Digestive Disorders / Gastroenterology Expert Forum
Hepatitis B treatment
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Hepatitis B treatment

I am a 71 years old man. My blood test reports are as follows.
Hipatitis B Surface Antibody QL: Non-reactive
Hipatitis B core AB Total: Reactive
Hipatitis BE Antigen: Non-reactive
Hipatitis BE Antibody: Reactive
Hipatitis B Surface Antigen: Reactive
Hipatitis B Viral DNA
HEP B Viral DNA IU/ML: 213000
HEP B Viral DNA COPIES/ML: 589632
AST: 24 U/T
ALLT: 22 U/T
Alpha-Fetoprotien tumor marker: 2.2 ng/mL
Liver function: Normal
Do I need treatment for Hepatitis B?

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Typically treatment is considered in chronic HBV infection (HBsAg positive for more than six months) who have evidence of active virus replication (HBeAg and HBV DNA positive) and active liver disease (elevated serum ALT concentration and chronic hepatitis on liver biopsy).

It is difficult to answer your question without a liver biopsy.  I would suggest that you discuss whether this is the next step with your gastroenterologist.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
kevinmd_
3 Comments
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hi there m 23 years old i have been tested HbsAg positive , HbeAg negative,
hcv negative , my HBV DNA VIRAL LOAD is around 90 000 , my ultrasonic and nuclear ultrasonic liver-spleen reports r absolutely normal, my latest SGOT is 49 , and my SGPT is continously high from last 2 months it is around 114 from last 2 months.Doctor told me its a chronic infection and has advised me 2 undergo
LEVER BIOPSY,and based on tht he will decide wht kind of treatment to give....M REALY TENSED abt lever biopsy and its reports..


love
prince..
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Dear Dr. Kevin:

Thank you very much for your pmopt answer.  What treatmwnt should I have, if my liver biopsy is positive? What treatment should I have, if my liver biopsy is negetive?

Thanks again,
bloh
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We have been referred a child for adoption from China who tested HBsAg positive.
While we are learning about Hepatitis B and her care we are curious as to what to expect regarding her overall health and possible treatment of her Hep B.

She was tested at four months of age.

HBsAg +
HBsAb -
HBeAg +
HBeAb -
HBcAb -

HBV-DNA - 1.992X10(7)      1000  copies/ml


Any insight you can provide is greatly appreciated.

Thank you for your assistance.
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A related discussion, hepatitis B is cureable or not was started.
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