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Gastroenterology (Expert Forum)
Hep B and heartburnig
Answered by
Kevin Pho, MD - Internal Medicine
KevinMD.com
This forum is for questions regarding Gastroenterology issues such as Acid Reflux (GERD), Barretts Esophagus, Colitis, Colon/Bowel Disorders, Crohn's Disease, Diverticulitis/Diverticulosis, Digestive Disorders, IBS, Stomach Pain.
Hep B and heartburnig
by dizel, Feb 28, 2003 12:00AM
In last 3 weeks I have almost non stop "heartburning" and the light feeling of vomiting.Also pain in gallbladder spot.
My skin is ok and my urine isnt dark at all.
I am 25 male with HBsAg positive and eAb and eAG negative.
What can cause the heartburing for long time ?
Can it be the symptoms of liver desease or failure?
Last time I had a vomiting it was 7 years ago when I had innflamation of Hep B.
Please provide me the info
My skin is ok and my urine isnt dark at all.
I am 25 male with HBsAg positive and eAb and eAG negative.
What can cause the heartburing for long time ?
Can it be the symptoms of liver desease or failure?
Last time I had a vomiting it was 7 years ago when I had innflamation of Hep B.
Please provide me the info
Doctor's Answer
by Kevin Pho, MD, Feb 28, 2003 12:00AM
, Feb 28, 2003 12:00AM
Hello - thanks for asking your question.
There are several causes that can cause "heartburn"-like symptoms other than GERD. GERD needs to be distinguished from gastritis, infectious esophagitis, pill esophagitis, peptic ulcer disease, non-ulcer dyspepsia, biliary tract disease, coronary artery disease, and esophageal motor disorders. Unexplained chest pain should be evaluated with an electrocardiogram and exercise stress test prior to a gastrointestinal evaluation. The remaining elements of the differential diagnosis can be evaluated by endoscopy or biliary tract ultrasonography. I would suggest discussing these options with your personal physician.
There are a number of physical findings associated with liver failure:
Spider angiomata — Spider angiomata (also referred to as spider telangiectasias) are vascular lesions consisting of a central arteriole surrounded by many smaller vessels.
Palmar erythema — Palmar erythema is an exaggeration of the normal speckled mottling of the palm, and is also believed to be caused by altered sex hormone metabolism.
Nail changes — Muehrcke's nails are paired horizontal white bands separated by normal color.
Dupuytren's contracture — Dupuytren's contracture results from the thickening and shortening of the palmar fascia, which causes flexion deformities of the fingers.
Gynecomastia — Gynecomastia is defined histologically as a benign proliferation of the glandular tissue of the male breast and clinically by the presence of a rubbery or firm mass extending concentrically from the nipple(s).
Testicular atrophy — Hypogonadism is manifested by impotence, infertility, loss of sexual drive, and testicular atrophy.
Ascites — Ascites is the accumulation of fluid in the peritoneal cavity.
Jaundice — Jaundice is a yellow coloring of the skin and mucus membranes that results from increased serum bilirubin.
Asterixis — Asterixis (bilateral but asynchronous flapping motions of outstretched, dorsiflexed hands) is seen in patients with hepatic encephalopathy, which describes the spectrum of potentially reversible neuropsychiatric abnormalities seen in patients with liver dysfunction.
Constitutional symptoms such as weakness, fatigue, anorexia, and weight loss.
I strongly suggest follow-up with your personal physician.
I stress that this answer is not intended as and does not substitute for medical advice - please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
There are several causes that can cause "heartburn"-like symptoms other than GERD. GERD needs to be distinguished from gastritis, infectious esophagitis, pill esophagitis, peptic ulcer disease, non-ulcer dyspepsia, biliary tract disease, coronary artery disease, and esophageal motor disorders. Unexplained chest pain should be evaluated with an electrocardiogram and exercise stress test prior to a gastrointestinal evaluation. The remaining elements of the differential diagnosis can be evaluated by endoscopy or biliary tract ultrasonography. I would suggest discussing these options with your personal physician.
There are a number of physical findings associated with liver failure:
Spider angiomata — Spider angiomata (also referred to as spider telangiectasias) are vascular lesions consisting of a central arteriole surrounded by many smaller vessels.
Palmar erythema — Palmar erythema is an exaggeration of the normal speckled mottling of the palm, and is also believed to be caused by altered sex hormone metabolism.
Nail changes — Muehrcke's nails are paired horizontal white bands separated by normal color.
Dupuytren's contracture — Dupuytren's contracture results from the thickening and shortening of the palmar fascia, which causes flexion deformities of the fingers.
Gynecomastia — Gynecomastia is defined histologically as a benign proliferation of the glandular tissue of the male breast and clinically by the presence of a rubbery or firm mass extending concentrically from the nipple(s).
Testicular atrophy — Hypogonadism is manifested by impotence, infertility, loss of sexual drive, and testicular atrophy.
Ascites — Ascites is the accumulation of fluid in the peritoneal cavity.
Jaundice — Jaundice is a yellow coloring of the skin and mucus membranes that results from increased serum bilirubin.
Asterixis — Asterixis (bilateral but asynchronous flapping motions of outstretched, dorsiflexed hands) is seen in patients with hepatic encephalopathy, which describes the spectrum of potentially reversible neuropsychiatric abnormalities seen in patients with liver dysfunction.
Constitutional symptoms such as weakness, fatigue, anorexia, and weight loss.
I strongly suggest follow-up with your personal physician.
I stress that this answer is not intended as and does not substitute for medical advice - please see your personal physician for further evaluation of your individual case.
Thanks,
Kevin, M.D.
I am waiting for few results of tests but have decided to check the internet for the info.
So bassicly you say that there is no any connection between hearburn and Hep B?