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How Is Hepatitis A Transmitted?
Question: hi doc, i am a 24 years old well depressed guy. I was diagnosed with hepatitis A 2 months before, my LFT was as under before 10 days.
SGPT - 25 mg/dl
Total bilirubin -0.61 mg/dl
Direct bilirubin- 0.20 mg/dl
Indirect bilirubin - 0.41 mg / dl
1) Can i still spread the virus? Does it spread through kissing and blood or just via fecal material?
2) I am having headache and bone and joint pain with back pain since 10 days. my hands pain most frequently with wrist and shoulder joint pain, even my fingers hurt sometimes too. Pain is not continous , it comes and go and mild except right wrist and both shoulders. My jaw also become painful and rarely ears. I also feel little stiffness in my back and neck. is this all because of weakness or is it something else? what should i do to overcome it?
3) I have my Ultrasound done 2 times but both the times my gall bladder was contracted. my doctor said it is because you have not eaten anything. is it true or something is wrong with it? liver and other organs were fine.
4) other problem i am having is that i get low grade fever in air conditioned atmosphere and my headaches aggravate too. what can be the reason behind that?
5) my body cant take the load . i get fatigued and stomach discomfort when i try to run or carry load. what should i do to overcome it?
6) when can i start having oil rich food and play sports?
7) can i take aloe vera juice.? my family members say it is a very good medicine for liver . if it is good than how much time i should take it?
8) my lipid profile is like below. is it good or bad?
HDL - 41
LDL- 91
Triglycerides - 110
9) and last but most important question. Do i have pancreas cancer?
SGPT - 25 mg/dl
Total bilirubin -0.61 mg/dl
Direct bilirubin- 0.20 mg/dl
Indirect bilirubin - 0.41 mg / dl
1) Can i still spread the virus? Does it spread through kissing and blood or just via fecal material?
2) I am having headache and bone and joint pain with back pain since 10 days. my hands pain most frequently with wrist and shoulder joint pain, even my fingers hurt sometimes too. Pain is not continous , it comes and go and mild except right wrist and both shoulders. My jaw also become painful and rarely ears. I also feel little stiffness in my back and neck. is this all because of weakness or is it something else? what should i do to overcome it?
3) I have my Ultrasound done 2 times but both the times my gall bladder was contracted. my doctor said it is because you have not eaten anything. is it true or something is wrong with it? liver and other organs were fine.
4) other problem i am having is that i get low grade fever in air conditioned atmosphere and my headaches aggravate too. what can be the reason behind that?
5) my body cant take the load . i get fatigued and stomach discomfort when i try to run or carry load. what should i do to overcome it?
6) when can i start having oil rich food and play sports?
7) can i take aloe vera juice.? my family members say it is a very good medicine for liver . if it is good than how much time i should take it?
8) my lipid profile is like below. is it good or bad?
HDL - 41
LDL- 91
Triglycerides - 110
9) and last but most important question. Do i have pancreas cancer?
Brief Answer:
Answered
Detailed Answer:
Hi and thanks for contacting HCM
Hepatitis A virus is a faeco-orally spread virus and is very rarely transmitted in a man to man sexual contact. It is usually infective for around 15 days before the onset of jaundice and for a week after. Transmission via kissing is extremly rare.
Active viral hepatitis is associated with lot of muscle pains and non specific joint pains. It usually settles as the hepatitis resolves and paracetamol can be used for symptomatic relief
Now a days we advocate a high calorie high protein diet during an attack of hepatitis and fried foods are no longer banned. Good nutritious food helps in early recovery and reduces the fatigue. Aloe vera juice may be consumed in moderation and allopathy doesn't have any recomendation regading the dose. Extreme exertion should be avoided for at least a month after an attack of hepatitis
Contracted gall bladder on an ultrasound usually means a fed state or an inflammed non functional gallbladder. Try getting one ultrasound on a fasting state.
The lipid profile suggests a low HDL - the good cholestrol. After recovery exercise to build it up.
With the given information there is no evidence of pancreatic cancer
Regards
Dr XXXXXXX KS
Answered
Detailed Answer:
Hi and thanks for contacting HCM
Hepatitis A virus is a faeco-orally spread virus and is very rarely transmitted in a man to man sexual contact. It is usually infective for around 15 days before the onset of jaundice and for a week after. Transmission via kissing is extremly rare.
Active viral hepatitis is associated with lot of muscle pains and non specific joint pains. It usually settles as the hepatitis resolves and paracetamol can be used for symptomatic relief
Now a days we advocate a high calorie high protein diet during an attack of hepatitis and fried foods are no longer banned. Good nutritious food helps in early recovery and reduces the fatigue. Aloe vera juice may be consumed in moderation and allopathy doesn't have any recomendation regading the dose. Extreme exertion should be avoided for at least a month after an attack of hepatitis
Contracted gall bladder on an ultrasound usually means a fed state or an inflammed non functional gallbladder. Try getting one ultrasound on a fasting state.
The lipid profile suggests a low HDL - the good cholestrol. After recovery exercise to build it up.
With the given information there is no evidence of pancreatic cancer
Regards
Dr XXXXXXX KS
Above answer was peer-reviewed by :
Dr. Yogesh D
Thank you doc,
1) does that mean i can take oily food and outside food now? and what are the chances of relapse and what precautions should i take to prevent it?
2) what can be the reason for low grade fever? i sometimes feel very low. how can i overcome it?
3) what kind of food i should eat to overcome weakness and gain weight?
4) i asked my doctor and he said there is nothing wrong with gall bladder. what are the signs of gall bladder non functioning? cause i am not experiencing other than what i mentioned earlier? and what is the ideal situation to check gall bladder in ultrasound?
