Knaw to have chronic HBV for 11 years. in the last 6 months DNA levels went up to 4430(last cheked in january). the biopsy shows fatty liver, periportal/portal activity=2, lobular activity=1.
the doctor recommended to start taking baraclude/varead for life!!
I have started to take some herbs that helped a friend very mush few years ago and will check the DNA again in a month. in addition on started a diet few months ago.
what should i do?
Serum HBV DNA levels.
-Serum ALT levels.
-Severity of liver disease.
Patients should be considered for treatment when they have HBV DNA levels above 2000 IU/ml, serum ALT levels above the upper limit of normal (ULN) and severity of liver disease assessed by liver biopsy (or non-invasive markers once validated in HBV- infected patients) showing moderate to severe active necroin- flammation and/or at least moderate fibrosis using a standardised scoring system (A1). In patients who fulfil the above criteria for HBV DNA and histological severity of liver disease, treatment may be initiated even if ALT levels are normal (A1). Indications for treatment may also take into account age, health status, fam- ily history of HCC or cirrhosis and extrahepatic manifestations.
You should test hbsag quantity, genotype and mutation to choose correct treatment.
thank you very much for the informaion.
never done these tests!!
How come the doctor(which is a head of dipartment in a big hospital) did not send me to these tests and did not explain it(a retorical question!)?!
what are the full curing rates for different treatments?
where can i find researches/articles for this issue?
Copyright 1994-2016 MedHelp International. All rights reserved.
MedHelp is a division of Aptus Health.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.