How to make negative- HBS Ag

[devaliya]

Dear Sir,

I have checked my blood for HBS Ag (Australia antigen) test on date 05.05.2013 for new job for foreign country.
& result found Positive,Anti HCV IGM test found Non reactive.
Kindly suggest other test,any medication,instructions/guideline to make my HBS Ag test negative.as it is my carrer question.I have no symtoms for any illness,What to do?
ALINIA/NITARID/any other medicine can help?

I am worry about my carrer,life & family?
Kindly suggest & reply?

[stef2011]

you need fibroscan to define your liver status and hbsag quantity in iu/ml to know if hbv can be cleared by pegintf treatment

hbsag 1000-1500iu/ml on genotype d can be cleared easily by peg, for genotypes a, b, c see this study
http://www.medhelp.org/posts/Hepatitis-B/Response-to-pegintin-HBeAg-ve--On-treatment-kinetics-of-qHBsAg--vary-by--genotype/show/1980574

[devaliya]

Thanks for reply.

I have done following test after Hbs Ag test Positive.(06/05/2013).

1.SGPT 23 Unit/ml,
2.SGOT- 28 Units/ml,
3.SGGT-27 Iu/L,
4.S.anti HCV IGM- Non reactive,
5.Anti HBc IGM test-0.03 PEIU/ml (negative) on date 06/05/2013

I have consulted a Hepatologist,he was asked for some additional test.

1.HBe Ag- Non reactive (23/05/2013)
2. HBV DNA Viral Load-HBV Quantitative Real Time-PCR 3500 Viral copies/ml,conversion 2333 iu/ml  EDTA Blood. (17/05/2013)
3. Prothrombin Time-13 Seconds (24/05/2013)
4. USG Abdomen- Liver Found normal.(13/05/2013)

After test results he had not given any treatment or medicine.

I am very worry about my job & my career.
Kindly give further guidelines for treatment.

[devaliya]

Dear Sir,

Thanks for reply.

I have done following test after Hbs Ag test Positive.(06/05/2013).

1.SGPT 23 Unit/ml,
2.SGOT- 28 Units/ml,
3.SGGT-27 Iu/L,
4.S.anti HCV IGM- Non reactive,
5.Anti HBc IGM test-0.03 PEIU/ml (negative) on date 06/05/2013

I have consulted a Hepatologist,he was asked for some additional test.

1.HBe Ag- Non reactive (23/05/2013)
2. HBV DNA Viral Load-HBV Quantitative Real Time-PCR 3500 Viral copies/ml,conversion 2333 iu/ml  EDTA Blood. (17/05/2013)
3. Prothrombin Time-13 Seconds (24/05/2013)
4. USG Abdomen- Liver Found normal.(13/05/2013)

After test results he had not given any treatment or medicine.

I am very worry about my job & my career.
Kindly give further guidelines for treatment.

[stef2011]

check hbcab igm, if positive you are acute and need to treatment if negative you are chronic, see all other posts for all tests needed to understand if you can clear hbsag by pegintf or if you need no therapy

[Arti Sharma, M.D.]

Hi there,
Hepatitis B virus is transmitted by exposure to infectious blood or body fluids like semen and vaginal fluids. Most of the cases of hepatitis B cure spontaneously and may not require treatment. You may need a repeat test after 6 months to see whether you have cleared the virus or if the infection is persisting. In patients with hepatitis B infection almost in one in five cases the infection goes into a chronic phase. In this condition the person can be carrying and shedding the virus but may be apparently healthy with no symptoms. They are known as healthy carriers. People who are chronically infected and have persistently elevated SGPT which is a marker of liver damage, and HBV DNA levels may need antiviral therapy. Consult a hepatologist for more queries and assistance. Keep me posted.
Best luck and regards!