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Doctor insights on: Remicade In Viral Hepatitis Patients

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Why are patients in hemodialysis at risk for hepatitis b infection?

Why are patients in hemodialysis at risk for hepatitis b infection?

Increased risk: Dialysis patients are at increased risk of contracting hepatitis b due to the fact that the virus can survive on environmental surfaces. Patients with hep b that are dialyzed on the same machine that people without hep b can cause this but this is not commonly done any more because of the increased risk. ...Read more

Dr. Larry Lutwick
64 doctors shared insights

Viral Hepatitis (Definition)

Viral hepatitis = liver inflammation due to ...Read more


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Which vaccines are suitable for liver transplanted people? Especially influenza vaccine

Which vaccines are suitable for liver transplanted people? Especially influenza vaccine

Liver transplant: Solid-organ transplant recipients benefit from consistent immunization practices. Recommended vaccines include pneumovax, hepatitis A and B, influenza, and tetanus-diphtheria.Specific contraindications exist for other vaccines, such as yellow fever, oral polio vaccine, bacillus Calmette-Guerin, and vaccinia. Clin Microbiol Rev. Jul 2003; 16(3): 357–364. ...Read more

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Safe to give acetaminophen to 1yo with viral hepatitis from EBV/CMV? ALT/AST in low 100's, LDH slight-moderate increased, albumin and bilirubin WNL.

Safe to give acetaminophen to 1yo with viral hepatitis from EBV/CMV? ALT/AST in low 100's, LDH slight-moderate increased, albumin and bilirubin WNL.

Liver disease: As long as the dose is appropriate for weight, the medication is not taken repeatedly over days, and there are no other medications that are hepatotoxic being given this should be safe ...Read more

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Mom diagnosis c hoshimotos/psoriatic arthritis/viral hepatitis/ acute myeloid leukemia. What is my risk of autoimmune disease/leukemia? My children's risk?

Mom diagnosis c hoshimotos/psoriatic arthritis/viral hepatitis/ acute myeloid leukemia. What is my risk of autoimmune disease/leukemia? My children's risk?

Altered Runx-1 gene: seems to be implicated in changing the susceptibilty to autoimmune disease and leukemia but is only 1 part of the puzzle and there appears to be other factors as well, so even if you get tested to see if you have the genetic alteration, that in itself does not mean you will get the diseases. I recommend a healthy life style with regular health exams. ...Read more

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Does hashimoto's thyroiditis cause immunosuppression? Can prednisone cause latent TB to become active in a patient with chronic sinusitis?

Does hashimoto's thyroiditis cause immunosuppression? Can prednisone cause latent TB to become active in a patient with chronic sinusitis?

Two questions: 1) no hashimoto's thyroiditis is a auto- immune disease which does not cause immune suppression. 2) chronic use of steroids ( prednisone) can cause immune-suppression and can modify response to PPD ( TB test). ...Read more

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Why coes serum aminotransferase increase in liver disease like viral hepatitis ?

Why coes serum aminotransferase increase in liver disease like viral hepatitis ?

Inflammation: When there is inflammation in the liver as a result of an insult, liver tests can become elevated. ...Read more

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How many documented melanoma deaths with patients on enbrel (etanercept)?

How many documented melanoma deaths with patients on enbrel (etanercept)?

Not knowable: I appreciate your concern, but this is the kind of data that can't be obtained by any means. Enbrel (etanercept) is an immunomodulator that may suppress the immune response which has a small impact on melanoma progress; it's also given for psoriasis in which the skin cancer risk is already up. It's worth the risk; do keep a close eye on your skin so that skin cancers get rx'd early & there' s no risk of death. ...Read more

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Can hepatitis virus infection interfere the progression of HIV disease?

Can hepatitis virus infection interfere the progression of HIV disease?

Yes: Co infection with hepatitis b or hepatitis c ( that is having HIV and either of the above) is documented to generally result in further progression of both diseases. Therefore, patients with either illnesses must be screened to rule out co infection... Treatment is encouraged for both viral illnesses. New treatments are available for hepatitis c. ...Read more

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If HBV DNA virus is supressed in chronic hepatitis b then we have a chance of liver complication?

