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hbsag positive

in 2003 i have been detected hbsag positive. LFT was normal. I have no joundice symtopms or any other problem till now. Recently I visited to Dr. He advised me to have LFT test, which is found normal with hbsag positive. I have tested in another lab. The lab also confirmed hbsag detected. The Dr. told me you have only a carrier of hepatits-b only and it is not harming you. After my request of treat this desease, he started lamivir(lumividine). One day an another Dr. was sitting with him, when I visited the Dr. My Dr. take advise from him about this matter. He recommend some tests. HBV DNA,HBc(total),HBc IgM.Now the reports are as under

*HEPATITIS B CORE, TOTAL ANTIBODY

Index Value 0.07

Result: *Reactive *

|*Interpretation:*
| | Index Value |
| 1.001 - 3.000 Non Reactive |
| 0.000 - 1.000 Reactive | |________________________________________________________________|

2.*HEPATITIS B CORE, IgM ANTIBODY*
Index Value 0.27, Result: Non Reactive.(HBV DNA report awaited).
I have taken lumividine for 1 month. Pl. advise what i have to do.
I am scared how long i can live.
11 Responses
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6170891 tn?1412848779
are you sure that your Anti-HBsAg is also positive? becoz as far as i know, u cant have a positive Anti_HBsAg with a positive HBsAg at the same time...
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my HBsAg,anti HBsAG,HBeAG,anti HBeAG,HBC Igm are all positive what it is all about?pls reply
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if the result of HBsag is 3,553.00 is it too much?
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can some one explain this result for me:
HBSAG VALUE 771.56IU/L
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what does HBSAG value 0f 771/56 IU/L MEANS
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It looks like you are an inactive carrier as your HBV DNA is low. It is a good sign. but you need to see your doctor to get more info from him.
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Name              MR. MADAN KATARIA Collection Centre    
Lab Number    07 5339811 Reg.Date                  24/02/07
Age                 36 years        Sex   Male Collection Date        23/02/07
Reffered By     Payment Status       O20 C

        Test Name                         Result    Units    Ref. Range  

                           OKHLA-Reference Laboratories

                           ============================

  Hepatitis B Viral DNA, Quantitative, bDNA

HBV DNA, Quantitative *              <2000    copies/mL or <357    IU/mL

[Reporting range (2000 copies/mL to 100,000,000 copies/mL or 357 IU/mL

                  to 17857100 IU/mL)]

Note:

This test quantifies DNA of free HBV virions in the serum plasma. HBV

viral DNA is a marker of viral presence. Persistence of HBV DNA is as-

sociated with progression to chronic hepatitis B infection.  HBV DNA

levels may be used to  determine infectivity,  to predict  response to

interferon  therapy  in patients  with  chronic  hepatitis  B  and  to

monitor response to therapy.

* This test is intended for use as an aid in management of HBV

   infected patients and is not intended for use in the initial

   diagnosis of HBV infection.

  HEPATITIS B CORE, TOTAL ANTIBODY

Index Value                              0.07

Result:                               Reactive  

  ________________________________________________________________

|Interpretation:                                                 |

|    Index Value                                                 |

|                      1.001 - 3.000         Non Reactive        |

|                      0.000 - 1.000         Reactive            |

|________________________________________________________________|

Comments:

Anti HBc is used to monitor the progress of Hepatitis B viral infect-

ion. It is found in serum shortly after the appearance of Hepatitis B

surface antigen in acute hepatitis B infections. It persists after the

disappearance of HBsAg and before the appearance of HBsAb. In the ab-

sence of any other hepatitis marker  an individual with  detectable

levels  of Anti HBc Total may be  actively infective with HBV  or the

infection may have resolved leaving the  individual immune. At times

it  may be the only marker detectable in the  blood of  HBV infected

individuals.

False Positive Results

    1) Presence of particulate matter in the patient sample

       particularly fibrin clots and cellular material

    2) Patients on heparin therapy

  HEPATITIS B CORE, IgM ANTIBODY

Index Value                              0.27

Result:                               Non Reactive

  ________________________________________________________________

|Interpretation:                                                 |

|    Index Value                                                 |

|                    < 0.80    Non Reactive                      |

|               0.80 - 1.20    Borderline Reactive               |

|                    > 1.20    Reactive                          |

|                                                                |

|Recommendation:                                                 |

|Patients exhibiting Borderline Reactivity should be monitored   |

|at approximately 1 week intervals. This will distinguish rising |

|levels associated with acute hepatitis B infection from decrea- |

|sing or unchanging levels associated with recovery.             |

|________________________________________________________________|

Comments:

This antibody has been detected in most acute viral infections and is

a reliable marker in acute disease. High levels of Anti HBc IgM are

detected in acute Hepatitis B while low levels are detected in chronic

Hepatitis B infection. This antibody is detected before or at the

onset of symptoms and the reactivity may persist for years after ill-

ness. HBsAg and HBeAg are transient and disappear quickly. Core anti-

body reactivity may outlast Anti HBs and occasionally may be the only

marker of either current or past infection. It is the only specific

marker for the diagnosis of acute Hepatitis B infection.

   REPORT COMPLETED  

Tests Requested:

HBV DNA, QUANTITATIVE, BD, HB CORE(HBC) TOTAL#, HB CORE IGM (HBC IGM)  

anybody can advise me.
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Avatar universal
thanks a lot for providing me a lot of information. DNA report is still awaited. As and when it receives, i will discuss. thanx a lot.
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Avatar universal
If your HDVDNA test comes back as undetectable you are considered to be an 'inactive carrier'.

You should have yearly ultrasound tests and AFP blood tests, but the good news is that the HepB will not shorten your life for inactive carriers who remain as such.

(i.e you should also monitor your LFT's yearly to make sure you don't become an active carrier. That is where it makes sense to take antivirals such as Lamuvidine)
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Avatar universal
How can a dr. prescribe you Lamuvidine without doing a HBVDNA test? That is almost criminal. You may just be whats called an 'inactive carrier' and no treatment is needed for now.
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Avatar universal
Hello,  I noticed that no one is responding to your post.  It might be that it is not understood.  The problem you dicuss here is unknown to me so I can not help.  I can however tell you how sorry I am that you are so frightened.  Perhaps you could review that information you have and make sure the disease you decribe and the numbers are accurate.  Usually someone here will know something or at least be able to tell you where to look
Helpful - 0
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