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Suggest a good doctor for Hepatitis B

I recently got all my blood examinations done and my liver functions test, ultrasound scan are all normal. My CBC count is normal too.

My Vitamin D levels Were 16 about 6 months ago and I take calcirol every once a month.

I was diagnosed of being a HbsAg carrier when I was expecting my baby. Since then I got my antigens regularly & two doctors gave me different versions, one said I don't need any treatment as my virus is dormant, whereas the other put me on Lamavir and said I need it.

But after almost 13 years I had a bout of stomach infection and the gastroenterologist recommended me that I get an HBV DNA to see how is the virus progressing.

My reports shows my HBV DNA as 41,500 IU/mL

I am 40 years of age and looking for a balanced view on exactly what's should be the course of treatment and who is the best doctor in New-Delhi for this kind of a disease. Any suggestion? I would be very grateful for it. Also I don't want to undergo any liver biopsy, so is there an alternative to it too?
Best Answer
Avatar universal

patients just get an increase of creatinine for few days but since there are no tests to detect if a patient has kidneys damage already creatine can stay out of range longer

here in italy patients take antioxidants before and during taking contast, you can take nac,coq10 and vit c, nac especially usefull and has indications specific for this

the doses:
nac,1500-2000mg daily, better multiple doses during the day
coq10, 100-200mg
vit c if possible injection vit C, 1000-2000mg daily

all these are non prescription vitamins, you can take only nac if you like, here are the studies on the damage and prevention, if i were you i d sue the doctors, i obviously dont know laws in your conutry but in italy we sue them every day and you see reports on tv becuase they are not allowed to make any mistake and if they do they will pay very heavy for it and if they dont like this or prepare for this they can do another job

http://www.afibbers.com/atrial_fibrillation/miscellaneous/R91g.htm
http://www.yourhealthbase.com/database/a150b.htm
http://articles.mercola.com/sites/articles/archive/2000/07/23/nac-kidneys.aspx
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Avatar universal
hi all,
i gone through all the post and it gave me courage to fight with this disease. Recently i went for blood test and found myself hbsag positive i was very scared, i dont know how did i got this infection, my parents are also very worry  about me. i really dont know what to do where to go for treatment. please suggest me and show me the path.

i had visited the doctor (gastrointeriologist) in govt hospital he suggested me to take entacavir 1 tab daily.
i m feeling a  bit pain inside my ribcage. please suggest me where to go in india.
my elisa test shows H21570
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Avatar universal
Sir in my LFT my Bilirubin is 10.5 and SGPT is 60 besides the normal range of 10 & 50, plz give me some suggestion to recover it....
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Avatar universal
I also feel that you should not go for liver biopsy now. See your results after vita d3 then take a call after 3 months.

melatonin will help you restore your sleep and it is better than other slipping pills. Only problem is most probably it is not available in India (I can not say about Delhi). I purchased it thu net but they put heavy custom duty. For a 5$ product, I had to pay addtional 25$ as transport and custom.
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Avatar universal
Thank you very much Stef.

What are these drugs & how effective are they likely to be? Also how long can it take for these new drugs to hit the markets?

Best
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Avatar universal

melatonin will help with sleep with good general effects since it is an antioxidant

monitor fibroscan in a 3 months time, it may get lower by vit d3 and diet, with readings less than 6kpa normal liver so i dont see all that need to check biopsy and prescribe an antiviral especially with the new drugs active on hbv on trial
Helpful - 0
Avatar universal
Thanks for your kind concern Brij. I've started Vit D without any prior tests, will get it after 4 weeks.

I anyways have a very bad sleep disorder & I have to take sleep aid for it.

Kindly see my above post & give me your view too.

Best Regards
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Avatar universal
Hi Stef I returned after my review with the doctor with all my reports.

Doctor said since my Fibroscan is a bit borderline, he would like to conduct a liver biopsy on me. After that they will see what stage of cirrhosis I am on. If its stage one, then he might not consider any treatment for me, but if it's stage two then he says he will have to put me on anti-virals. I did not consent for a biopsy today, so he has given me a 3 month grace to make up my mind, in the mean time he wrote on my prescription, "patient not willing for biopsy".

Kindly tell me your views on this whole episode. I don't want to jump the gun this time, like CT scan.

I am also very very afraid of biopsy for some reason.

Best Regards.
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Avatar universal
Do not take any vitamin tablets in night, else you will have sleep disorder.

You can start vit d3 without testing for it. But it's a better idea to get the initial level so that you can monitor the improvement.

You can give your blood sample to your nearest branch of Religare or any other pathological lab, they will not ask for any doctors prescription for this. Once you give the sample, your  report will come in 2-3 days, meanwhile you can start vit d3.
Helpful - 0
Avatar universal
rep9 ac is the first hbv cure, human trials proved that since 2-3 years ago but no drug maker invests on this so it is not on the market, they are not interested to cure hbv
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Avatar universal
Is this is a spam or true. Is there really some cure for Heb B?

Kindly shed some light on it.

Regards.
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Avatar universal
we will all get cured just kept on waiting.... myrcludex b and rep 9 ac soon il be waiting ....just kept going !
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Avatar universal
that just means no cancer, no fatty liver, nothing else, thats why i hate the over use of ct scans just to stell money to people.if you were to be on early cirrhosis the scan would result the same, it can t see anything about fibrosis

geno d like mine
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Avatar universal
Hi just got my CT report. Which says Liver is normal in size, outline and attenuation with enlarged left lobe of liver. No evidence of focal lesion or IHBR dilatation is seen.

