Hello! A month ago I got tested for Hepatitis and resulted positive for HVB. It was one of those random tests which doesn't make you think at all, had no symptoms or any physical signs for such kind of a disease. I was in shock!!! I went to see a doctor who made me take some extra tests for the level of my liver enzymes. They turned out to be normal and my ultrasound was perfect. I checked my antigen and antibodies as well. Here are the results:
I will soon test my DNA replication of the virus but until then, I'd like to check on some more information about what my situation might be and what prognosis I can expect? I am 34 years old, my husband is not infected with the virus and we are planning to have a baby. Please, help, cause I'm really upset! :( I really hope to avoid liver biopsy beacuse it terrifies me...
also do not worry about hbv, the problem of this disease is that it is a silent killer, most do n t know they have it and reach cirrhosis death or liver cancer death without synthoms except when it is too late and they are dying
once you know hbv can be complitely stopped from making damge even if not eradicated
according to guidelines you should start treatment:
what's fibroscan result and alt level?
there are many interesting trials for next year so if fibroscan is <7kpa i'd monitor or start for nitazoxanide which has no sides, if your hbsag is low you have chances to get it negative or get hbvdna und
i would not start nucs now it is better to avoid these drugs now
sorry i didn t noticed antihbe neg, you might try ntz to make antihbe positive and hbvdna und, response is slow but since ntz has no sides time on therapy is not a problem
me and my sister were like that when teens, you are close to seroconversion but there is too much hbsag and cccdna in your liver neutralizing antihbe, the best drug are ntz and interferon but interferon has too many sides
well you have cronic hbv, it has low replication periods and high replication periods, you are now in the low replication and i'd try nitazoxanide since now virus is weaker and drug has no sides at all (aspirin is by far more toxic as an example), you have nothing to lose and you must make antihbe
as to other therapies i'd wait because they all have sides but liver damage is very important, if you have more than f2 liver damage therapy must be started, look for a center with fibroscan, do not consider biopsy at all too old tool
you have to monitor liver damage closely since normal alt and low hbvdna can make cirrhosis too, i am an exampleof that
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