Please give me advice

[ramkrish48]

I have Hepatitis B, my medical reports summary:

LFT:

Total Bilirubin         0.6 mg/dL
Direct Bilirubin       0.2 mg/dL
InDirect Bilirubin     0.4 mg/dL
SGPT(ALT)            21 U/L
SGOT(AST)           20 U/L
Alkaline Phosphatase   54 U/L
Total Proteins         7.1 gm/dL
Albumin                 3.7 gm/dL
Globulin                 3.4 gm/dL

ULTRA SONOGRAPHY ABDOMEN REPORT is  NORMAL
Liver:- Normal in contour and parenchymal echo pattern.
          No focal parenchymal lesion seen.
          Intra hepatic biliary and venous channels are normal.

HBsAg  +ve
HBeAg  +ve
Anti HBe -ve

Quantitative real time PCR : HBV DNA report is:

Sample for HBV DNA is showing    148 IU/ml  = 86 copies/ml
Exponential value   :   7.E+03
Log value (Copies/mL): 2.94

Please advise me. Should I get any treatment?

[ramkrish48]

as of now , my doctor didnt recommend any treatment. any way i am going to consult him soon.

[SafiSifa]

You need two more test results;

1. qHBSAG (quantity of HBSAG in terms of IU/ML)

2. Fibroscan test

Your HBV DNA is very low and you are HBEAG +. These are good news, you may clear the virus completely by eating healthy.

Does your doctor recommend treatment?

[SafiSifa]

oh I am sorry. You have already corrected your mistake.

[SafiSifa]

148  IU/ml must be more than 86 copies. It must be more than 4-5 times of 148.

[ramkrish48]

thank u very much for your advice sir. Regarding hbvdna test, its 148 iu/ml = 861 copies/ml. By mistake I typed 86 copies/ml in my question.

[waschool]

you r hbeag positive yet ur viral load is very low, u r very lucky u need to do hep b surface antigen quantitative to know ur chance of getting cured.