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Can Hepatitis Be Contracted From Protected Intercourse With A Sex Worker?

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Posted on Wed, 11 Oct 2017
Question: I am 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 mentally disturbed

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 centre 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 centre 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 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 getting 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 about 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. salah saad shoman (1 hour later)
Brief Answer:
After 1-6 months

Detailed Answer:
Dear sir, I have gone through your question and I understand your concerns.. Hepatitis B is transmitted through body fluids contact , for example when vaginal secretions come in contact with your penis.. Since you were having a protected sex , then it is unlikely that you get infected unless the condom broke ..
Hepatitis B symptoms appear after 1-6 months of the initial infection, so if you are infected then the symptoms should have appeared by now..
Symotoms of hepatitis B include, orange or brown urine , yellow colored skin, light colored stools , fever , abdominal discomfort , muscle and joint pain and persistent fatigue ..
I would recommend that you take a blood test for hepatitis B surface antigen to detect whether you are infected or not, together with the liver functions tests that you have already taken .. Also I would recommend that you take a test for level of bilirubin in blood as high bilirubin can cause skin itching.. hope you find this helpful ..
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. salah saad shoman (1 hour later)
Hi Doc,
Thank you for your thoughts.

I have some more follow up questions.

1. Have you seen Hep b patience s showing symptoms after 8 months of exposure?
2. will Hep b infection always show symptoms - i have heard some people do not show any symptoms at all? i can you share your thoughts on this in your experience and if you had heard about it .

3. In practical cases - when have you seen patience with hep b symptoms appearing in infected person( time line) and how many percentage of people show symptoms for initial Hep b infection ?

4.From many days i am having Body pains,cold,sneezing, nose block and running nose and throat infection as these hep b symptoms ?

Hi Sir

Request you provide your answer for my above questions. I am eager to know your thoughts

doctor
Answered by Dr. salah saad shoman (4 hours later)
Brief Answer:
Unlikely

Detailed Answer:
Dear Sir,
hello again..

Most adults do not show any symptoms following an acute hepatitis b infection.. Most of them also do not develop chronic hepatitis b infection and their body can overcome the infection and eliminate it .. only a small percentage will develop chronic hepatitis B and their blood tests will remain positive for hepatitis b after six months of initial exposure ..

The symptoms you are describing are not consistent with viral hepatitis symptoms but more likely to b due to sinsusitis or allergic rhinitis .. I recommend that you take an antihistaminic as citrizine once daily before going to bed to relive these symptoms..

I hope you find this helpful
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. salah saad shoman (21 hours later)
Hi Sir,

Thank you.

Yesterday i was feeling more and more of throat infection and dryness,fatigue, sneezing and today i have a fever of 100.3. Body pains and doc has give me 5 days azithral 0-1-0 for 5 days and citrize every night. Also Dolo 650 MG 3 times a day for 3 days.

i am scared if its a hep b symptoms?
doctor
Answered by Dr. salah saad shoman (8 minutes later)
Brief Answer:
Unlikely

Detailed Answer:
Dear Sir, hello again , this can be symotoms of regular common cold and are unlikely to be due to hepatitis B..However , the only way to be 100% sure is to take a blood test for hepatitis b surface antigen .. I hope I answered your question. if you don't have any other clarifications then please close the discussion
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Kampana
doctor
Answered by
Dr.
Dr. salah saad shoman

Internal Medicine Specialist

Practicing since :2004

Answered : 3153 Questions

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Can Hepatitis Be Contracted From Protected Intercourse With A Sex Worker?

Brief Answer: After 1-6 months Detailed Answer: Dear sir, I have gone through your question and I understand your concerns.. Hepatitis B is transmitted through body fluids contact , for example when vaginal secretions come in contact with your penis.. Since you were having a protected sex , then it is unlikely that you get infected unless the condom broke .. Hepatitis B symptoms appear after 1-6 months of the initial infection, so if you are infected then the symptoms should have appeared by now.. Symotoms of hepatitis B include, orange or brown urine , yellow colored skin, light colored stools , fever , abdominal discomfort , muscle and joint pain and persistent fatigue .. I would recommend that you take a blood test for hepatitis B surface antigen to detect whether you are infected or not, together with the liver functions tests that you have already taken .. Also I would recommend that you take a test for level of bilirubin in blood as high bilirubin can cause skin itching.. hope you find this helpful ..