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hepa b

hi guys! I'm new of this site and I have hepaB also, I discovered it last october 2004 until now I carried the virus.Since in the beginning my Doctor said that I am in acute stage and sad to say that I did not cure I belong to chronic and Inactive carrier, my doctor did not give me any medication co'z according to him my anti-bodies is building-up to fight against the virus.

Last April 2011, I have lab test and these are the results:

HBsAg -------------------  2044.52  reactive
Anti-HBs ----------------     0.34   non-reactive
HBeAg -------------------     0.48   non-reactive
Anti-HBe  ---------------     0.5     reactive
Anti-HBc IgG -----------    12.23   reactive
Anti-HAV IgM ----------     0.46   non-reactive
SGPT  --------------------    23.51 u/l
Liver ultrasound -------   normal

My doctor said no need treatment/medication just only healthy life style and take vitamins like essentially and godex. So I've followed his advised.

Now today June 2013, I have lab test;

HBsAg ---------------------  2355.79 reactive
HBeAg ---------------------       0.48 non-reactive
SGPT -----------------------  19 U/L

I have noticed that my HBsAg is increasing, Is this dangerous to my side? Pls. help me! what should I do?what does it means? Can anybody give me and idea and any suggestion and advise?
2 Comments Post a Comment
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Avatar_m_tn
this information is not enough to understand your liver status. You are missing ALT, AST, HBV DNA, bilirubin, (your viral load) and do Fibroscan to know your fibrosis stage.
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Avatar_m_tn
I think SGPT stands for ALT and it is indeed good.
The HBsAg results cannot be called increasing when you only have two results, this might me a mere fluctuation as HBV infection is an ongoing process, so don't get stressed about this.

There are a few scenarios in your case.
Since your HBsAg is not high you might try interferon treatment to push it down even further and hope for a complete clearance of HBV. However with your good ALT result, no drastic damage on liver (ultrasound, you should do the fibroscan/biopsy to get a full picture) some doctors will advise a passive strategy monitoring your status and I think your doc is taking that course. ALT is a very strong predictor of interferon response - your result is very good in terms of liver status but its not placing you good for response to IFN.

Post your HBV DNA quantity and do a fibroscan/biopsy. I think experienced people here will advise you more.
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