Portal vein and hepatic veins show normal contrast opacification.

Rest of the report shows normal.

Genotype is D.

Your take?
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Avatar universal

they are vitamins you see full names in the links of the studies, nac is N-acetylcysteine but any pharmacy knows them

nac is very good on liver too, i take it daily in the heptech protocol for my liver damage too and take them also to prevent kidneys damage from the use of tenofovir and entecavir antivirals i take
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Avatar universal
I read online about NAC & COQ, but I won't know the trade name of the following antioxidant & co-enzymes here in India. So how do I ask for it from a chemist?
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Avatar universal
This is such an eye opener. I got my kidney function test done 4 days ago, which was fine. I even asked the doctor just before the CT to explain me all the side effects, as they made me sign some consent form. The doctor looked shocked & was trying to control his laughter because I believe not many patients ask questions. Doctors here think they are Gods, they make you wait like eons and then you go through battery of tests at the place of their liking. I've got my LFT itself five times in 1 month span, it's so annoying.

There are no laws as per my knowledge, except you can take them to consumer court, but since they make you sign a contract form....they kind of wash their hands off your side-effects.

I would request you to kindly explain me what is nac & coq? I've no knowledge of a lot of terms here. Really appreciate your time & patience.

Best regards
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Avatar universal
Contrast I meant. Lot of spell errors, please pardon them.

Actually now it's too late as when I revived your message, I had already Medrol. I got my scan today, report of which is still awaited. They told me to drink tons of fluids to wash of the contrast dye.

Best regards.
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Avatar universal
My ultrasound was perfectly fine. Now I've takn Medrol tablet to be taken 12 hours & 2 hours prior to the contrast CT, damn! Don't doctors know its harmful for the patient? So silly, I kept asking Bout the side-effects of the ionic CT, they refused to tell me.

Will one time congrats too damage my kidneys?
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Avatar universal

no definitely not CT scan with contrast, that is needed only if US finds a focal lesion which can be a tumor but if US is ok not need of CTscan.the contrat liquid damages kidneys, DO NOT do it if US is ok
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Avatar universal
Stef I read few replies from you about CT scan. Do you think it's unnessary? I am planning to get mine done its a CECT for the upper abdomen.

Best Regards
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Avatar universal
Brij my heart palpitates while read your very very encouraging message. You know I am perpetually teary eyed & dwell into self pity like "why me" blah....and I am a very happy go lucky person, who is always surrounded by friends, happening parties, wine etc....now I feel all this will end. I even gulped a bottle of non-alcoholic champagne yesterday just to feel better, but it seems I've got traumatized badly, perhaps time will heal & this too shall pass.

Can one exercise in the gym etc even if they are on medication etc?

I just ordered Calcirol 60,000 IU as the 98.4 chemist guy told me that 10,000 or lower doses are not available. So do you think I should check my levels first or just start? I take bilifac probiotic and supradin multi-Vit plus calOZ everyday after dinner though.

I've to get a CT scan done, even that is scaring the day lights out of me. Dr. sarin would not honor CT scan done outside ILBS, so will have to get it done from there only. For which he's asked me take some medicine 12 hours and two hours before the scan, then they will put some liquid through intravenous and do a contrast CT. Does it have any side effects?

My husband also told me today that my attitude will define my course of treatment, but mine is so bad right now.

Thank you so much Brij. I do not know you & Stef personally, but you people are God sent angles to me. Wish you and your families
It's of good health and happiness.

Regards
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Avatar universal
You get the test done for Vit d3 25OH and Serum Calcium also.

If your digestive system is in bad shape like what I had, you can also add Probiotics, like Becelac-pb between meals (1 capsule twice daily) + a simple B complex tablet 1 everyday with your breakfast.

Take Care.
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Avatar universal
Start vit d3 as soon as possible. You do not get 10,000 iu capsules in India. So, take Calcirol Sachet (60,000 iu) / week. It is available at all medical stores. But take it from a trusted shop as fake sachets are also present

I too took lamivir for 2 days in 2002. Again, at that time this forum helped me (probably Stef) and I stopped it immediately. So nothing to worry.

Your sumptoms "I fear one of these days that I might end up having a nervous breakdown or a cardiac arrest, I feel so scared"  are exactly the same what I used to have 6 months back. I always used to feel as if something very bad is going to happen and I may not able to continue my job, lifeless. Even later on I developed nurorological sysmptoms like my head splitting in to two parts and found difficult to walk straight. Never felt any energy to do any thing. Felt like commiting sc

Believe me all these have nothing to do anythig with your Hepatitis. Your virus levels are similar to which I have and these are too low to have any perceptible symptoms.

With my vitd3 level improved, all my symtoms have slowly vanished. Now, I work for 12 hrs. everyday and still feel fresh. No more of those horrible feeling. Thanks to Stef for his timely intevention. Otherwise it looked an end to me.

All you need to worry now, is how to improve your d3 level. GO full swing. Take Carcirol (60,000iu/week) for first 6 -8 weeks and then you can reduce it to an interval of 10 days.

You will feel the difference in first 3 weeks but it may take 3-6 months to become normal.

I go to ILBS just for test reports and get ther veiws, but I alway follow Stef's advice only.

Best Regards,



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