misunderstanding the result

[engineeer]

Can some one help me plz ,
My blood results are:
Hbsag negative , Hbeg negative, Hbcab igm negative , Hbcab total  positive 3.5 U/ML  ( cutoff = 1.5 ) , Hbeab positive 2.8  ,  Hbsab positive 3.7
PCR is undetectable ( < 6 IU/ML )  , ALT=8

[vegeterian]

Hello everybody ,
I know it is too much but I need advice what to do next step ,please .
I did LFTs :
bilirubin =1 , direct = 0.3 , indirect = 0.7
ALT= 33 , AST = 32  , ALKALINE PHOS. =78
cholestrol =141   ,  triglycerides= 62   ,  HDL= 37  , LDL = 90.6 , VLDL =12.4
total protein =7.01  , albumin = 4.41  , globulins = 2.6  , A/G  ratio = 1.69
ESR= 15mm/ 1st hour
CRP : negative
prothrombin time :  test= 28sec   control=13 sec , ratio=2.15 , INR= 3.18

Note : I took ( for h.pylori) amoxcilin 1 g + other antibiotic + pariet 20   for 1 month and thereafter only pariet for 10 days then immediately I did the tests above .
I appreciate your helps .

[Rome70]

You should realy put your mind at rest about hbv, do not wast your time. Your abdomenal pain is something else.
Even if it is reactivated that is almost impossible, you would not feel it.

[engineeer]

thanks for passing .
Your note is very reasonable and every normal thinking is leading you toward that the only way to reactivate old infection is the weakened of the immune system severely  ( by chemotherapy , medication ...) .
But the idea of the reactivation for a resolved infection was publicated in a way that makes everybody think reactivation is  very widely for resolved infection and his last infection will be reactivated next day since they used the word
" spontaneously " .

[stef2011]

you can reactivae resolved hbv by damaging your immune system severely, many many drugs do this and reactivate hbv and probaby other infections not known so it is best to think twice before taking such drugs (chemio, steroids, reumatitis drugs and so on...) and balance carefully the cure rates if any

i personally  would never take such drugs anyway even for cancer

[engineeer]

the article , I guess , is mainly speaking about hbv reactivation in chronic hbv carriers . not about resolved hbv reactivation .

[Rome70]

This article may be interesting for you.

http://onlinelibrary.wiley.com/doi/10.1111/liv.12081/full

[engineeer]

Hello ,
u r totally correct .But am asking wheather that normal to happen or rarely or never in the conditions I mentioned . Since I couldn't find any percentage or study about that . WHO in their websites only mentioned once you recovered , u r immune and never to be infected .
The web sites mentioning reactivation they said : " reactivation can be spontaneous but most of time it follows cancer chemotherapy, autoimmune disease, and  immune suppression ".
But once I follow their examples of reactivation ,I found them speaking about cancers chemotherapy ....  .
Do you think it is usually happened to recovered people without immunesuppression ?
Regards.

[Rome70]

Hi!
I think if you had reactivation you should have some hbv markers like hbsag, hbv dna in the blood, otherwise how do you know that it is reactivated?

[engineeer]

Hello ,
Sorry for insist . All the time I was trying to forget the reactivation idea but what I read made me mad . I here copied what I read in some different web sites :
"Hepatitis B is contagious liver infection caused by hepatitis B virus. Reactivation refers to the increase in hepatitis B virus replication in patient with inactive or resolved hepatitis B infection, reactivation can be spontaneous but most of time it follows cancer chemotherapy, autoimmune disease, and  immune suppression ".
I can understand the spontaneous reactivation for the inactive HBV carriers since they haven't protective hbsab .Also it is clear that people who loss immune because of immune suppression  may face reactivation . But for whom recovered and in normal cases how can that be happened spontaneously ?!
Is there any percentage of that case ? Is there any study ?
for me : am not smoker or alcoholic or addicted drugs . And am not fat .
Best regards .

