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What Does Serum HB Ag-positive,Bilirubin-0.7mg,SGOT-18 And SGPT-24 Suggest?
DEAR SIR
1. SOME INVESTIGATIONS IN MY RESPECT ARE MENTIONED BELOW :-
(i) VDRL-NON REACTIVE.
(ii)Anti HCV - Negative.
(iii)USG Abdomen- Normal scan of abdomen.
(iv)Serum HBs Ag Positive.
(v)Bilirubion0.7 mg
(vi)SGOT 18
(vii)SGPT24
(viii)ALK Phospha51
(ix)HIV- Non reactor
(x)HBV DNA634 IU/ml
2. no medicines recommended by my Dr. What is your opinion? Kindly advise soonest.
thanks
yours
ravindra singh
0000
1. SOME INVESTIGATIONS IN MY RESPECT ARE MENTIONED BELOW :-
(i) VDRL-NON REACTIVE.
(ii)Anti HCV - Negative.
(iii)USG Abdomen- Normal scan of abdomen.
(iv)Serum HBs Ag Positive.
(v)Bilirubion0.7 mg
(vi)SGOT 18
(vii)SGPT24
(viii)ALK Phospha51
(ix)HIV- Non reactor
(x)HBV DNA634 IU/ml
2. no medicines recommended by my Dr. What is your opinion? Kindly advise soonest.
thanks
yours
ravindra singh
0000
Fri, 20 May 2016
Brief Answer:
No treatment needed for the moment. You should do further examinations to make a adequate followup plan guided by a GI doctor.
Detailed Answer:
Hello,
Thank you for using HCM.
All the examinations results mentioned below are normal, except HbsAg and HBV-DNA. As your liver enzymes are normal, and your HbV-DNA is below 2000ui/ml, you seem to be just host, carrier of hepatitis B virus and the infection seems not to be active actually. So I agree with your doctor, no treatment is needed for the moment, but to make a follow- up plan , must be done some more laboratory exams such as quantitative HbsAg and HbeAg. HbeAg determines which strain of hepatitis B virus do you have. If the HbeAg is negative , you should evaluate ALT levels and HbsAg quantitative every 3 months during the first year. If the HbeAg is positive than you should monitor ALT and HbeAg every 6 - 12 months. Eventhough , i suggest this follow- up process to be guided by your GI doctor. Is important for your partner to be tested for hepatitis B, and if he is negative , he must be vaccinated.
Hope this is helpful.
Let me know if you need more clarifications. Otherwise please close and rate the answer.
Kind Regards,
Dr. Juarda
No treatment needed for the moment. You should do further examinations to make a adequate followup plan guided by a GI doctor.
Detailed Answer:
Hello,
Thank you for using HCM.
All the examinations results mentioned below are normal, except HbsAg and HBV-DNA. As your liver enzymes are normal, and your HbV-DNA is below 2000ui/ml, you seem to be just host, carrier of hepatitis B virus and the infection seems not to be active actually. So I agree with your doctor, no treatment is needed for the moment, but to make a follow- up plan , must be done some more laboratory exams such as quantitative HbsAg and HbeAg. HbeAg determines which strain of hepatitis B virus do you have. If the HbeAg is negative , you should evaluate ALT levels and HbsAg quantitative every 3 months during the first year. If the HbeAg is positive than you should monitor ALT and HbeAg every 6 - 12 months. Eventhough , i suggest this follow- up process to be guided by your GI doctor. Is important for your partner to be tested for hepatitis B, and if he is negative , he must be vaccinated.
Hope this is helpful.
Let me know if you need more clarifications. Otherwise please close and rate the answer.
Kind Regards,
Dr. Juarda
I find this answer helpful
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