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Avatar universal

Do I have Hepatitis

Following is my time line and issues..

phase 1:

1. On July 11, I had unprotected sex with a prostitute
2. I forgot about it until I started staying sick from July 25th (14 days after) onwards. My symptoms have been.. Feverish w/o fever, extreme fatigue, migratory muscular/joint pain as if my different body parts are sore, loss of appetite with nausea  and digestion problems which followed with abdominal pain, and light dry cough and chills. This sickness continued for complete 2 weeks after July 25th (initial start)
3. I gave blood for PCR by DNA HIV test on July 30th (after 19 days ) with ABS (antibody test) which came negative.
4. On Aug 10th (30 days after exposure),Docs tested my blood for various other things like Thyroid, CMP and certain liver tests (including SGOT/SGPT blood tests) which all came in good. Also on the same day, I even went for CT scan for abdomen but everything came out fine except that I felt like death that time.

Phase 2:

5. Now for past 1 week, I have been experiencing gas/digestion issues and felt like to run for toilet after any heavy meal or liqour. This is also associated with the feeling of general malaise and migratory joint pains.  
6. So, on Aug 31st (51 days after exposure), I went for Hepatitis A,B & C (all antibodies) and HIV antibodies test. All were negative.
7. Also, Doctor suggested to go for Liver OT/PT enzyme liver related blood tests and abdominal ultrasound. Ultrasound showed liver came out as mildly enlarged below the right coastal margin. And enzyme readings are SGOT=60 & SGPT =110 which are out or range.
8. The doctor could not suggest anything substantial and suggested to follow a good diet and life style.

My questions are:

1. What could be the possible cause of enlarged liver and SGOT/SGPT readings as 60 and 110 ?
2. Based upon information above, do I have hepatitis A, B or C though 51days after exposure antibody tests came negative?
3. Do these health issues are even related to the 1 time exposure or they are unrelated ?
4. Should I immediately get vaccinated for Hepatitis A, B and C?
2 Responses
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Avatar universal
mk_
It could take 2 to 6 months after exposure in some cases to develop the positive HCV antibody. The best way to test in the earlier months of possible infection is to get HCV quantitative PCR test to check the presence of active viral load.
Or take the antibody test again after 6 months.
Helpful - 0
179856 tn?1333547362
Honestly it sounds to me as if you should stop drinking.  If you do not have the antibodies you do not have the disease however liquor could be responsible for the poor choices that are listed above and the elevated liver enzymes.  There is NO vaccine against HIV or HCV so if you get them you get them end of story. HCV is not generally not spread via sex anyway.
Helpful - 0
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