[di_pa_tau_inutil]

galing nmn nangyari s buhay ko iniwan aq ng live in partner q dhil s skit n 2 d dw kmi aasenso kng d dw aq mag aabrod..hayss unfair ang buhay hnd mklban dhil s skit n 2...hirap ng dinadaanan ko lalo ngaun ama at ina aq s tatlo q anak...god bless me i want to witness a miracle

[engineeer]

Thanx 4 everybody .

[Taj82]

Rome70 is correct forget about HBV infection or reactivation, you don't need even booster vaccination dose, i must say your immune system is having more than enough power to combat future HBV infection.

[Rome70]

Hi!
With HbsAb > 1000 and all hbv markers negative.
You should stop worrying about hbv.

[engineeer]

Hi ,
I saw some scientific web sites mentioning  HBV reactivation .
After I had a resolved HBV infection ;
What is the chances to reactivate it ? Is that normally happening to people ?

[Rome70]

I think you should ask at H. Pylori forum,
Probably endoscopy is more reliable than the blood test.

[engineeer]

Hello  ,
As you adviced me  I went to a consultant of gastro , I explained and according to what i told him that I lost 12 kg during 2 months ( 5 months ago ) , he made blood picture and endoscopy to me
The blood test : every thing is in normal range ( including HB ) unless ESR was 38 in 1st hour .
Endoscopy ( including upper and lower ) :
Conclusion :
patchy antral gastritis
H.pylori positive
(every thing else was fine no ulcers ...)
I look to the CD and I saw a green thing in my stomach like a phlegm
He gave me medicines that I am using (metador + pariet + amoxillin )
I suspect the result since no biopsy has been taken as I think .
So , I went to blood lab and request a blood test . the result was:
Helicobacter pylori ab IgG   0.64 u/ml    ( negative )
Helicobacter pylori ab IgA    0.7  ratio    ( negative )
Also 4 months ago I remember I did h.pylori test blood .It was negative (a green piece of the test result is attached to the written result ) .
Ultrasound I did 2 months ago :every thing was fine .
I hope to hear ur openion .
Regards .

[engineeer]

Thanx 4 follow

[Rome70]

You do not have HBV virus and you have immunity.
So you should stop worring about HBV. Your pain is something else. It can be gallbladder or stomach. I would test helicobacter pylory. It is proven that they cause a lot of stomach problems. I would not accept any treatment until this test.

Good luck.

[engineeer]

hbsab is >1000 IU/L as lab. result
Hbsag  0.2 negative
PCR undetectable
ALT=22

[Rome70]

Pain is normally not associated with HBV. If your hbv-dna is negative by PCR you shouldn't be infectious. Check hbsab quant as i mentioned before.

[stef2011]

liver damage is likely to be consequance of eating processed food which has chemical and all kind of rubbish in it instead of fresh organic food
also cheese, milk and meat must be checked carefully because they contain antibiotics and ormons given to the animals at least!

some producers may even use banned chemicals just to make animals fatter or avoid their death since the conditions they live.the best is of course animals fed in the wild or avoid meat/milk if not available organic

[engineeer]

Hello ,
I got new lab results :
Hbsag  0.2             negative    ( positive >= 1 , negative 1000 IU/L  positive     ( positive >= 10 , negative <10 )
ALT = 22
but I still have continuous  painful ( not so hard ) under right chest and in its back .
Am I infectious ? is there a problem in the liver ? ( six weeks ago , I did ultrasound and it was fine ) .

[engineeer]

thanx

[Rome70]

Sorry, our messages seem to cross in the pipeline.

If your hbs ab is really 3.7 U/ml. Then you need revaccination. It is only for your protection from future hbv exposure.

As for the vaccination scheme you' d better ask a doctor, probably since you already have some immunity one shot will be enough.

I do not think you will have major side effects, I know a few people who undergone vaccination and there was no sides, but you have already immunity so it must be easy.