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Gastroenterology  (Expert Forum)
 | 
Hepatitus from too many meds?
Answered by
Kevin Pho, MD - Internal Medicine
Kevin, M.D. Boston - MA
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.

Hepatitus from too many meds?

by morganfairy, Apr 20, 2007 12:00AM
Hi, I was diagnosed in October with an ovarian mass. Surgery did not occur untill January 18th. The mass grew during the wait for surgery aand my health also deteriorated. Since November 06 I have been slowly getting more tired, achy and weak. Hospital tests before surgery revealed an elevated wbc of 12,500. The surgery continued with a complicated removal of a large mass and ovary. I have spent all of February recovering at home from the surgery. I still felt weak and achy. I eventually developed the flu?,Virus that lasted for weeks. I have also been on prozac for the past 15 years. While feeling so ill February until April 5th I was taking benydryl, prozac & alleve.All of these were to relieve the symptoms of what I thought was the flu/virus. During the first week of April I began to get very depressed, and sick of being sick. I have gained weight and have absolutly zero energy. I drank alcohol for about 2 weeks.(I dont drink normally). By the evening of April 5th I started feeling extremely ill. I had the shakes, vomitting & I needed help. I went to the hospital where they diagnosed me with alcohol induced hepatitus. I explained to them that I dont usually drink, but did have surgery recently and the flu and have been taking lots of medications for my illnesses.They tested me and kept me for 5 days. I recieved fluids & ativan for my shakes. My blood pressure was also abnormally high 147/90 (usually 110/70).WBC 12,500 still.I am a 47 year old female that was very healthy last September.I have been drinking lots of water, green tea and having plenty of b vitamins and bed rest.I feel slightly better,(BP 114/90) however I am concerned with the constant elevated WBC and still have the fatigue. I was 25 pounds lighter and ran 3 miles a day before all this.I do not have a private Dr.Is it possible a virus brought this on?Could the years of Prozac have done this to my liver?Could the cyst/mass(benign)ovary removal have anything to do with this.I was also told I couldn't even take antibiotics since my liver was so inflamed. How do I lower my WBC and resolve my hep ?

by Kevin Pho, MD, Apr 20, 2007 12:00AM
Yes, a virus can bring on hepatitis, as well as a mildly elevated WBC.  

Prozac is also possible, however after being on it for 15 years, it would be uncommon for liver symptoms to suddenly develop.

I am not aware of the ovary removal being associated with your symptoms.

Routine examination of the liver and gallbladder should be done, including an ultrasound and blood tests for hepatitis.  If the ferritin is elevated, hemochromatosis can be considered.

If the liver enzymes continue to be elevated, a liver biopsy can be considered for a more definitive diagnosis.

These options can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_
Member Comments

by lynnann15063, May 03, 2007 12:00AM
To: im a little confused about this id like to help u
did they say what type of hepatitis? i have hep -c, i had Hep -a which is viral, and once u catch it u can not get it again, i mean my urine was dark as tea my bile was a silver color i was so sick chills throwing up,i have never heard of getting hepatitis from to many medications i have Hep-c which is passed on by a dirty needle, blood transfusion, then there is type b,i mean how are u feeling? hepatitis, is terminal, which eventually will cause scirosis or liver cancer please quit drinking,my friend has Hep-c from drinking alcohol, if u have this please do not drink any alcohol,and get a liver test, they take blood, and they will tell u what type u have of hepatitis,the man i got it from just died, u know id really like to help u,because, id like to know what they told you, you have Hepatitus, ask and see what type ia it A,?B?or C? u really need to find out, and if it was A, youll be fine after bed rest and vitamin B,but B or C is permanent and im suffering now from C, does ur right side hurt you or feel tender,and hard, are u tired no energy,want to sleep, get chills,just feel bad all over? can u tell me what type they said it was?,if u have it do not drink period god bless
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