If HBV DNA virus is supressed in chronic hepatitis b then we have a chance of liver complication?

Yes: yes, it is possible. majority of people's bodies are able to fight off Hep B, but if the immune system has not done the job, then low levels can remain dormant and tend to resurface/replicate with stressful situations-being mental stress, severe physical trauma or immune stress. should have regular liver function tests for monitoring. ...Read more

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Will marijuana treat nausea in chemo and HIV patients?

Will marijuana treat nausea in chemo and HIV patients?

Yes, BUT: Marijuana can decrease nausea and increase appetite. However, it has estrogen-like effects which makes it unsafe for women with estrogen-sensitive cancer. It is also illegal in most states. Marinol is a prescription medication containing the active compounds in marijuana. ...Read more

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Are there IV drugs for ovarian cancer patients with low WBC count and severe diarrhea? (oral fluids/food not allowed)

Are there IV drugs for ovarian cancer patients with low WBC count and severe diarrhea? (oral fluids/food not allowed)

Ovarian cancer: It sounds as if she needs IV fluids first. Then it needs to be known by she has diarrhea. Is it because of an infection (c. Diff) or a side effect o treatment (chemo causing diarrhea). Hydration is key to make sure she doesn't get sicker. The antibiotics and the anti-diarrheals are best when given orally. If she is having a lot of diarrhea, she should see her doctor or go to the er. ...Read more

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How are alcoholic liver disease and viral hepatitis different?

How are alcoholic liver disease and viral hepatitis different?

Different causes: One is caused by alcohol and the other is caused by a virus which infects the liver, hepatitis b and c are the most common causes of chronic viral hepatitis. As both of these affect and damage the liver they may have similar symptoms such a jaundice and evenually cirrhosis. The treatment however would be different. Having a viral hepatitis and drinking would speed the progression of the damage. ...Read more

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Ana positive low c3c and 4 no symptoms of auto immune could my fatry liver ve auto immune hepatitis?

Ana positive low c3c and 4 no symptoms of auto immune could my fatry liver ve auto immune hepatitis?

Need more info: Your history, symptoms, physical exam and laboratory data are all essential in arriving at a diagnosis, which cannot be done on the internet. Hepatitis is usually manifested in the laboratory by the presence of elevated enzymes which are released from liver tissue. It is possible this represents autoimmune hepatopathy, but need far more data. ...Read more

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Can hepatitis b vaccine give you rheumatic autoimmune diseases such as polyartheritis nodosa because my sister started getting symptoms shortly after?

Can hepatitis b vaccine give you rheumatic autoimmune diseases such as polyartheritis nodosa because my sister started getting symptoms shortly after?

Not likely: There is no known strong evidence to prove that this vaccine causes PAN. In fact, having the hepatitis B infection itself is what classically causes PAN. ...Read more

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Mom 58 in ICU Pneumonia/Septic in body. Sick 2 weeks w/o treatment. Weak immune system due to past Cirrhosis, DVT's, Cancer, meningitis, hear attack. ?

What is ?: First off, let me say I am sorry to hear how sick your mother is. She has underlying issues to fight it sounds like. I know this is tough for you. I, however, do not know what your question is... ...Read more

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Should transplant patients stay away from people with shingles vaccine?

Should transplant patients stay away from people with shingles vaccine?

Probably safe: A person who has received a shingles vaccine is not contagious unless he develops a chicken pox-like rash. If a rash develops, the vaccinated person should restrict contact w/ a transplant patient (or anyone else) if that patient is susceptible to chickenpox. If the kidney transplant patient already had chicken pox, he is not at risk. ...Read more

Dr. Jeremy Adler
128 doctors shared insights

Infliximab (Definition)

Infliximab is an ...Read more


Dr. Robert Lowe
138 doctors shared insights

Remicade (Definition)

Remicade ...Read more