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Can Hepatitis Cause Bloating, Nausea, Abdominal Pain And Yellow Pungent Smelling Urine?

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Posted on Tue, 3 Oct 2017
Question: Good Afternoon Doc,







I am XXXXXXX 27 Years old and would like to describe the events to you. Please share you expertise on the below incident this whole incident has disturbed my life and family.







15 XXXXXXX 2017 - 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 got very scared and depressed reading google all the time for HIV, Hep B and started to relate each symptom to my body. Now I am in lot of stress and mental torture after this incident request you help and providing me your expertise.







10 March – As per HIV Specialist on healtcare magic I took my 4th Gen Vidas AG/AB DUO's and it was negative on 8th week post exposure and when asked a HIV specialist he told me I am 100% safe. But the strange part was i have been geting itching all over my body which comes and goes for the time i had protected sex. is this a concern?







20 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.







21 May and 22 may- I 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







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.







26 may – Again 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.







27 May - I went to DOC 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.







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.







I have got the kinda pains under my right ribs post 20 May 2017 when i started non veg nad drinking?







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 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 7 Months after exposure about am totally scared and depressed about the hepatitis though and reading google – request you to help me







Please note from some months- i have been geting itchy and burning sensations on skin in sides of groin area (V region), Left underarms and inner hand , right inner thigh, shoulders which come and go is it Hep b systoms - i have never felt thos before plese advise m tensed thinking bout this? I also got many pimples on my hands face and ncek??







Can you provide the expect advise to me please if this is acute Hep B stage?



I have normal urine and no yellow colouration



I have always being getting itching coming and going is it hep b indication?



When do people get symptoms for hep b initial infection? Its 7.5 months now.
doctor
Answered by Dr. Pavan Kumar Gupta (40 hours later)
Brief answer.....get the test for hepatitis B to relieve yourself of stress
Detailed answer.....
Hello,
Thanks for the query.
I have read your query and understand your concern.
Basically speaking you have two concerns now.
1... Whether you have hepatitis B or not
2.... Regarding itching

Hepatitis B infection may not cause any symptom. In acute stage you may have fatigue,yellow urine,pain abdomen,bloating,nausea,muscle and joint pains etc. most of the patients clear their virus in six months time. Some people are unable to get rid of virus in six months time and then they are called as having chronic hepatitis B infection. Symptoms of chronic infection are vague like poor appetite,malaise,fatigue etc. jaundice is generally absent in chronic infection.
Although there are various tests to diagnose hepatitis but you can get a simple test called as hepatitis B surface antigen test ( HBSag ) which is positive in both acute as well as chronic hepatitis B infection.
A negative HBSag RULES OUT hepatitis B infection.
Itching can be present in hepatitis B infection.

Your itching seems to be due to probable fungal infection in your groin area.
Apply CLOTRIMAZOLE oint locally twice a day for 3-4 weeks
Eat tablet ALLEGRA 180 mg one every night for 2 weeks.

I hope it helps,however you are most welcome to revert to me for any further query.
Best of luck
Thanks


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Pavan Kumar Gupta (29 minutes later)
Good Morning Sir,
Thank you for the thoughts.

Just wanted get your answers for the thoughts in my mind.please help me answere these each question below Sir

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?

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. Pavan Kumar Gupta (58 minutes later)
Hello,
I will answer your query one by one.....
1....as written earlier one may have or not have any symptoms. These symptoms are vague and not very specific as written earlier.
2.....hepatitis B is definitely transferred by unprotected sex
3...your LFT reports are normal.
4... A person can go to chronic infection stage if acute stage fails to clear up. Yes one can be chronically infected with hepatitis B without having any symptom or jaundice or with normal liver reports.
At the end I would like to state that don't stress yourself unnecessarily. Just go and get a simple blood test called as HBSag. It will clear all the doubts.
Thanks
Note: For further follow up on digestive issues share your reports here and Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Pavan Kumar Gupta

General & Family Physician

Practicing since :1978

Answered : 6704 Questions

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Can Hepatitis Cause Bloating, Nausea, Abdominal Pain And Yellow Pungent Smelling Urine?

Brief answer.....get the test for hepatitis B to relieve yourself of stress Detailed answer..... Hello, Thanks for the query. I have read your query and understand your concern. Basically speaking you have two concerns now. 1... Whether you have hepatitis B or not 2.... Regarding itching Hepatitis B infection may not cause any symptom. In acute stage you may have fatigue,yellow urine,pain abdomen,bloating,nausea,muscle and joint pains etc. most of the patients clear their virus in six months time. Some people are unable to get rid of virus in six months time and then they are called as having chronic hepatitis B infection. Symptoms of chronic infection are vague like poor appetite,malaise,fatigue etc. jaundice is generally absent in chronic infection. Although there are various tests to diagnose hepatitis but you can get a simple test called as hepatitis B surface antigen test ( HBSag ) which is positive in both acute as well as chronic hepatitis B infection. A negative HBSag RULES OUT hepatitis B infection. Itching can be present in hepatitis B infection. Your itching seems to be due to probable fungal infection in your groin area. Apply CLOTRIMAZOLE oint locally twice a day for 3-4 weeks Eat tablet ALLEGRA 180 mg one every night for 2 weeks. I hope it helps,however you are most welcome to revert to me for any further query. Best of luck Thanks