Hepatitis E

Question: how do you care for a perosn who is hepatitis B e-aantigen reactive? My girlfriend's hepatits B e-antigen reactive and hepatitis B e-antibody non-reactive, her last checkup was in april last year. Is she going to be sick soon, and if so, how can i take care of her? and what do i need to do to make sure her liver works fine?

Answer: If your gf is eAg+ and eAb-, she definetly has Hep B with active viral replication. She should be getting checked up every 6 months to get a blood draw and to check her liver enzymes to see if her Hep B is damaging her liver. Hep B can lie dormant, so it's important to have monitoring every 6 months to see if it is still dormant or if it is attacking the liver. Make sure that everyone in close contact with her is vaccinated for Hep B. That includes you. If you haven't already done so, you should get tested for Hepatitis, and get a vaccine if you don't have one already. Make sure that she does not share anything that could have blood on it with anyone else (needles, razors, toothbrushes, nail clippers, etc), since Hepatitis B is transmitted through blood. And also, if you're having sex, make sure you use protection since Hep B can also be transmitted through intercourse. As far as diet, don't drink alcohol and don't smoke. Alcohol is the #1 thing to avoid if you have Hepatitis or any liver problem. Other than that, make sure to exercise and don't eat too much fatty foods. Usually a high-protein, low fat diet will do. And get more advice from a Gastroenterologist or Hepatologist who specializes in dealing with the liver. Wishing you the best of luck!

Question: management and out come of hepatitis E in Pregnancy? I want to know about treatment, mortality rate of mother and featus.

Answer: From http://parenting.ivillage.com/pregnancy/psafe/0,,midwife_3pqd,00.html The reason Hepatitis E is not discussed much in the medical or lay literature is because the disease is rare in the U.S., but it is endemic in developing countries. In these countries, maternal mortality has been high, ranging from 10 to 20 percent. Extreme poverty, coexisting medical illnesses, malnutrition and poor prenatal care are at least partially responsible for the poor maternal prognosis (Gabbe, Obstetrics: Normal and Problem Pregnancies, 1996). The only cases of hepatitis E in the U.S. have occurred in patients who traveled to countries or emigrated from countries where the disease is prevalent. The illness may or may not cause jaundice. Death usually occurs as a result of liver damage or secondary symptoms such as dehydration or malnutrition. Due to a lowered immune status, pregnant women might be at higher risk for acquiring Hepatitis E. If the mother survives the acute stage of the disease, the fetus is not usually adversely affected. No chronic carrier state develops in either. From http://www.hepfi.org/living/liv_diagnosis.html#hep_E Hepatitis E (HEV) Diagnosing HEV Testing for anti-HEV is usually reserved for returning travelers from the developing world in whom hepatitis is present but other hepatitis viruses cannot be detected. Currently there is no treatment for HEV. * 3% of the world's population is infected with HCV, or approximately 170 million people. 90% of HCV patients who are in need of treatment today cannot afford it. * 80% of affected people can become chronically infected and risk serious long-term clinical disease including cirrhosis and liver cancer. * 8 countries – Bolivia, Burundi, Cameroon, Egypt, Guinea, Mongolia, Rwanda, and Tanzania – have an HCV prevalence above 10%. * 7 countries/areas – Gabon, Libya, Papua New Guinea, Suriname, Vietnam, Zaire, and the United Nations Relief and Works Agency for Palestine Refugees in the Near East – have an HCV prevalence between 5 and 10%. * In developing countries, the primary sources of HCV infection include transfusion of blood or blood products from unscreened donors; transfusion of blood products that have not undergone viral inactivation; parenteral exposure to blood through the use of contaminated or adequately sterilized instruments and needles used in medical and dental procedures; the use of unsterilized objects for rituals (e.g. circumcision, scarification), traditional medicine (e.g. blood-letting) or other activities that break the skin (e.g. tattooing, ear or body-piercing); and intravenous drug use. Household or sexual contacts of HCV-infected persons are marginally at risk. * In developed countries, persons at risk of HCV infection include recipients of previously unscreened blood, blood products, and organs; intravenous drug users; individuals undergoing chronic hemodialysis; health care workers with percutaneous exposure from contaminated needles or sharps; persons who participate in high-risk sexual practices; and persons undergoing medical or dental procedures with inadequately sterilized instruments. Sexual and household transmission are uncommon.

Question: What is known about Hepatitis E? It is mega rare from my understanding; what can you tell me about it? How does it differ from other forms of hepatitis?

Answer: I HAVE IT!

Question: Does Hepatitis E transmit through sex or saliva (kissing)? How long do I need to abstein from sex? i am diagnosed with HEV, not EBV.

