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Thanks for contacting with your health concern.
1. As she is already under medical supervision thus the treating physician must have given due consideration in arriving at the diagnosis, so I at most can leet you know about certain facts related to Hepatitis E;
- Severity is usually mild and chronicity is none [good prognosis]
PS. mortality is very high in women in the last trimester of pregnancy]
- As hepatitis E and A are spread through fecal oral route, thus make sure transmission with
Hepatitis A is excluded and check the values [if possible] since if increasing there could be an ongoing
hepatocellular injury like superadded infection which can cause
liver dysfunction, since mine concern would be
viral hepatitis A and if the values are increased or you notice loss of appetite,
nausea,
vomiting, it could be a case of Hepatitis A.
PS. keep a note that although these tests are sensitive but very nonspecific and serve to detect liver disease rather than quantitative liver function so their high values don't signify a serious complication most of the time, it is the underlying pathophysiological process which needs to be diagnosed and managed.
3. preventive measures which you can adopt
- maintain personal hygiene and cleanliness.
- boiled water or bottled water.
- strictly no alcohol, painkillers [except paracetamol]
-
immunization against Hepatitis A & B