Doctor :   last time when you had sex was it protected or unprotected
User :   i had a lot of sex and some was protected whilst others were not
Doctor :  
ok
User :   that was 2yrs ago
Doctor :   is it vaginal or oral sex
User :   both
Doctor :  
did you undergo Hepatitis b test
Doctor :  
thats HBsAg test
User :   the result will be in this tuesday
Doctor :  
ok
User :   but i got vacined
Doctor :   when did get vaccinated
User :   and that was after me messing up
User :   july 2007
Doctor :  
ok
Doctor :  
how many doses of vaccine did you receive
User :   three
User :   on one month interval
Doctor :  
thats good joe
User :   tnx doc but i'm scared
User :   because of the itchy
Doctor :  
you had 3 primary doses of vaccine
Doctor :  
ok
User :   yes
Doctor :   wat did liver function test say
User :   my liver enzymes were normal
Doctor :   ok
User :   but the reason why the doctor opted for the test was
Doctor :   including the bilirubin
User :   because i had a pain in my left foot
Doctor :  
ok
User :   and it moved to the right foot after the left was healed and it moved to my left hand after that was also healed
User :   now my hand is almost gone
Doctor :  
did you get a ultrasound test done
User :   no
Doctor :   did you do any blood test
User :   doc if i had hepatitis dnt u think i shd be getting jondis by now
Doctor :  
or urine or blood test
User :   i did my physicals and everything was okay
Doctor :   ok
User :   i only did some blood test
Doctor :  
ok
User :   it was part of the physicals
Doctor :  
any abnormality detected
User :   like
Doctor :   in the blood test
User :   no
User :   its all fine
Doctor :   ok
Doctor :  
as per your histroy
User :   no
Doctor :  
the symptoms doesnot say its hepatitis
User :   hmm
Doctor :  
as dont have any symptoms of hepatitis except for itching
Doctor :  
even the liver function test is normal
Doctor :  
so be relaxed, not to get stress and tensed
User :   yes
User :   okay
User :   tnx doc
Doctor :  
the chances of you getting hepatitis is almost nil
User :   but my sis did the test last week n it was positive
User :   thats y i'm scared
Doctor :   did she have jaundice or other symptoms
User :   but when she did her physicals her liver enzymes were very high
User :   no
Doctor :  
yes, the liver enzymes are at high rate
User :   she only felt a little pain in the joints and she said she has som itchy skin too'
Doctor :  
then, most of the times hepatitis test will be positive
User :   okay
User :   so does it mean my itchiness is not from that
Doctor :  
but in your case the liver enzymes and bilirubin levels are normal
Doctor :   can i ask few Q regarding itching
User :   cos i have become very sensitive to my body now
User :   k
Doctor :  
since how many days do yu have this ?
User :   getting to a week
Doctor :   do yu have itching all over the body ?
User :   it itches a bit here and a bit there
Doctor :   is it mild or sever itching ?
User :   not too much like crazy
User :   mild
Doctor :  
ok
Doctor :  
do yu have any rashes along with itching
User :   i dnt know if its because i'm scared and tensed
User :   not too many
Doctor :  
did you take any medications for itching
User :   like i tiny rush
User :   very tinny
Doctor :   ok
Doctor :  
did you take any medications for itching
User :   no
Doctor :   ok
Doctor :  
as per your history, the itching in hepatitis does not appear like this
User :   how does it appear
Doctor :   its moderate to sever itching
Doctor :  
it is not associated with rash
User :   okay
User :   i pray so cos i cant even sleep
Doctor :  
its associated with jaundice
User :   i'm soo scared
User :   but my sis doesnt have jaundice but she says she has some itches
Doctor :  
in hepatitis the itching is worse in nite, will not allow the patient to sleep
User :   ok
User :   doc
Doctor :   in her case the liver enzymes was elevated thats the big clue for inside jaundice
Doctor :  
jaundice is of 2 types one is external other is internal
User :   so is it posible that i can get hepatitis with my liver enzymes being normal
Doctor :  
in your sister case it was internal
Doctor :  
so the liver enzymes were high
User :   how do u know its internal
Doctor :  
in internal cases the liver function test can identify
User :   okay
User :   so since my liver enzymes are normal it means i dnt have hep
Doctor :  
so not to be tensed or worried
Doctor :  
your hepatitis test will be negative
User :   tnx doc
User :   but is hep treatable
Doctor :  
you also have received vaccination also
User :   yes
Doctor :   yes early it was difficult
User :   but my sis did too
Doctor :  
newer drugs are avialable
User :   and i think my sis has a severe case
Doctor :  
and interferon's are there
User :   because she complains of stomach ache most at times
Doctor :   with this two treatment the virus can be eradicated to 80- 90 % from the body
User :   and she also saw blood in her feaces some timne ago
User :   okay
Doctor :  
ok
Doctor :  
thats normal for a case of hepatitis B
User :   great
User :   but her liver enzymes were very high
Doctor :  
yes
User :   the range was up to 32 and hers was around 130
Doctor :  
ok
Doctor :  
still then did she get the hepatitis viral load test
User :   no
Doctor :  
thats hepatitis B viral load
User :   she just did the senogram test
Doctor :  
she needs this test
User :   and waiting for the result
Doctor :  
she also need the HBc antibody test
User :   okay
Doctor :  
based on that treatment can be planned
User :   olright
Doctor :  
now i want advice or suggest few things to you
User :   but hopefully it wont bother her health right?