Answer: Hepatitis E is a liver disease caused by the hepatitis E virus (HEV) transmitted in much the same way as hepatitis A virus. Hepatitis E, however, does not occur often in the United States. HEV is found in the stool (feces) of persons and animals with hepatitis E. HEV is spread by eating or drinking contaminated food or water. Transmission from person to person occurs less commonly than with hepatitis A virus Most outbreaks in developing countries have been associated with contaminated drinking water. http://www.cdc.gov/ncidod/diseases/hepatitis/e/fact.htm

Question: Recovery from Hepatitis E? How long does it take to recover full energy after being infected by Hepatitis E? Any particular diet,precautions?

Answer: This will depend on how fast you received treatments and gotten liver into a detox state this also will depend on your immune system.This hep E will resolve itself in about 2-9 weeks Then your body will start to rebuild the energy you are use to since right now your body is using all it has to fight this off. Don't believe there is a special diet you should follow maybe eat more foods with proteins or irons.

Question: where can i find big researches about hepatitis e ?

Answer: Wonderful-Hepatitis E virus HEV is a single stranded positive series of RNAvirus od 7.5kb that causes enterically transmitted nonA and nonB hepatitis.The diagnosis of HEV infection can be made of serology identification of anti HEV antibodies, and also can be identified in stool of patients, through immuno electrono microscopy.Strain variation is varied in different parts of the world.HEV burma, HEV Mexico. Acute HEV infections is observed in developing countries.Sporadic cases in USA, travellers returning from endemic areas.

Question: How are hepatitis A, B, C, D and E viruses generally treated? A. vaccines are available for all. B. supportive care is the only treatment available C.hyperimmune globilin and supportive care is generally given D. antibiotics are effective treatments.

Answer: This must be a trick question because none of the answers are right. A. is not true because there are only vaccines for Hepatitis A and B. B. is not true because treatment for Hep B, C and D is interferon. Supportive care is done for Hepatitis A and E. C. is not true because immune globulin can only be used for Hepatitis A. D. is not true because antibiotics are not used to treat any of them.

Question: how do you get hepatitis d and e? Are hepatitis d and e new found virus's??

Answer: There is only A, B and C. No D and E that I'm aware of... Go to this site for more information. I guess there is Hepatitis D & E: http://digestive.niddk.nih.gov/ddiseases/pubs/viralhepatitis/ That I decided to research with one of the handy internet search engines everybody has access to by putting "hepatitis d and e" in the search term input box.

Question: what is the type of disease of Hepatitis G (e.g. epidemic, endemic, pandemic, etc.)? what are also the standard precautions in Hepatitis G and its signs and symptoms? thanks.

Answer: Hepatitis G: A virus first identified in 1995 that is genetically related to the hepatitis C virus but which does not cause hepatitis and, in fact, is not known to be responsible for any disease. Infection with the virus seems to be beneficial to HIV-infected patients. They enjoy longer survival if they are coinfected with this virus and HIV than if they have HIV alone. The hepatitis G virus is also called the GB virus C (GBV-C). This designation is now preferred because the virus is not a cause of hepatitis. Hepatitis G definition - Digestion and Digestive-Related ...Hepatitis G: A virus first identified in 1995 that is genetically related to the hepatitis C virus but which does not cause hepatitis and, in fact, ... www.medterms.com/script/main/art.asp?articlekey=11463 - 43k - Cached - Similar pages

Question: Hello. I want to know if a person has hepatitis c, i.e. if their liver goes wrong then whats the costs? My friend has hepatitis c, and his liver is really bad, and his family needs to know what are the costs. Are their any hospitals in Pakistan that can help? She is in Pakistan at the moment and wondering what the costs are to tackle this? Thanks

Answer: What is the cost of a new liver? Is that the question? Did your friend ever try the medicine that is out there for Hepatitis C? While it may not be 'curable' it can be STOPPED..and the liver is the only organ that can rejuvenate itself. I'm not sure about anything in Pakistan other than they do sell body parts..weather or not those body parts are virus free is another question entirely..might I suggest you read up on the current treatment available. While there is no 'cure'...you can achieve Sustained Viral Responder = SVR, as in the virus is non-detectable and the liver is rejuvenating HCV Advocate and a 2 year SVR

Question: Has anyone had hepatitis E or know anything about latest research on it? I got hepatitis A and E during a short trip to India, 2 years ago. I have read all the standard stuff on hep e, that it is like hep a, more dangerous for pregnant women, etc. But as it was discovered fairly recently, it's long-term results are not definitively known. I would be interested in hearing from anyone who has had hep E or, like me, hep A and hep E simultaneously. Or anyone who has info on cutting edge very latest research. Thank you!

