I first diagnosed with hep b in 1999, I had a liver biopsy that same year, the doctor said my liver was fine and that my blood work shows reversal of surface ag, so for over ten years I didn't worry about it, then I went back in 2012 to make sure my condition didn't change, my lab results in 2012 was Hbsag+, Hbeag-, Alpha Feto Protein was normal, Hbv DNA was undetected, Ultrasound is normal, I have the same results for the last four years. So what do you guys think? thank you
Thanks guys, the biopsy was done in 1999, so all these years I never took any medication or even worry about it, but now that I'm getting older and learning more about this disease, that's why I went back to the doctor in 2012, I guess I have to insist on AST/ ALT and fibroscan to the doctor, it's sad but I don't think some of these doctors are very knowledgeable about this disease
As you just crossed 40, if you want to be extra safe you can schedule appointment with a liver specialist every 6 months, and few weeks before each appointment do the following tests:
- ALT (liver function tests)
- Ultrasound and AFP (this is for liver cancer screening that all of us do)
Once per year you can do Fibroscan,
So long your results are in following range:
- DNA bellow 2000 IU
- ALT less then 30 IU
- Fibroscan less then 6 kPa.
- AFP and ultrasound should be normal
then you are in excellent shape.
If one of these (sometimes in future) returns irregular then you could follow your virus more closely - do DNA and ALT tests every 3 months...and if the virus then keeps causing damage then you simply start taking a medicine (tenofovir or entecavir) that are nowadays very developed...but based on the results you have so far it seems you don't need them now.
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