HEP B

[keddy1]

hello....
currently i am suffering from ITP. ( low platelete count)
recently I did the test again test the results are below.

HBV DNA QUANTITATIVE - 245 IU/ml
HBEAG - 0.20 ( non reactive )

LFT.
S. bilirubin total - 2.6 mg/dl
S.bilirubin direct - 1.2 mg/dl
S.bilirubin indirect - 1.40 mg/dl
S.G.O.T - 42 U/L
S.G.P.T - 38 U/L
Globulin - 2.10

Fibroscan report awaited.

Dr. advised that Tab. tenvir 300 ( not to stop)

Please advised.


Thanks,
Keddy

[rohan1992]

are you on tenofovir ? if yes, than from how long?
yes your doctor is right dont stop it if you are on it

[imran4535]

Your Fibroscan results are good. Have you been regularly monitoring. How long have you had Hep B? Please share your history. Below are some suggested tests.


Preliminary Information:
1.       How long you have had HBV? (example, birth, don’t know)
2.       Family history of Liver Cancer HCC
3.       HBV Genotype

Group1: every 6 months (Virus and Immune activity monitoring)
1.       Liver Enzymes (ALT, AST) + .
2.       HBV DNA
3.       HBsAg Quantitative
4.       HBeAG – only if previously positive
5.       Liver Function Tests (Bilirubin, Albumin,  platelette counts)

Group 2: every 6 months (HCC Screening)
1.       AFP
2.       DCP des-gamma carboxy prothrombin
3.       AFP-L3%
4.       Ultrasound (Liver contour, Spleen Size, Portal Vein Diameter) especially over age of 40

Group 3: every year
1.       Fibroscan
2.       Fibrosure / Fibrospect

Group 4: (every few years if HBVDNA detectable)
1.       Precore/Core Mutations

[Jatashankar]

Your bilirubin is high avoid eating oily and junk food. Take fruits. Do a usg and abdominal CT scan if possible to see any obstruction in ur biliary tract.

[keddy1]

I did the fibroscan current result is as below.

Median stiffness - 6.7 KPA
IQR - 0.5 KPA
IOR / MED - 7%
VALID MESURE - 10
SUCCESS RATE - 91%

As is this normal??