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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

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Are bloating and nausea signs of Hepatitis?

Answered by
Dr.
Dr. Muhammad Ali Rauf

General & Family Physician

Practicing since :2013

Answered : 1313 Questions

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Posted on Mon, 9 Oct 2017 in Medicines and Side Effects
Question: This is XXXXXXX 28 Years old and would like to describe the events to you. Please share you expertise as i am very worried.
On night 15 XXXXXXX 17 - I had my first ever sex encounter and protected sex with CSW for a less half a minute (Just an intercourse and nothing else as I was very scared) and CSW had applied some lotion before the intercourse.post this i am mettaly distrubed

Then on 20 May till 22 May - I last had Non veg food on 1 XXXXXXX 2017 and was not been having non veg and alcohol for 4 months till 20 May , but on this day I had Chicken in a regular Dhaba I use to visit and have a Strong Beer – felt heavy gastric and fullness in stomach already and bloated. Note: I have always had this Gastric problem coming and going - Bloated, acidity, burning sensation in stomach, acid regression as my life style is of software engineer and no Physical activity and had more chicken and more beer and whisky at same place with having gastric symptoms like passing fouls smelling gas and the stool was shiny and soft with light Yellow with some pungent smell

On 23 May - Now I had mucus in my stools and it increased a little more next days - No loose motion. But I use to Pass gas and stool both at a time and I saw the stool very closely it was having a little pink I think it was blood and got panicked also started to had pains/cramps (I don’t know what was it) in both sides of stomach hip region and sometime pains in center of stomach coming and going.
Then Again on 26 May i had lots of stomach bloating as I had skipped meals as I was not hungry and built more gastric but I had more beer and smoked more and had vomiting sensation – stools was loose and saw a light red / pink and I am sure it was blood again I had pains in side of stomach and center and below right ribs ( I was very scared as I had read it has liver on the right side of body) and sometimes I had pains left ribs also (sensation and cramps in sides of stomach) and burning sensation in anus and feeling of sum thing coming out after passing stools and randomly. Then I went to General Physician and told him all these - he told I have IBS and gave me prePo IBS for 6 days and then I was taking it and mucus stopped by stools also were hard.
On 30 may - I was not feeling hungry and had the same feeling of pains under rib and sides of stomach went to same doc he advised me to take TAXMIM 1-0-1 OZ - 5 days with PrePro IBS tab as I had some infection he told. And my urine is all fine and no yellow and he advised me to take Liver function test and abdominal scan.
14 Jun – As per Doc - I took the tests and I have attached the Liver function test report and 1 week back I took the abdomen scan and it was normal with just fatty liver observation.
From past some months the pain and craps have reduced as I am maintain a good diet and eating habit. Whenever I have more gastric problem I feel pains below my ribs right side but now I am fine with no pains. I have read and always checking Hep B symptoms and I am very disturbed and unable to work. I am losing my mind. Please help me relax my anxiety as I am fearing Hepatitis because I had sex with CSW and read on google it can come through sex. It’s nearing 8th Months past after exposure about am totally scared and depressed about the hepatitis though and reading google – request you to help me

Also i have been geting itchy and burning sensations on skin in sides of Left underarms and inner hand , right inner thigh, shoulders which come and go is it Hep b symptoms - i have never felt these before please advise m tensed thinking bout this? I also got many pimples on my hands face and neck?? I have always being getting itching coming and going is it hep b indication?
Can you provide the expect advise to me please if this is acute Hep B stage?
When do people get symptoms for hep b initial infection? Its 8th months now is my exposure a risky for Hep b
doctor
Answered by Dr. Muhammad Ali Rauf 2 hours later
Brief Answer:
Get HBsAg test done for Hep B

Detailed Answer:
Hello

Thank You for contacting HealthcareMagic. I'm Dr. Muhammad Ali Rauf and I will look into your concerns.

I have gone through your query in detailed and would try to help you in the best possible way. First of all, I would suggest you relax. Stress/anxiety almost always AGGRAVATES even a simple problem.

As your sexual encounter was protected so chances of infection were minimal from start. Secondly, I would recommend you to visit your nearest lab (a well reputed one) and get HbsAg test done. It will confirm the exact status if Hep B.

There is quite possible that your symptoms are stomach related and stress/anxiety has aggravated it severely.

Symptoms of Hep B usually appear at an avg of 90 days (as per CDC, USA). As you have mentioned that 8 months have passed so it's unlikely for Hep B symptoms to appear now.

Hope I have answered your query. If you have any further questions I will be happy to help.
Wishing you good health !!


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Muhammad Ali Rauf 14 minutes later
Thank you sir.

Just wanted get your answers for the thoughts in my mind.please help me answer these each question below Sir. Just scared to got for a bloof check for Hep b asi have lots of fear and negativity reading forums and symptoms

1.When will the symptoms show up after the initial exposure and how many people show up symptoms? and what are the initial symptoms?

2.I had a protected sex for just for 30 seconds (Just inserted) and is my exposure risky for hep B infection? and is it easy for Hep b Virus to transfer via Sex ? what are the major mode of transmission on virus? is it a fragile virus?Please can you answer my below questions in practical cases.

Also I was wearing a condom and if i had touched the virginal fluid to my body or if i touched my tip of penis ? is it a risk of transmission

3.I had got pains under right side below ribs for many days ( was there for 2 months which would come and go so i went to a gen physician and he advised me LFT test ( Attached report) do you think this is a normal report ? this test was done on Jun 14 it was 140 days ( 5 months)? share your thoughts on this do you think i am safe Sir?

4.Have you seen any one patients with no symptoms like Yellowing skin and urine jaundice and normal LFT test hav still having virus after 5 month of exposure?

Request you to give your expert advise for all the above and thoughts as i have read your profile on this website and your experience & accomplishments.
doctor
Answered by Dr. Muhammad Ali Rauf 20 minutes later
Brief Answer:
Please see details for your queries

Detailed Answer:
Hello

Thank you for the follow-up queries. I'll try my best to satisfy but you need to relax first. If you will not then it will affect your health. Answers to your queries are as follows:

1. Symptoms usually begin at an average of 90 days. The range includes 60–150 days after exposure to Hep B Virus. If one is suffering from Hep B infection then symptoms will appear BUT in some cases silent carrier are also seen. Usual symptoms include:

- Fever
- Fatigue
- Jaundice (yellow discoloration of skin and eyes)
- Loss of appetite
- Nausea / Vomiting
- Dark urine
- Clay-colored bowel movements
- Joint pain
- Abdominal pain

>> It is NOT necessary if one is suffering from 1-2 symptoms then one is actually having Hep B infection. These symptoms need to be correlated with general examination and lab investigations.

2. The chances of your case of infection are unlikely because your encounter was protected and limited. Mode of the spread of Hep B virus includes:

- Injection drug use that involves sharing needles, syringes, or drug-preparation equipment
- Sex with an infected partner
- Birth to an infected mother
- Contact with blood or open sores of an infected person
- Needle sticks or sharp instrument exposures
- Sharing items such as razors or toothbrushes with an infected person

3. Pain under ribs could be due to a number of causes other than Hep B. Most common includes Acid peptic disease & muscular. So it's not a diagnostic sign.

4. In my practical experience, I have not encountered any patient with asymptomatic Hep B infection. Yellow discoloration, fatigue, and loss of appetite were the top symptoms followed by positive lab result.

My Recommendation would be to get HbsAg test done. Once it turns out to be negative, then your most symptoms will resolve automatically and symptomatic management would be given for remaining.

Thank You and wishing you good health.


Above answer was peer-reviewed by : Dr. Arnab Banerjee
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