Hepatitis E

[cryptic]

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Hi,
Anyone here have any experience with hepatitis E(Endemic in india).I have a patient from india with hepatitis E diagnosis.A year after the diagnosis,he looks apparently okay with normal labs but still complains of dyspeptic symptoms which he attributes to the hepatitis(all the literature on hepatitis E states its self limited nature) so I am not sure whether his symptoms are stress related or a sequel of the hepatitis.Thanks for any useful ifo or insight.

 

[sunny123]

I'm no doctor, but you could try the American Journal of Tropical Medicine and Hygiene or Centers for Disease Control & Prevention.

I also found this: Molecular biology and pathogenesis of hepatitis E virus

Sorry I can't be more helpful.

 

[hopeful05]

you are more helpful than you think...helping isn't just being useful...the first thing is to actually want to help..and u did 😉
But yeah, this Q is more for the doctors' forums.

 

[sunny123]

you are more helpful than you think...helping isn't just being useful...the first thing is to actually want to help..and u did 😉
But yeah, this Q is more for the doctors' forums.

Thanks Tina. I tried to search for info that was at least from reputable areas, which is all I'm good for hehe.

 

[data]

Thanks Tina. I tried to search for info that was at least from reputable areas, which is all I'm good for hehe.

where from pubmed?

 

[sunny123]

where from pubmed?

No man, those links posted are hosted on pubmed, but I didn't use pubmed to find this stuff.

 

[rxgal8]

Hi,
Anyone here have any experience with hepatitis E(Endemic in india).I have a patient from india with hepatitis E diagnosis.A year after the diagnosis,he looks apparently okay with normal labs but still complains of dyspeptic symptoms which he attributes to the hepatitis(all the literature on hepatitis E states its self limited nature) so I am not sure whether his symptoms are stress related or a sequel of the hepatitis.Thanks for any useful ifo or insight.

You're right, Hepatitis E is supposed to be self-resolving (a few weeks). But usually hep E patients may have hep A (or another type), so you might want to test him for that too. Unless it's due to stress but I doubt it is.

 

[Dramkinola]

Been there, done that...
Got what was most likely Hepatits E in India 6 years ago.
Went for Med School, got Hepatitis, Malaria, Typhoid, and a smorgasbord of Gastroenteritides instead.
I miss it...

 

[cryptic]

Been there, done that...
Got what was most likely Hepatits E in India 6 years ago.
Went for Med School, got Hepatitis, Malaria, Typhoid, and a smorgasbord of Gastroenteritides instead.
I miss it...

you got these diseases youself?are you serious?
anyway did you get the anti-HEV to confirm the cause of the hepatitis?
do you suffer from dyspeptic symotoms post attack?
thanks.

 

[shardul]

Been there, done that...
Got what was most likely Hepatits E in India 6 years ago.
Went for Med School, got Hepatitis, Malaria, Typhoid, and a smorgasbord of Gastroenteritides instead.
I miss it...

very true!!!!! i am just recovering from an attack of amoebiasis!

 

[shardul]

Hi,
Anyone here have any experience with hepatitis E(Endemic in india).I have a patient from india with hepatitis E diagnosis.A year after the diagnosis,he looks apparently okay with normal labs but still complains of dyspeptic symptoms which he attributes to the hepatitis(all the literature on hepatitis E states its self limited nature) so I am not sure whether his symptoms are stress related or a sequel of the hepatitis.Thanks for any useful ifo or insight.

well dont know whether hepatitis can lead to dyspepsia as a sequelae but i have seen many of my friends who had suffered hepatitis E during an epedemic last summer. I dont think anybody has dyspepsia. But I would surely enquire about it! But again there is a catch coz diagnosis of hepatitis was mainly clinical and viral assays (so i am not sure whether it was hepatitis A or E but the authorities say that it was an epidemic of hepatitis E) were not done since it hardly affect management of hepatitis.

 

[Dramkinola]

yeah... i didn't have an assay done either... the doctors treating me had told me it was most likely E... and i never found out for sure if I had amoebiasis... but metrogyl was my friend, haha...

 

[cryptic]

yeah... i didn't have an assay done either... the doctors treating me had told me it was most likely E... and i never found out for sure if I had amoebiasis... but metrogyl was my friend, haha...

Well, there are nonA-E viruses(other than the discovered A-E).How can you be sure you are not a carrier or worse still have chronic hepatitis unless you have serological confirmation you are dealing with a benign version(A or E).
I donot want to be an alarmist but am somewhat curious as to how you can have peace of mind without serological testing?Thanks for the informative replies.

 

[fido!]

Been there, done that...
Got what was most likely Hepatits E in India 6 years ago.
Went for Med School, got Hepatitis, Malaria, Typhoid, and a smorgasbord of Gastroenteritides instead.
I miss it...

 

[shardul]

and i never found out for sure if I had amoebiasis... but metrogyl was my friend, haha...

yeah surely I always have metro in my medicine box

 

[Dramkinola]

Well, there are nonA-E viruses(other than the discovered A-E).How can you be sure you are not a carrier or worse still have chronic hepatitis unless you have serological confirmation you are dealing with a benign version(A or E).
I donot want to be an alarmist but am somewhat curious as to how you can have peace of mind without serological testing?Thanks for the informative replies.

I'm not sure of anything.
I figure I'm fine untill I start turning yellow and vomitting, haha...
and I eat a lot of liver... 🙄

 

[Legionella]

Yep Hep E is supposed to be self limited .. maybe his peptic pains are psychogenic?

 

[*TRINITY*]

there are no chronic seqelae of hepatitis E

 

[allergic2morons]

there are no chronic seqelae of hepatitis E

yeah u r right and i agree legionella on cause of dyspepsia.