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What Do These Following Lab Reports Indicate?
Dear Dr Charles, My blood test on 03/7/15 shows ALT = 211. 2nd blood test on 14/7/15 shows : Alanine Transaminase = 312 U/L Aspartate Transaninase = 151 U/L Protein Total, serum = 65 G/L Albumin serum = 41 G/L Bilirubin Total serum = 17 U/L Alkaline Phosphatase = 72 U/L Gamma-Glutamyl Transferase = 90 U/L Alphafoeto Protein = 24.2 UG/L Hep C Antibody (EIA) is Non-reactive Hep B Surface Antigen is Positive Hep B Core IgM Antibody is Negative Hep A IgG Anitbody is Positive I have a heavy and discomfort feeling over my URQ abdominal area for past few weeks. I have red patch rashes on both my thighs for past 2 days. And I felt slight pain and tight feeling in my right groin while walking. May I have your advice what next best course of action, or I can I take any medication now ? ( I m refer by GP doctor to see the specialist on 27/7/15) Thank you.
Tue, 16 Jun 2020
Hi,
Brief answer: In my opinion, your lab results are consistent with an acute exacerbation of chronic hepatitis B virus infection.
Detailed answer: Hepatitis B virus infection causes inflammation and damage to the liver. You labs show evidence of liver injury, demonstrating marked elevations of several liver enzymes. The positive Hep B Surface Antigen indicates the presence of the hepatitis B virus, while the negative Hep B Core IgM antibody suggests that the infection with the virus is not acute but rather chronic. Complicating this picture, is possible past infection with hepatitis A virus.
Treatment of chronic hepatitis B virus infection can include antiviral medications. A hepatologist (a special gastroenterology doctor) is best qualified to evaluate and treat hepatitis B infection. The evaluation may include additional blood tests, ultrasound of the liver, and liver biopsy.
While you are waiting to be evaluated, I would suggest that you avoid substances that are toxic to the liver such as alcohol and acetaminophen (Tylenol).
Hope this helps answer your query. Let me know if I can assist you further.
Take care,
Dr. Aaron Shapiro
Brief answer: In my opinion, your lab results are consistent with an acute exacerbation of chronic hepatitis B virus infection.
Detailed answer: Hepatitis B virus infection causes inflammation and damage to the liver. You labs show evidence of liver injury, demonstrating marked elevations of several liver enzymes. The positive Hep B Surface Antigen indicates the presence of the hepatitis B virus, while the negative Hep B Core IgM antibody suggests that the infection with the virus is not acute but rather chronic. Complicating this picture, is possible past infection with hepatitis A virus.
Treatment of chronic hepatitis B virus infection can include antiviral medications. A hepatologist (a special gastroenterology doctor) is best qualified to evaluate and treat hepatitis B infection. The evaluation may include additional blood tests, ultrasound of the liver, and liver biopsy.
While you are waiting to be evaluated, I would suggest that you avoid substances that are toxic to the liver such as alcohol and acetaminophen (Tylenol).
Hope this helps answer your query. Let me know if I can assist you further.
Take care,
Dr. Aaron Shapiro
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