Answer: I have not found any information on Hep E & Hep A coinfection. It seems that since both types of hepatitis resolve themselves, it doesn't seem like there is a major risk for you. Just treat your liver with kidd gloves for the next year or so, to give it a chance to fully recover. I have only seen one or two people in our support group with Hep E (HEV). Usually, when there are more than one form of hepatitis, it is very taxing on the liver, and in the case of Hep C (of which I am more knowledgeable) plus Hep A, it can, at times, cause fulminant liver failure & death. However, since you're not referring to HCV, it doesn't seem like this is a cause for concern for you. This article discusses the HCV/ HAV coinfection & risk of fulminant liver failure, if you are interested. http://content.nejm.org/cgi/reprint/338/… From http://www.medterms.com/script/main/art.… Hepatitis E: A form of liver disease characterized by inflammation of the liver due to infection with the hepatitis E virus (HEV). Usually a mild disease, hepatitis E but can in rare cases prove fatal, particularly in pregnant women. HEV is transmitted via food or drink that has been handled by an infected person, or through infected water supplies in areas where fecal matter may get into the water. Consumption of uncooked deer meat is important risk factor for infection with HEV in Japan. Hepatitis E is rare in the US and Canada. It is more common in tropical and subtropical regions of the world. The finding of anti-HEV antibodies in blood is evidence for prior infection with HEV. There is currently no vaccine or treatment for hepatitis E, although anti-viral drugs may be tried. Another website said HEV (Hep E) resolves itself after about 2 weeks. http://vm.cfsan.fda.gov/~mow/chap32.html The incubation period for hepatitis E varies from 2 to 9 weeks. The disease usually is mild and resolves in 2 weeks, leaving no sequelae. The fatality rate is 0.1-1% except in pregnant women. This group is reported to have a fatality rate approaching 20%. Sorry I couldn't find more specific information, but it seems your situation is a rarity. I wonder, though, why you didn't get a Hep A vaccination prior to your travels? Hindsight is always 20/20, as they say. Best wishes to you.

Question: Is Hepatitis A or E life threatening? My GirlFriend is continuously vomitting even 6-8 times a day. Doctors suspected after blood test that she might have Hepatitis A or E. I am very worried. please give me a real answer. thanks in advance.

Answer: Hepatitis A and E are transmitted through the oro-fecal route. They are both self- limited and do not cause chronic infection. There is a very small chance of acute liver failure with hepatitis A, about 0.1%. Vomiting usually lasts only for a few days. After that, the patient can eat everything. Jaundice increases in the first week or two. Later, it starts decreasing rapidly. The illness lasts only for a few weeks, about 2 to 4.

Question: complication of hepatitis E in pregnancy and new born? any chance of malformation in new born

Answer: Hepatits E in pregnancy usually leads to encephalopathy, liver failure and death. It is not transmitted to the newborn.

Question: Hepatitis B e antigen reactive can anyone tell? I would like to know about Hepatitis Be chronic and carrier treatment, is there is a cure, how can the virus be killed, how can you cure so it will reverse the transmission. Is there any financial assistance for those who can not afford a private treatmente. wiill the SSI pays for Diasability benefits? thank you

Answer: Find, then Go to a Medical University Center that has a department devoted to Hepatitis. Then check out the fnancial options available including Charity Care

Question: what do U know about chronic Hepatitis B e antigen positive? I would like to know:liver survival, risk of pass to another person (kissing, eating, hug,..), treatment, and possible additional assistance

Answer: Hep B is highly sexually transmittable and through blood to blood transmission, too. There are treatments for it; some suppress it, and some attempt to clear it (Pegasys). You should see a gastroenterologist or Infectious Disease doctor. Best wishes.

Question: Hepatitis B e antigen reactive, can it be cured? I hear a lot of things but not sure yet if you can cure the Hepatitis B and go back to a normal life. Please tell me your experience and what kind of treatment are out ther including alternative medicine. thank you very much

Answer: Hepatitis B is a viral infection that is spread through contact with infected blood, semen, or vaginal fluid. The hepatitis B virus (HBV) may be spread to household contacts other than sex partners by sharing such things as razors and toothbrushes. Most people with hepatitis B recover completely after 4 to 8 weeks, but a small percentage of adults remain infected for months or years. Chronic infection can lead to life-threatening liver damage or cancer. Drug treatment for chronic HBV infection is not very effective. People at risk for HBV infection should receive the hepatitis B vaccine. The vaccine is also recommended for all infants and for people under 18 who have not already been vaccinated.