5) am i at risk of heart disease because of low HDL? does it need immediate attention?
6) does this virus cause any alterations in pancreas or gall bladder? and can it cause cancer? i never had any illness except cold and fever before this.
1) does that mean i can take oily food and outside food now? and what are the chances of relapse and what precautions should i take to prevent it?
2) what can be the reason for low grade fever? i sometimes feel very low. how can i overcome it?
3) what kind of food i should eat to overcome weakness and gain weight?
4) i asked my doctor and he said there is nothing wrong with gall bladder. what are the signs of gall bladder non functioning? cause i am not experiencing other than what i mentioned earlier? and what is the ideal situation to check gall bladder in ultrasound?
5) am i at risk of heart disease because of low HDL? does it need immediate attention?
6) does this virus cause any alterations in pancreas or gall bladder? and can it cause cancer? i never had any illness except cold and fever before this.
Brief Answer:
Answered
Detailed Answer:
Hi,
Eat healthy and hygeinic food and avoid over exertion to avoid relapse. Hepatic inflammation itself can cause fever, fatigue and weakness. You should be able to gain weight as you recover and with a balanced diet
Ideal condition for GB imaging is in a overnight fasting state and there are no specific signs of GB dysfunction other than right upper quadrant discomfort
Low HDL increases the risk of heart disease; hence exercise to raise it. HAV doesnot cause any lasting damage and does not lead to cancer
Regards
Dr XXXXXXX
Answered
Detailed Answer:
Hi,
Eat healthy and hygeinic food and avoid over exertion to avoid relapse. Hepatic inflammation itself can cause fever, fatigue and weakness. You should be able to gain weight as you recover and with a balanced diet
Ideal condition for GB imaging is in a overnight fasting state and there are no specific signs of GB dysfunction other than right upper quadrant discomfort
Low HDL increases the risk of heart disease; hence exercise to raise it. HAV doesnot cause any lasting damage and does not lead to cancer
Regards
Dr XXXXXXX
Above answer was peer-reviewed by :
Dr. Prasad
Thank you,
Recently my doctor asked me to get my B12 and D3 levels checked and the results were 171 and 30.4 respectively. what is the reason behind this deficiency? Is it because of the virus or anything else because i read that it took as long as 20 years to develop B12 deficiency . I drink milk everyday and also eat eggs frequently.
Does this deficiency cause weight loss ? I am having difficulty in gaining wait even if i am taking more food than i ever used to eat and my muscles have become loose. I used to exercise on daily basis. what should i do to make my muscles strong and get healthy?
And one ulcer has developed in my mouth. i think it is apthous. it is white with inflammed area around it . how much time will it take to heal. its been a week and its still painful and have already taken two of 8 prescribed B12 injections. could there be something wrong? what should i do for rapid healing?
when can i start my cricket classes ? its been too long and i want to get back to my cricket.
these days my stools are not that much solid. not watery but not very solid. why?
Does this virus leave any traces in the liver?
Recently my doctor asked me to get my B12 and D3 levels checked and the results were 171 and 30.4 respectively. what is the reason behind this deficiency? Is it because of the virus or anything else because i read that it took as long as 20 years to develop B12 deficiency . I drink milk everyday and also eat eggs frequently.
Does this deficiency cause weight loss ? I am having difficulty in gaining wait even if i am taking more food than i ever used to eat and my muscles have become loose. I used to exercise on daily basis. what should i do to make my muscles strong and get healthy?
And one ulcer has developed in my mouth. i think it is apthous. it is white with inflammed area around it . how much time will it take to heal. its been a week and its still painful and have already taken two of 8 prescribed B12 injections. could there be something wrong? what should i do for rapid healing?
when can i start my cricket classes ? its been too long and i want to get back to my cricket.
these days my stools are not that much solid. not watery but not very solid. why?
Does this virus leave any traces in the liver?
Brief Answer:
Directed
Detailed Answer:
Hi,
Vit B12 defeciency in a person taking egg usually indicates a problem in absorption. HAV has nothing to do with vit B12 defeciency. Hence discuss with the doctor who ordered the tests about the possible causes in you ( after examination) and the further diagnostic tests like colonoscopy and gastroscopy.
Aphthous ulcers can be caused by a number of causes including Vit B12 defeciency. Hence let your doctor do a thorough review of the history and examination to determine the cause.
Vit D3 defeciency is quite common in Indians and take supplementation as prescribed
Vit B12 defeciency can cause loose stools, fatigue and weight loss as ia an episode of hepatitis A.
After recovery you should be able to recover some muscle mass. Stool consistency should also improve as you recover
Hepatitis A usually does not cause permanent damage and you can start playing sports after about 4-6 weeks after recovery.
Regards
Dr XXXXXXX
Directed
Detailed Answer:
Hi,
Vit B12 defeciency in a person taking egg usually indicates a problem in absorption. HAV has nothing to do with vit B12 defeciency. Hence discuss with the doctor who ordered the tests about the possible causes in you ( after examination) and the further diagnostic tests like colonoscopy and gastroscopy.
Aphthous ulcers can be caused by a number of causes including Vit B12 defeciency. Hence let your doctor do a thorough review of the history and examination to determine the cause.
Vit D3 defeciency is quite common in Indians and take supplementation as prescribed
Vit B12 defeciency can cause loose stools, fatigue and weight loss as ia an episode of hepatitis A.
After recovery you should be able to recover some muscle mass. Stool consistency should also improve as you recover
Hepatitis A usually does not cause permanent damage and you can start playing sports after about 4-6 weeks after recovery.
Regards
Dr XXXXXXX
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Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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