Question: Hi Doctor,

I had been diagnosed with jaundice due to Hepatitis A on the 18th of May 2012.
I was admitted in the hospital for a week following which I have been at home on rest (the doctor advised that I should be on rest till around the 15th of June) and with a controlled diet (zero fat food (no butter or oil etc) and mostly all boiled veggies, fruits and juices).
My water intake is around 1 to 1.5 litres per day. My SGPT count has also come down to 94 from 5070 on 18th May (the normal range being 0 - 40). My Bilirubin though is still at 1.84.
I am currently on Pantodac DSR and Becozym C Forte.

I noticed that around the 26th of May 2012, my ejaculate was yellow in colour and extremely less in amount and that was around 14-15 days after I had last ejaculated (around the 11th of May 2012).
I masturbate regularly now. And now, my ejaculate is white in colour but is still very less in amount compared to what I was having before I got jaundice (when everything was normal). Today I guess it was around 2 ml and this is a day after I ejaculated last.
There is no pain related to ejaculation, no burning sensation while urinating, no decrease in arousal etc.

Could you please advise what is the cause of the low semen volume because I am slightly worried.
Is it because of the jaundice spell I had? Could you please advise the remedy?

Thanks Doctor. That does take away a lot of my worry.

Could you please advise, that considering my current condition of recovery with my SGPT count going down etc., and considering it is due to the jaundice spell, when would the ejaculate volume be close to normal by?
Another 2 weeks?

To reiterate, I have 1 - 1.5 litres of water per day.
Do I need to take in more? Because I have heard that hydration is very essential for maintaining a good semen volume.

Also, any vitamin / zinc supplements you can advise because my diet has also been changed drastically.

Thanks Doctor. My semen volume has already started returning to normal.
But thanks for your advice and help.

Just one more question:
I had few reports done during the time I was admitted in the hospital for treatment of Hepatitis A.
My reports on the 22/05/2012.

They read as follows:

24Hrs Urine Copper Test
Volume: 3.5 L
Copper Urine : 28.7 ug/L
24 hrs urine : 100.45 ug/24 hrs (Biological reference range : <60)

Anti Smooth Muscle Antibody Titre
Dilution : 1.10
Result for ASMA : Positive
Antibody Titre for ASMA : Positive (1.32)
Ceruloplasmin : 18.39 MG/DL (Expected values : 20 - 60)

Total proteins: 7.56 gm/dL (Biological reference interval : 6.3 - 8.2)
Albumin: 3.66 gm/dL (Biological reference interval : 3.5 - 5.0)
Globulin: 3.90 gm/dL (Biological reference interval : 2.30 - 3.50)
A/G ratio: 0.94 (Biological reference interval : 1.0 - 4.0)
Creatinine: 0.85 (Biological reference interval : 0.66 - 1.25)

Prothrombin Time(Test) - 11.2 sec
Prothrombin Time(Control) - 9.0 sec
INR - 1.22

Immunology section
Total T3 - 1.30 ng/mL (Biological reference interval : 0.58 - 1.59)
Total T4 - 13.25 ug/dL (Biological reference interval : 4.87 - 11.72)
TSH - 1.17 uIU/mL (Biological reference interval : 0.35 - 4.94)

SGPT - 1245.80
Total Bilirubin - 5.96 mg/dL
Conjugated Bilirubin - 2.7 mg/dL
Uncojugated Bilirubin - 1.68 mg/dL
Delta Bilirubin - 1.58 mg/dL

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I recently got tests done for SGPT and Bilirubin again on 07/06/2012:

SGPT - 50 U/L
Total Bilirubin - 1.55 mg/dL
Direct Bilirubin: 0.45 mg/dl
Indirect Bilirubin: 1.10 mg/dl

I have recovered pretty well. I have no symptoms. No nausea, no weakness, no vomitting or abdominal pain, no headaches, I am able to sleep peacefully, I do feel hungry and eat well too. Everything is normal.

I am just worried about the low ceruloplasmin count (18.39) and the high urine copper content(100.45 ug/24 hrs) that was diagnosed last month on the 22nd of May 2012.

Was this due to something more serious such as wilson's disease or just because I had acute hepatitis?

Also, to add, I got a KF ring test done today which came out to be negative.