Q. I am hepatitis B patient with itching, fever and back pain on taking Omeprazole. Kindly advice.

Answered by
Dr. Babu Lal Meena
and medically reviewed by Dr. Nithila A
Published on Nov 29, -0001 and last reviewed on: Apr 15, 2019

Hello doctor,

I am a chronic hepatitis B patient, I have ulcer too. I did a blood work recently for urea, creatinine, AST (SGOT) and ALT (SGPT). The physician said the result was fine. I was given Omeprazole. A few days ago I noticed I have constant body itch, fever, back pain, pain on my right abdomen, just under my right breast, I get tired easily too.

Dr. Babu Lal Meena

Child Health Medical Gastroenterology Paediatrics
#

Hello,

Welcome to icliniq.com.

What is the status of your liver now? You are on treatment or not? Symptoms look like biliary pain. Kindly do an ultrasound, LFT, CBC, GGT. For hepatitis B we also need HBV DNA (quantitative), fibroscan, HBeAg, anti HBe.

Thank you doctor,

I will do that as soon as I can. Would get a doctor and get the tests done as soon as possible.

Dr. Babu Lal Meena

Child Health Medical Gastroenterology Paediatrics
#

Hello,

Welcome back to icliniq.com.

In the case of hepatitis B assessment of hepatic fibrosis is required to decide about the treatment. We can do it in two ways, non-invasive (fibroscan) and invasive (liver biopsy). Preferably we should go with the non-invasive method.

In the case of advanced fibrosis or high DNA load with elevated ALT (alanine aminotransferase), we should start on treatment for hepatitis B. For ulcers (stomach), take Proton Pump Inhibitors, Sometimes we may need to give you Anti H pylori treatment.

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