User :   okay
Doctor :  
1. whenever you have sex it must be protected only by condoms
User :   not any more doc
User :   its been two solid years
Doctor :   please not to go for unprotected sex
User :   i'm not doing it till i get married after all these scares
Doctor :  
2. Need booster dose of hepatitis B every 5yrs from the date of last vaccination
User :   okay doc
Doctor :  
3. Dont get blood infused or transfused
User :   ok
Doctor :   do yu consume alcohol
User :   no
Doctor :  
do you smoke
User :   no
User :   i'm a clean guy doc
Doctor :   thats great, i appreciate
Doctor :   ok
User :   tnx
Doctor :  
4. To avoid junk and spicy foods
Doctor :  
5. to reduce redmeat and fatty foods
User :   y reduce red meat
User :   and fatty foods
User :   and the spicy foods too
Doctor :  
fatty foods cause fatty liver
User :   k
Doctor :  
and it will worsen your itching further
User :   k
Doctor :   i am asking you to reduce the amount
Doctor :  
not to completely stop
User :   okay doc
Doctor :  
these tips will help yu to maintain good liver condition
User :   tnx doc
Doctor :  
and boost your immune system
User :   okay
Doctor :  
so over all be relaxed, not to worry
User :   but what kinda foods will u recomend for my sis
Doctor :  
your hepatitis test will be Negative
User :   tnx doc
Doctor :  
food rich in proteins and vitamins
User :   protteins
Doctor :  
moderate in carbohydrates
User :   ok
Doctor :  
and fat in minimal qty
User :   her cholestrol was vry high too
Doctor :  
yes proteins, wheat, pulses, nuts, grams are rich in proteins
User :   but in actual fact she is noit a fat girl
Doctor :  
yes thats the reason on safer side we advice to reduce the fatty food now only
User :   i tot they said the liver breaks down proteins
User :   so she has to limit the intake of protein to
Doctor :  
other wise in later stages the cholesterol levels will be high
Doctor :  
yes for her she has to limit the proteins
User :   avoid the liver working too much since its been hurt by these HBV
Doctor :  
as she is hepatitis positive
User :   ok
Doctor :  
yes you are right
User :   tnx
Doctor :  
go for more fresh fruits and juices
User :   k
Doctor :  
fresh vegetables is also good
User :   k
Doctor :  
once your sister reports come
Doctor :  
the treatment can be well planned
User :   okay
User :   God bless u doc
Doctor :  
her survival rate will also improve
User :   k
Doctor :  
even she will get well soon
User :   tnx
Doctor :  
Please fill the feed back form and comment box
User :   Good nite doc
Doctor :  
Is there any thing else i can help you with ?
User :   i think i can sleep now
User :   yeah
Doctor :  
Please proceed
User :   what do u think is the cause of the pains i was having
User :   from left foot to right foot
User :   and now on my left hand
User :   but almost gone
Doctor :   ok
Doctor :  
is this a constant pain
User :   yes
Doctor :  
do yu have any swelling or
Doctor :  
redness
User :   when it was on my foot i could barely walk
User :   yes swelling but no redness
Doctor :  
ok
Doctor :  
did you have any injury on the foot
User :   no
User :   it just came
Doctor :  
did you take any medications
User :   pain medications and some
User :   anti virus
Doctor :   ok

User :   my doctor wants to check for some tests for rheumatoid artritis
Doctor :  
ok
User :   and thats how the hep test came in
User :   cos she said it could be a cause
Doctor :  
ok
Doctor :   are yu on any medications for arthiritis
User :   no
Doctor :   ok

User :   when i did my physicals my rheumatoid fator test was normal
Doctor :   ok
Doctor :  
so not get confused
Doctor :  
just wait for the hepatitis report
User :   oh man
Doctor :  
after that the cause for the pain can be found out
User :   do hep patients get swelling too
User :   or just pain
Doctor :  
no
User :   they dnt right?
Doctor :  
its just a pain, no swelling
User :   okay
User :   i think i should be able to sleep now
Doctor :  
now relax and go to sleep
User :   tnx Doc and may God bless u
Doctor :  
not your self get stressed and tensed Joe
Doctor :  
Thanks for consulting HealthcareMagic.
User :   gok
User :   tnx too
Doctor :  
Bye for now. Please refer your friends to our service.
User :   good nite
User :   ok i'll do dat
Doctor :   Good nite
Question is related to
Diseases and Conditions
Lab Tests
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