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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Hepatitis B Positive. I Fear About This Illness.

Sir, When i went to donate blood to my sister on 20-12-2006,Blood screening found that the HBSAg is Positive in it.After that i consulted doctor for monitoring and general check up and the complete tests were done. The HBsAg is positive and the HBeAg was negative as on 27 -12-2008. Since then the doctor advised me to get checked every 6 months. I fear about this illness. Pl give me your advise about this and futher what steps could be taken in future Doctor told that its dint effect my liver as of now as the liver tests are normal , so treatment is not required for this condition,
Mon, 25 Apr 2011
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  User's Response
's  Response
Hi, Thanks for your query. We feel that you are an inactive Hepatitis carrier. An inactive HBsAg carrier is defined by having the presence of HBsAg in serum, no detectable HBeAg, low HBV DNA (less than 10,000 to 100,000 copies/mL), and persistently normal ALT levels for more than 6 months. (However the HBV DNA is not done in your case) Reactivation of HBV disease occurs when a person is in the inactive HBsAg carrier state and develops elevated liver enzyme and HBV DNA levels and, in some patients, detectable HBeAg if the wild type virus is the dominant infection. We would advice you to get the LFT evaluated and the antibodies of anti HBcAb and HBsAb done after 6 months. If the HBsAg is positive after 6 months then you might be going into chronicity which happens in only 10% cases. We would also suggest you to get your wife vaccinated (if married ) with Hep B vaccine if she is not yet exposed to. Further more you need your children to get vaccinated. Apart from this We would suggest you to take good nurtritious diet. We hope this informations would be useful for you in follow up. Please get back to us for futher queries or chat with our doctor from 9 to 9 IST daily. Regards
  User's Response
sathya's  Response
Dear Sir,

I Had blood test for infertility treatment. and found that HBSAg is positive before 6 months it was not there, and the value now is 5.3, doctor told that it should be below 0.9. My Husband was vacinated now. we are very much worried. and do not know how to proceed. is it very dangerous? pls advise.

GS.
General & Family Physician Dr. Pragnesh Vachharajani's  Response
thanks for choosing health care magic.You reports indicate that you are hepatitis b carrier.As long as your reports are normal you need not to worry as disease is not active in your body.Keep regular follow up with your doctor and do as advised.Get your family members vaccinated with vaccine.other wise you should not have any problems in future just keep posted with your doctor.
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  Anonymous's Response
Anonymous's  Response
5 months back, suddenly i was suffering from jaundice and within a week bilirubin was around 42 and liver enzymes more than 3,300 units, normal reading is below 50. I went to doctor and they did series of blood tests. I shocked to hear that i have hep B. and i was suffering so much that, i felt like dying. i had hiccups continuously, never stopped from the last 6 days. i thought it was my end. i was not able to drink eat,nothing. but i never stopped my hope for cure. My doctor was good and he explained me everything and we had lot of things on the discussion.HBsAG was positive, viral load 1,25,000 copies/ml. HBeAG positive. after 5 months of treatment with baraculade .5mg now, I have only 98 copies/ml or 14 IU/ml liver function absolutely normal like before. HBeAG negative but no HBsAB or HBeAB. I m not able to understand that if I am a chronic or acute hepb patient. I have started living away from my parents, my family, friends everybody.i have lost my girl friend, whom i have loved.I have worked day and night for getting married and now she left me of my disease. I m not able to understand whats the status of my dissease. Am I getting Cured or chronic? Please help me.
  User's Response
Anoop's  Response
Go to ILBS Hospital in Vasant Kunj, B-block
  User's Response
Anoop's  Response
U can go to ILBS hospital, vasant kunj, b-block

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Hepatitis B Positive. I Fear About This Illness.

Hi, Thanks for your query. We feel that you are an inactive Hepatitis carrier. An inactive HBsAg carrier is defined by having the presence of HBsAg in serum, no detectable HBeAg, low HBV DNA (less than 10,000 to 100,000 copies/mL), and persistently normal ALT levels for more than 6 months. (However the HBV DNA is not done in your case) Reactivation of HBV disease occurs when a person is in the inactive HBsAg carrier state and develops elevated liver enzyme and HBV DNA levels and, in some patients, detectable HBeAg if the wild type virus is the dominant infection. We would advice you to get the LFT evaluated and the antibodies of anti HBcAb and HBsAb done after 6 months. If the HBsAg is positive after 6 months then you might be going into chronicity which happens in only 10% cases. We would also suggest you to get your wife vaccinated (if married ) with Hep B vaccine if she is not yet exposed to. Further more you need your children to get vaccinated. Apart from this We would suggest you to take good nurtritious diet. We hope this informations would be useful for you in follow up. Please get back to us for futher queries or chat with our doctor from 9 to 9 IST daily. Regards