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Bleeding, pain from urine and vomiting. Treatment?

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sir, best suggestion required urgently for my father Age 60 plus, Male, previous before 15 days, he is suffering from urinal problem, some bleeding & pain from urine. after consulation from local Doctor, he became normal in four days, after then three days he is suffering from illness & kaponi (says in bengali) after tacking antibiotic he starts suffering from vomiting & stool, then doctor referred him to admit in hospital, after admitting in hospital at morning, after admission of 5-6 hrs he starts suffering from from breathing problem with chest pain, then after passing 4-5 days at ICU he had provided lots of anti biotic. Doctors says he has Bronco numunia, i am very much distresses and in confusion doctors is saying patient is in serious disease of septic. pls. give suggestion what to do, & how much serious my father is, i am not satisfied wit the doctor's version as he viewing normal by look, but in ICU he id distressed by seeing the other patient and wants to comes out from Hospital & ICCU. Sir, i am enclosing some reports available with me of hospitals, Today Doctors have said me he is also have carbon di-oxide problem.
Sir, some reports said on verbal by doctor as follows
Fluid test : TB negative
WBC 6500

Category: Family Physician-GP

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Dr. Deepu Sebin Sebastian is online now

Expert:  Dr. Deepu Sebin Sebastian replied 4 Days.

Thank you for your query at DoctorSpring.com
This is a little tricky one because post vaccination with hepatitis b vaccine, the level of immunity differs, and some individuals may not need booster for the next 10 years, and for some the antibodies come down significantly within 5 years. So if the wife has recently taken a booster vaccine, then there should not be a reason to worry for the next 5 years at least. But after that the situation needs to be reviewed.
It is better to use condoms while intercourse if not planning for a baby, just to take precautions.
Does the husband have any symptoms? When was he diagnosed?
Feel free to discuss further,

Patient replied :

No symptoms in husband. Diagnosed incidentally during blood donation 6 year back. He is hbeag negative and left are within normal limits.

Expert:  Dr. Deepu Sebin Sebastian replied 3 Days.

Thank you for the follow up.
If HbeAg is negative, that shows the infectivity is low, hence as of now there is no risk of transmission.
But do get his HbsAg and HbeAg status checked every 6 months, just to make sure the infection is not active.

Patient replied :

Should I do his anti--hbe status and wife's hbsag titre. What should be the hbsag titre for protection agaist infection? If husband's hbeag positive then should we start him on anti-viral drugs. What is possibility that he is cured of infection?

Expert:  Dr. Deepu Sebin Sebastian replied 2 Days.

Yes you can get those tests done.
For the person to be immunised ( for the wife ) the recommended anti hbsag titre is (Anti-HBs: = 10 mIU/ml).
Anything below that will make her vulnerable towards the infection.
Unfortunately antiviral drugs have not worked well on hepatitis and it is a sefl resolving infection, where the infection settles down over a period of time. The relapses depend on the general immunity. Again cure is not possible with hepatitis b.

Dr. Deepu Sebin Sebastian
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MD, Internal Medicine - Stanley Medical School
Medical School - MBBS - Govt. Medical College, Kottyaam

Diagnostic Prediction - Stanford School of Medicine
Received Specialty training in Critical Care, Cardiology, Neurology, Gastroenterology, Nephrology from Stanley Medical College and in Endocrinology, Rheumatology.

Hematology and Geriatrics from Madras Medical College.
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