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Jaundice and Hepatitis infections - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2584 Questions
User :   Hi, may I answer your health queries right now ? Please type yo
User :   Hi there
Doctor :   Hi, I am Dr. AAAAAAA
User :   Hi Dr. What is you speciality?
Doctor :   Please proceed with your query
Doctor :   General Practitioner
User :   ok, my query is this
User :   My father has diabetes, and injects himself 4 times a day, and has done for 25yrs
User :   He had 2 major heart attacks
User :   about 10 yrs ago that was
User :   about 2 yrs ago he got a blister on his toe
Doctor :   Ok
User :   they tried to heal is with dressings...ets, but finally went gangrine after a year of fighting this small blister
User :   They amputated the toe, then foot, then at the knee, and then almost to the hip
Doctor :   Ok
User :   He has had 3 debridements since
User :   and goes from sickness to sickness
User :   About 2 weeks ago, he had 2 strokes from a bleed on the brain
User :   on Friday last week, his eyes were yellow, and urine very dark
Doctor :   Ok
User :   He was told today that he has hepititis, but not A,B,or C
User :   and that the sugar in him was causing the hepititis
User :   He has been admitted to hospital about an hr ago
Doctor :   Ok
User :   I live about 8hrs away, and my brother lives in England. Do we rush over there now? Could this be the one to take him? He has gone from worse to worse, and has just about lost the will to live. 2 yrs of torture he has, being picked of piece by piece. He has spent the last few days, only awake for a couple hrs a day. Do you think this could now take him?
User :   Sorry, he is 52yrs old
Doctor :   Ok, since it has not been mentioned as to what type of hepatitis
Doctor :   In case it is Hepatitis C, which is a chronic disease,
Doctor :   does not have a high immediate mortality
Doctor :   then he could tide over this infection only to suffer a chronic course
Doctor :   hepatitis C has been noted to be quiet common in diabetics
Doctor :   In case it is any other type- Hepatitis A/B, these tend to be acute, & can take out their victims at a shorter time
Doctor :   Since he is diabetic from 25years,
Doctor :   his immune system must be very week,
User :   Yes it is. his Dr said his immune system is near non-existant
Doctor :   in such cases, any infection becomes very difficult to handle
Doctor :   & the patient could succumb even to minor infections
Doctor :   His prognosis at this point depends on the viral type & load
User :   I know you dont want to say yes or no, as your answer would be an educated guess at best as you dont know the history...etc...i understand that. But by the sounds of what you saying, Hepititis will be somewhat aggressive in a diabetes patient with no immune support, and will mroe than likely take him, but you cant guess a timeframe?
Doctor :   Right now the negative prognosis predictor in him that we are aware of is- high sugar levels,
Doctor :   The prognosis could definitely be predicted by the treating doctor as he would know : type of virus, viral load, patients physical status(which will include a multitude of factors apart from sugar levels)
Doctor :   But even such a prediction
Doctor :   would be only 80% accurate
Doctor :   As you must already know that medicine is not like mathematics
User :   I imagine so.
Doctor :   What is the prognosis according to the
Doctor :   treating doctor?
User :   So why in your opinion does the Dr say "He has hepititis, but they dont know which one, but know its not a,b,or c
User :   They dont have one
User :   they say this after they have done the blood tests
Doctor :   Ok, so it is not a viral hepatitis
Doctor :   Does he have fever?
Doctor :   or any other signs of infection?
Doctor :   May be they have measured antibodies or the virus itself, which would have been absent
User :   He does not have a fever, or not that he has told me
Doctor :   There are many other causes for hepatitis
User :   Yellow eyes, dark urine, weakness, tired...
Doctor :   Those are the signs of jaundice which only indicates hepatitis or liver disease
Doctor :   Drugs, alcohol, autoimmune
Doctor :   are some of the causes
User :   Thanks
Doctor :   which needs to be evaluated for with various blood tests
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