My blood test results:

[Koozich]

Hi people,

I am looking forward for your help and advices,

My blood test results:

Hepatits B-DNA, hepatits C-RNA
Plasma

              a. Hepatits B-DNA      quantity >1.70E8 IU/mL
                  Positiv



Hepatits-/HIV-?HTLV-serologi
Serum

1. Hepatits B, HBsAg quantity>124925.00 IU/mL
    Positiv

2. Hepatitis B, HBsAg, CMIA
    Positiv

3. Hepatitis B, HBeAg
    Positiv

4. Hepatitis B, HBe-Ak
    Negative

5. HIV 1/HIV 2-Ag/Ak, CMIA
    Negative


Liver function tests:

P-bilirubine 62  61 ,26 micromole/L
P-ASAT 0.51
P-ALAT 0.78



I wrote my results,
I live in Sweden (moved to Sweden 2 years ago), I am 24 years old.
The way I wrote Liver function tests, may be confusing,
any way as my doc said, ASAT and ALAt are normal, but bilirubine is pretty high.
I really dont know why they claim I have Gilbert syndrome.
My eyes, since I was detected with HBV (11 years ago) are yellow, also my younger sister has chronic HBV, and I assume I have it from birth.
Since then, i have digestion problems, eating like gluten, even some diary products leads to pain (gall bladder dysfunction)

Along these years, I accumulated as much info as possible on HBV, yet when i visit my doc everything i read seems to be wrong.
Two months ago, i visited my doctor here in Sweden/Stockholm.
He did me a fibroscan, which revealed that my liver is in good conditions.
I really thought that after reading my results, he will give me antivirals to lower HBV viral load.
Well, it was something different, he said my liver is in good condition even though the viral load is high.
As he said, I dont have to go on antivirals, he said we wait for immune system response to HBV, then as inflammatory liver  and changes in ALT and AST, they will help me giving me medicine.

When I said my doctor, if gallbladder may suffer from lifer problems (HBV), he said is not right , and gall bladder has nothing to do with liver problems.

Well, my assumption, was that my gall bladder problems, are related to liver problems. I am really confused now, I dont know if there is something I should do. Or just wait and hope for the best.

Kind regards,
Koozich

[Koozich]

StephenCastlecrag thank you for detailed clarification!

[StephenCastlecrag]

I am not a doctor and don't know much about Gilbert syndrome (it seems it is genetic, does not require treatment, may cause gallstones later in life).

Your viral load is very high and your ALT is normal, so you are most likely to be in the Immune Tolerant Phase and treatment is generally not given (mainly because  there is no effective short term treatment and is not necessary).
This is confirmed by your Fibroscan result. Also your serum HbsAg is very high, research indicates this, in the Immune Toelrance, shows that your liver should have no or minimal fibrosis.
In the future, you will enter the Immune Clearance phase during which your ALT will rise and fluctuate, your hbvdna will generally fall and fluctuate. If this phase is short, you should e-seroconvert naturally. However, if this phase is prolonged and results in fibrosis, then treatment is considered. Your specialist is obviously aware of this and advised you accordingly.

The gallbladder and the liver are separate organs. Bile acid manufactured in the liver is stored in the gallbladder. Many people have their gallbladder removed.