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What Does This HBsAG Test Report Indicate?

Posted on Sat, 27 Jun 2015

Question: Sir i have gone through blood test and scanning
HBSAG = Positive
HBeag = NEGATIVE
SGPT =66 ( Range 16- 63 )
Abdominal scanning = NORMAL ( no swelling in liver)

with this result can u tell me what is the problem and really i have Hepatitis B virus in my body?/
if what i have to do

Answered by Dr. Divakara (1 hour later)

Brief Answer:
You need to get tested by PCR test.

Detailed Answer:
HI

Greetings from Dr.Divakara.P
Thanks for posting your query.

A positive HBSAG indicates you are infected with Hepatitis B Virus . But this test is not 100% confirmatory.

For confirmation you need to get a test called HBV DNA Qualitative PCR. Kindly get this test done and revert back . If this test is also positive then you need to get Serum Alkaline Phosphatase level and Serum HBV DNA quantitative. PCR .

Based on these reports it will be decided whether you need to be started on treatment or just wait and observe.

Till then avoid unprotected sex with your spouse ( if married ) , if you had any unprotected sex with any ask that person to get tested for Hepatitis B.

Hope this information was useful to you.
Any clarification feel free to ask.

Regards.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Divakara (46 hours later)

Hello sir ,

i have gone through blood test and scanning.

HBSAG = Positive (CMIA Method) 1.35 (>= 0.05 reactive)

HBSAG = NEGATIVE (ELISA Method) < 0.10

HBeag = NEGATIVE

Total antibodies to Hepatits B Core antigen(HBctotal)[CMIA] = Reactive(1.90) (>= 1.0 is reactive)

HEPATITIS B CORE ANTIBODY - (IgM) (Anti-HBc IgM) (ELFA) = Negative (0.01)

HEPATITIS B SURFACE ANTIGEN (HBsAg) (CMIA) = Reactive (1.35) ( >= .05 is reactive)

SGPT =66 ( Range 16- 63 )

Abdominal scanning = NORMAL ( no swelling in liver)

HBV DNA quantitative anlaysis value = NORMAL ( below the range)

Sir Pls help me am worried a lot what;'s happening in my body

am in carrier state ?? if how to get out from this and my marriage is there pls give me suggestions in detail .. pls reply am acutely infected or am carrier of this virus???

Answered by Dr. Divakara (27 hours later)

Brief Answer:
You are carrier.

Detailed Answer:
Hi

Thanks for the information.

Your reports are suggestive of Chronic Hepatitis B but one test HBV DNA being normal indicates you don't have active multiplication of Virus.

Hence there is no need for medication as of now but you need to practice safe sex with your future wife and also she should get vaccinated for Hepatitis B.

However you need to repeat HBV DNA levels test every 6 months.

Regards.

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj