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?