I received a letter saying the Hep B antigen is "non reactive", more tests ordered. I will contact my doctor tomorrow. What does that mean? She told me I was a carrier two weeks ago. Does this change anything?
I called the docs office today and had someone explain to me what my test results. What I got was, "liver enzymes normal, kidney function normal, electrolyte normal, AST and ALT normal, hep be antigen was non reactive, you are a carrier." I am assuming there is something else I was supposed to ask. Should I get the actual test results? Something in the test has to be positive in order for me to be a carrier, right? I think I will find another doctor.
1) Is Hep B surface Antigen reactive? If surface antigen is not, then you don't have HBV. Skip the rest of the questions below because it doesn't apply to you.
2) If surface antigen is reactive, then ask them if Surface antigen antibodies is reactive. If antibodies is reactive, then it means you were expose but already clear the virus and is now immune for life. Go to 3.
3) Is IgM reactive? If IgM is reactive, then you have an acute infection. If IgM is not reactive, then you have HBV and is a carrier.
From what you wrote, you said Hep be antigen, which is another antigen from HBV, not the same as surface antigen (Hep B sAg). Knowing Hep be antigen only doesn't tell us anything unless you know your Hep B surface antigen status.
I know it's confusing but come back if you still don't understand...
I don't believe I am getting all of the information. I don't know when I was exposed, I have given blood at the docs office three times since early March. I guess I am expecting more from the doctor. I will ask to see the tests and determine the results of the surface antigen. Should I inquire about anything else?
From what I have read here and other places, as a carrier I should expect to be contagious for the rest of my life because I did not develop antibodies. I am really struggling with this because I don't know how I got it. No marital problems. No drugs.It takes me a year to drink a 12 pack of beer. The only body fluids I come in contact with are from playing basketball. The occasional bloody nose, cuts and scratches and sweat here and there. During my physical in Oct 07, I was fine! Sorry, this is just me trying to sort out my life.
Since I found out I was a carrier I stopped sleeping with my wife all together. I don't have the desire right now. She thinks I'm depressed. I guess I am. I'm used to overcoming obstacles. This seems like one I will not.
When you were exposed to HBV is not as important as getting your wife checked to see if she is immune or needs vaccination and you checked as to what stage your HBV is. Not all stages of HBV are contagious. Also, if your wife is immune to HBV, it is unfair to both of you to "stopped sleeping with my wife all together."
We understand your emotions. I found out about all my Hep test results last week and I was a wreck. Even a week later, I have many questions.
I still am waiting to tell my gf. It's not that I don't want to but I have to wait for the right time when her tests are over. I can't be selfish and put her through this right now while she's studying. So I decided to go through it alone but with you guys around, I don't feel lonely anymore. Thanks!
My understanding is that surface antigen positive means you are infected regardless of any antibody status. If you clear the antigen and develop antibodies, then you are immune.
So, get a hard copy of your lab results and then post them here. As a carrier you are "contagious" but the people in your home can be vaccinated. No big deal. Are you Asian? Many Asians are infected at birth or in early childhood.
I wish I could rush people through the early stages after diagnosis to acceptance but, you know, I just can't. Its a journey you just have to take on your own. Trust me, you'll come out of it and then the mundane aspects of life will take over and you'll be amazed that you just keep on living.
Think of it like this, you're one of the lucky carriers in that you now know and can monitor and avail yourself of treatment. Other people will not be so fortunate and they will find out too late. Count your blessings.
I'm so confused with the Hep B test results. I spoke to the doctor, she said I'm a carrier, virus are inactive and my immune is fighting it but that still means I'm a carrier. ie can never get out of my body. I can still pass it on.
My results as follow
Hep B surface antigen=Reactive
Anti=HBs= 0 MIU/ML
Anti Hep B e Antibody- Reactive ( In the presence of HBsAg indicates HBV infection of relatively lower infectivity)
Hepatitis B e Antigen=Non reactive (not detected -consider testing for anti-HBe as appropriate)
I agreed with Angiel1905 about rule and response. Just quick note from me
Hep B surface antigen=Reactive ---> Infected
Anti=HBs= 0 MIU/ML ----> Not yet recovered
Anti Hep B e Antibody- Reactive ( In the presence of HBsAg indicates HBV infection of relatively lower infectivity) ---> self explain
Hepatitis B e Antigen=Non reactive (not detected -consider testing for anti-HBe as appropriate) ---> as the same as relatively lower infectivity
The doctor said Antigen=Enemy; Antibody=Soldiers; my situation is such that soldiers are fighting, enemy is not attacking..
conclusion is I have Hep B, do you know how much MIU/ML is required to be considered recovered?
I once did the test and doc said I wont pass on to my family and children, this contradicts with what the current doc said. I'm so confused. Trying to find my previous lab report to compare with my MIU/ML results has dipped. If it did, it just means our immunisation really weakens with age. No Joke! Gotta buck up and improve our immunisation.
Hey Clearhealth Does my results says I'm not highly infectious? To be considered chronic, Antibody gotta be Non-reactive and Antigen=Reactive?
Yes, surface antibody is your soldier and read somewhere that has to more 100 in what unit I don't remember IU means Internation unit = about 5 copies. ML is milimeter.
If your HBeAg is positve then you can affect others. Negativity is not so infected. It is just so low that you and your surrounding should not be concern. Your case is so infected, yes. I dont' want to say 100%. Just practice of caution. No direct body fluid or blood contact, then casual interaction should be normal
hbsag reactive means you are infected by hbv and if it stays reactive for more than 6 months it is cronic hbv infection
you can also check hbcab igm instead of waiting 6 months to see if you clear hbsag, if it is negative you are cronic and should check liver damage by fibroscan, hbvdna pcr to see virus replication and ultrasound every 6 months to be able to cure liver cancer if it develops (if detected later than 6 months it might be not treatable and very little time is left until death)
i am pretty rude about liver cancer because there is only transplant or resection to avoid death and long survival only if hbvdna was und before surgery, so very little to do once it occurs
please let the 2008 posts be, hbv is almost complitely changed since then
you have hbv, to know if cronic hbcab igm and igg are needed
to know if your liver is healthy and need to therapy or if damaged, fibroscan or biopsy needed
US cannot detect liver damage and the only reason to make US is check for liver cancer.liver cancer takes about 6 months to get non-curable stage (well almost all dye once HCC appears but you can prolong life many years if catch it early).so US monitoring every 6 months is needed
hbvdna pcr and alt/ast not very important out of therapy but better have these tests too
hbeag/hbeab, important to know if therapy can have more response and hbv cleared
Can any one help me plz to interpret ,
My blood tests are :
Hbcab Igm negative
Hbcab total positive 3.5 U/ml ( cut off = 1.5)
Hbeab positive 2.8 U/ml
Hbsab positive 3.7 U/ml
I was Infected with Hep B and now after six years i test again and i got this result.
Hepatitis B surface antigen - Reactive
Hepatitiss B core abs(total)- Reactive
Hepatitis B DNA - Not detected As reported by Micropathology Ltd.
Hep B e antigen - Non-reactive
Hep B e abs - Reactive
Hep B e antigen - non reactive
Hep B e abs - reactive
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