Suggest Treatment For High Fever Yellow Colored Eyes

Posted on Tue, 27 Jan 2015

Question: Hi Dr. Im a 34 year old male. Not over weight. Last march, I felt like I caught a very strong flu. I did not throw up or get an extremely high fever, but felt quite ill. Even confused at times. I took 1 week off. During that time I noticed my eyes were slightly cream colored or yellowish. Also very glossy. They didnt look well at all. During that time we found an elevated billirubin. all other liver enzymes were in the normal range. an abdominal ultrasound came back normal. hep a-c. negative. that was 9 months ago now and my eyes are sometimes still yellowish. apart from that my energy levels have not fully went back to normal I feel. sometimes I also have mild discomfort in my upper right area. cant quite pin-point the area. Also all stool test were ok. Full blood work ok as well. Have to wait 1 year to see a gastro. Little worried. I was told its probably Gilberts but I should feel fine if Gilberts. Also, I dont think Gilberts would start the way this all started. Im a community health care worker- exposed to alot of illness and germs. Perhaps this is where it all started.

Answered by Dr. Suresh Heijebu (1 hour later)

Brief Answer:
Likely Hepatitis A/E. Mild clinical course, Spontaneous cure possible.

Detailed Answer:
Hi Sir,

I understand your query and concern.

You seem to have a chronic liver pathology, most probably an hepatitis like A or E.

This presents with elevated bilirubin levels, persisting for long period.

Hepatitis A or E are often mild in their disease course and are known to resolve spontaneously.

The other systemic features are quite unremarkable.

For confirmation, you can go for ultrasound abdomen along with blood anti Hep A/E antibodies like IgM/G.

Gilbert's disease is absolutely unusual for your presentation and age.

You probably seem to acquire this infection from your environment/food contamination.

You will soon improve clinically.

Thank you.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari

Follow up: Dr. Suresh Heijebu (41 minutes later)

Thanks-You. Dr. I was worried because March to now is almost 9 months or so. For Hep A- Hep A Antibody IgM NEGATIVE. So, as I mentioned, I am also negative for b and c. So, perhaps I can have my dr. test for hep e while waiting for a gastroenterologist apt?

also- For confirmation, you can go for ultrasound abdomen- my ultrasound was ok.

thank-you, dr.

Answered by Dr. Suresh Heijebu (2 hours later)

Brief Answer:
You can Go for Hep E IgM/G antibody testing.

Detailed Answer:
Hi Sir.

You can go for this hep e antibody testing ,though not necessary can be sometimes useful.

Also i request you to repeat test for HepB DNA levels for accurate confirmation.

In case of all negative tests,you can be rest assured

Thank you.

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Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju