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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Are Swelling In Right Abdomen, Hives, Cough And Lethargy Signs Of Hepatitis?

I started working at a Wastewater Treatment Plant 4 months ago. Around a month and a half ago, a piece of wire that was in influent wastewater stuck my finger through my latex gloves. Our treatment plant handles wastewater from the local prison. Around 3 weeks ago I started having pain in my right side. I thought it was from shoveling. I haven't been shoveling since then, and the pain continued and now has expanded from the right side to the right front of my abdomen just below my ribcage. It is tender when I push below my ribs and it feels like something is pushing on everything around that area. I started with what I thought was a chest cold a week and a half ago, and now I started in with hives head to toe 4 days ago. I've kept the hives down somewhat with Benadryl, but I have a huge loss of energy, still rattly cough, and the swelling (which I believe is my liver) hasn't gone down at all. My worry is that I may have contracted Hepatitis or some other form of disease/parasite from work. I've looked a lot online, and it looks like I have 90% of the HepA symptoms but am not jaundiced. I know ultimately I will need to go get checked out locally, but am curious as to what your opinion on the situation is.
Tue, 8 Nov 2016
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General Surgeon 's  Response
hello
1) yes you need to do hepatitis profile for hepatitis A, B and C
2) you also need USG of abdomento find any structural changes in liver which can be seen in parasitic infection
3) you also need liver function test to be done to check level of bilirubin, liver enzymes
4) It is nit necessary to develop severe jaundice in mild hepatitis as it affect liver function mildly, there might be only elevation of liver enzymes only
5) sometimes, stones in gall bladder also produce similar symptoms but it doesn't casue development of generalized shmptoms i.e. weakness, loss if energey or tiredness, mild fever
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Are Swelling In Right Abdomen, Hives, Cough And Lethargy Signs Of Hepatitis?

hello 1) yes you need to do hepatitis profile for hepatitis A, B and C 2) you also need USG of abdomento find any structural changes in liver which can be seen in parasitic infection 3) you also need liver function test to be done to check level of bilirubin, liver enzymes 4) It is nit necessary to develop severe jaundice in mild hepatitis as it affect liver function mildly, there might be only elevation of liver enzymes only 5) sometimes, stones in gall bladder also produce similar symptoms but it doesn t casue development of generalized shmptoms i.e. weakness, loss if energey or tiredness, mild fever