Dr. Mahmoud Ahmed Abdelrahman Abouibrahim
Internal Medicine
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Patient's Query
Hello doctor,
I got a vaccination for hepatitis A and B a few years back. Should my doctor have tested if I was already infected? I cannot remember. On a general examination, I found my liver enzyme count is exceptionally high, and hepatitis B seems to be the most likely explanation. I am not in the risk category, though I may have slept with someone with hepatitis B without knowing it. I am waiting for the results of the hepatitis tests. Should my doctor have tested for the virus before giving me the vaccine? I did have a strange joint pain illness a long time back, which the doctors could not explain. What else could be the reason for my liver enzyme count to be 109? (rule out fatty liver, medication, and mushrooms). I did have a severe glandular fever that recurred a long time back. Could it be Epstein-Barr virus?
Thank you.
Hello,
Welcome to icliniq.com.
I understand your concerns. Hepatitis A and B cause a significant rise in hepatitis markers and acute illness with a tender liver.
My advice :
1. HBsAb (Hepatitis B surface antibody test) to confirm immunity from vaccination.
2. HCV Abs (Hepatitis C antibody test) to exclude infection.
For further advice, I would be happy to help.
Thank you.
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Internal Medicine
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