STDs Expert Forum
Is Hepatitis Testing Warranted?
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The STD Forum is intended only for questions and support pertaining to sexually transmitted diseases other than HIV/AIDS, including chlamydia, gonorrhea, syphilis, human papillomavirus, genital warts, trichomonas, other vaginal infections, nongonoccal urethritis (NGU), cervicitis, molluscum contagiosum, chancroid, and pelvic inflammatory disease (PID). All questions will be answered by H. Hunter Handsfield, M.D. or Edward W Hook, MD.

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Is Hepatitis Testing Warranted?

Hi doc,
At the end of July I had a long run of diarrhea  multiple times a day that landed me in the ER. This was following extended use of clyndamycin after a wisdom tooth out. I was treated for suspected C diff. After two courses of Flagyl I had a colonoscopy everything was clear. I never tested positive for c diff but the flagyl clearly helped. However after the colonoscopy I developed right abdominal pain when I move or hunch over. Dr. wrote it off as muscular, my general doc said costochondritis and gave me Motrin and Hydrochodone. It hurts to sleep on that side. Anyway during this time I have had itching, muscle pain, muscle spasms, and frequent loose yellow/tan stools. I understand some of this could be from anxiety and IBS. During a catscan in the ER it was revealed that I have a fatty liver. Docs were not concerned and my liver function test was normal. I am in a monogomous relationship of over a year and both have been tested for HIV. I have been vaccinated for Hep B. I am concerned with the abdominal pain and other symptoms that I should be tested for Hep C I asked the doctor to do that but instead he ordered more liver function tests and a test to see if I have antibodies to Hep B. I was also prescribed klonopin. From what I understand I could have normal LFTS and Hep C. I am hyper anxious about these symptoms and have considered going to the ER to ask to be tested for hepatitis. Do you think that is unwarranted? And is there anything else that you think could cause these symptoms?
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There is little reason to be concerned of a viral hepatitis from what you tell me.  You have received the hepatitis B vaccine and there is nothing you have said that suggests any exposure to hepatitis C. There are many none infectious causes of a fatty liver, including medications, other illnesses, and increased serum lipids.  Your normal LFTs makes it unlikely that there is any acute process however.  My advice would be to stick with your doctor or, if you have doubts, to ask for a 2nd opinion.  Your first doctor is treating you for anxiety and this may be a contributor as well. I realize you've been through a lot and would like to get this behind you.  I suspect it may take a bit of trial and error.  There is no reason however to worry about viral hepatitis B or C or any STD.  Hope this helps. Take care. EWH
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H. Hunter Handsfield, M.D.Blank
University of Washington
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