date: 07/07/2012:my SGOT=109IU/L SGPT=292 IU/L
date :29-may-2013:my SGOT =233 IU /L ,SGPT=504 IU/L
can any one explain SGPT ,SGOT Levels?
why these values are rising ?
what is the dager level of SGPT & SGOT ?
most probably you are in clearance phase so sgpt is increasing but not sure. can say anything after few months. do the above tests including sgpt and cbc, monthly or bimonthly and dna quantative after each 4 month to monitor.
i've took many test as suggested by doctor here are the details
Hepatitis b viral load
method :real time PCR
resukt(iu/ml) >10000 0000(8 zeros)
result(copies /ml)>70000 0000(8 zeros)
hepetitis b envelope antibody(antiBHe) --5.46 --units[S/co]-method:ELISA
hepetitis b envelope antigen(HBeAg)--7.01-units[s/co] -method:ELSIA
hepetitis b surface antigen(HBsAG)-10.28-units[s/co]--method:Elisa
alpha Feto Protein (AFP)-serum --results 5.2--units IU/ml
hbsag quantative is not in iu/ml and useless without units.
high viral load is common in young age due to immune tolerance so dont worry and dont hurry...remember strictly...dont hurry.. check vit d level and report us. steff is studying vit d effect on hvb.so please report here.
this may be not right time for antiviral treatment as you are entering in/entered in immune clearnace phase plus your age is less, so if possible wait and see for a year. if you strictly want to start treatment go for interferon, in india local brands at 5000 rupee/shot are available. it may be good as alt is high. try it for 3 months and see. while on interferon go for hbsag quantative test with dilution in iu/ml units before starting interferon and then after each month.. may be available in india under some dr. lal pathlabs..talk their customer care.
the doctors also took the ultrasonography abdomen
Liver :Normal in size and echo pattern.No evidence of any focal lesions,No evidence of IHBD
gall bladder:Distended.No evidence of any calculi.No evidence of wall thickening . NO evidence of peri cholecystic fluid collections
CBD: Not dilated(measuring 5mm .arppr.)
portal vein : Normal in calibre( measuring 8mm .arppr)
pancreas : Normal in size echo pattern.pancreatic duct not dilated.No evidence of any peri pancreatic edema/collections
spleen : noral in size and echo pattern(measuring 11mm .arppr)
kidneys: normal in size .cortical echogenecity normal.Cortico medullary differentiation is maintained.No evidence of any calculi.No evidence of hydronephrosis.No evidence of cysts.
RK:9.6x4.7 cm .LK :9.3x 4.5 cm.
Urinary bladder :distended.No evidence of any calculi.No evidence of wall thickening.
prostate : Normal in size
*IVC & Aorta-normal
*No evidence of free fluid in the abdomen/pleural effusion.
*No evidence of lymphadenopathy.
though viral load is high, but it is common in immune clearace phase. your alt is high, so interferon may work well for you. there is no general rule for starting interferon except high alt all other parameters are very much dependent on individual immune system working.
your age is only 25, so personal suggestion for now, donot start antiviral at any cost atleast for next 5 years.
as new things for better treatment are on the way 2017.
rome70 is correct do hbsag quantative with dilution in iu/ml before interferon. and your doctor is right go for pagasys before your alt will come down. you must decide early to get most benefitted.
interferron response can be predicted with better confidence level if used for longer duration.(not guaranteed but with good chances)
best prediction needs 24 weeks.
better prediction needs 12 weeks
good prediction needs 4-6 weeks
how much it cost "hbsag quantative with dilution" in india. ?? i asked dr.lalpathlabs in our town (vijayawada,andhra pradesh,india)..they said 1200 rupee.problem is the person (girl) who attend my call hesitated to give the answer about dilution ? she callback to me after 15 min ..said yes we will do hbsag quantative with dilution ...so can i trust them ?
how much it cost "hbsag quantative with dilution" in india. ?? i asked dr.lalpathlabs in our town (vijayawada,andhra pradesh)..they said 1200 rupee.problem is the person (girl) who attend my call hesitated to give the answer about dilution ? she callback to me after 15 min ..said yes we will do hbsag quantative with dilution ...so can i trust them ?
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