Hepatitis B virus becomes reactive again after being non-reactive

Hi,

I'm male age 29, and I've been diagnosed Hepatitis B back in 2003 which after treatment the virus became non-reactive.

On March, 2009 I had a blood test for LFT (liver function test) and it showed ALT level as 89 which normally should have been 55. I went to a doctor and he told me that I've gained weight since than so it is due to fatty liver. I took few medicines for a month and after that went again for LFT test but this time all was normal.

Now yesterday I had blood test for Hepatitis B virus and it is showing reactive with a very high value of above 2500.

So now my question is that if the virus has been non-reactive for around 6 years so now  why it has come back? As I had heard that once the virus becomes non-reactive it will not change to reactive.
Also what is the cause behind it and what is the best treatment for it now.

Thanks,
Jaffery

[somicare]

You should re-confirm two things
one what is ur HBsag status and Anti-HBS status.
when first time you cleared of virus , have u taken vaccinations and tested for Anti-HBS?
Now, re-test for hbsag and anti-hbs. if u r anti-hbs is posiive then u r immune to virus.

[jafferyjee]

Thanks for the reply. Below are the results of my tests;

Hepatitis B Antigen - Non reactive - 0.346
Cut off rate is 1.0 (test performed by CMIA)

Hepatitis B Antibody - Reactive - 0.01
Cut off rate is 1.0 (test performed by CMIA)

HBsAg - Reactive - 2521 ( patient value)
Cutt off rate is 1.0

Kindly let me know what does the above tests mean and what should be the next step for me regarding treatments.

Thanks,
Jaffery