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Pregnancy, hep E positive, liver enzyme high, vomiting, yellow color skin - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Pregnancy
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3254 Questions
User :   Hello,
My wife is 37 weeks pregnant and a week ago our OBGYN found that my wife have Hepatitis E Positive. her liver engymes have been elevated too high. She have heavy body itching also. No other symptoms we find in here like vomiting, yellow color skin or any thingelse. Is that any cure for this. Is the baby safe and this ifection will not pass to baby?
Doctor :   Hi
Doctor :   dR
User :   Hello Dr
Doctor :   let me read your query
User :   This is AAAAAAA
Doctor :   has she got tests for hepatitis E serology done ?
Doctor :   are any antibodies positive ?
User :   I am not sure what type of test they did but they said the IGG and IGM came positive
Doctor :   ok
Doctor :   may i know her age ?
User :   30
Doctor :   the treatment for hepatitis E is symptomatic
User :   what is symptomatic
User :   what should we do
Doctor :   prevention of dehydration, control of symptoms of nausea, vomiting, if present are the only therapy
User :   but she dont have vomiting nausea
User :   she only have body itching
Doctor :   Since she does not have any symptoms there is not need for any intervention
User :   any remedy for reducing the itching
Doctor :   for body itching, she can use topical creams to reduce them
User :   can u name some of the topical cream
Doctor :   Even without specialized treatment for acute hepatitis E, most people recover completely within a few weeks.
Doctor :   proper hydration, good nourishment with high calorie diet are important aspects of therapy in this condition
Doctor :   Once a person has recovered from a hepatitis E infection, the virus is no longer present in the body
Doctor :   Betamethasone cream can be used to relieve itching
User :   does she need to be in diet like reduce of salt and spicies any tamarin
Doctor :   no
Doctor :   no need for such diet at all
Doctor :   Eating several small meals throughout the day (instead of three large meals) may also be helpful.
User :   is this infection doesn't effect the baby right
Doctor :   If she feels sick in the morning, she should try eating some crackers or dry toast before getting out of bed.
Doctor :   It may also help to drink lemon water or have a lemon drop, too
User :   ok
Doctor :   no the baby may not be affected much
Doctor :   since the mothers antibodies will be protective
User :   because on the net I heard lot of pregnant womens had preme babys
Doctor :   you mean premature babies
User :   yes
Doctor :   your baby has already at 37 weeks
User :   yes
Doctor :   so you need not worry about that
User :   ok
User :   so this topical cream how do I apply
User :   can I apply all over the body
Doctor :   even if she delivers within 1 week from now, that is completely normal and no need to worry
Doctor :   yes
Doctor :   you can apply the cream all over the body
Doctor :   also use icepacks to help the symptoms
User :   can she take dairy products like milk
User :   because her liver enzymes have been elevated
Doctor :   yes , surely
Doctor :   that does not affect anyway
User :   so taking dairy products will not be a problem
Doctor :   can you mention the liver enzyme levels ?
User :   yes
Doctor :   yes dairy products will not cause any issues at all
User :   the ast r 129 alt is 109 and Ldh is around 2000
Doctor :   ok
Doctor :   they are mildly high, but not that severe as well
User :   ok
Doctor :   the danger signs are when they are above 500
Doctor :   LDH, is a nonspecific
User :   ok
Doctor :   no need to worry too much about LDH
User :   ok
User :   so is this hepatitis E means jaudice
User :   or something different froim A C
Doctor :   ANY Hepatitis can cause jaundice
User :   ok
Doctor :   Hep A and Hep E are similar
User :   ok
Doctor :   as they are self limited and need no specific treatments
User :   how long will this infection stay
Doctor :   not more than 3-4 weeks
User :   ok
Doctor :   but symptomatic improvement will be within 2 weeks
User :   ok
User :   ok Dr thanks for your valuable advice
Doctor :   you are most welcome
Doctor :   thanks for consulting me here
User :   sure
Doctor :   take care and bye for now
User :   you too
Doctor :   congratulations on being a father soon
Doctor :   well in advance
User :   Thanks
Doctor :   YOU are welcome again
Doctor :   take care now
Doctor :   bye for now
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