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my test results as follows please some one help...
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my test results as follows please some one help...

Hi i have undergone many test as doctor suggested, finally doctor said there wont be necessary of any medicine please help to understand, test results shown below..

1)  Specimen - Blood
     Investigation - HBsAg
     Test method - CMIA
     Result - REACTIVE ( > 25,000 IU/ml)
2)   HEP B EVALUATION
      HEPATITIS BE ANTIBODIES, SERUM
      HEPATITIS B e ANTIBODY - REACTIVE
      PATIENT VALUE - 0.020 low   (> 1.0 NON REACTIVE  ,  <or = 1.0 REACTIVE)

3)   HEPATITIS BE ANTIGEN, SERUM
      HEPATITIS B e ANTIGEN - NON REACTIVE
      PATIENT VALUE 0.26  or = 1.00 Reactive)
4)   * HBV QUANTITATIVE (REAL TIME PCR)
       HBV VIRAL LOAD -  <3.8    < 3.8 IU/ml
       METHOD - REAL TIME PCR
       Comments
***** KINDLY NOTE :THE HBV VIRAL LOAD CAN BE EXPRESSED AS <LOG 0.58 AND THE CALCULATED VALUE IS < 28 CPS/ML (CONVERSION
FACTOR : 1 IU/ML=7.5 CPS/ML).

5)    Liver Function test
       Sample - Serum
    
      Alkaline Phosphatase
        Method : p-NP(AMP)            95.7 U/L
  
      Aspartate Aminotransferase (SGOT)
        Method  : IFCC                     23.8 IU/L

       Alanine Aminotransferase (SGPT)
        Method : IFCC                       57.8  IU/L

      Gamma-Glutamyl Transferase
        Method:  IFCC                        53.8IU/L

      Total Bilirubin
        Method : Jendrassik - Grof        0.96mg/dL

      Direct Bilirubin
        Method : Modified jendrassik - Grof       0.22mg/dL

      Total Protein
        Method : Biurate Reaction              7.7g/dL

       Albumin
        Method : Bromocresol Purple          4.5g/dL

       Globulin, Serum
        Method : Calculated                        3.2 g/dL

       A/G Ratio
         Method :  Calculated                       1.4


Please please please help.
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Avatar_m_tn
You are HBeAg negative and your viral load is undetectable, that is why your doctor is correct, in my opinion, to recommend no treatment. However, your qHBSAg is not low, so I think you should have regular check up to monitor the situation. Hopefully, your viral load will continue to stay undetectable.
12 Comments Post a Comment
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Avatar_m_tn
You are HBeAg negative and your viral load is undetectable, that is why your doctor is correct, in my opinion, to recommend no treatment. However, your qHBSAg is not low, so I think you should have regular check up to monitor the situation. Hopefully, your viral load will continue to stay undetectable.
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Avatar_m_tn
Thank you very much Stephen for looking in to this post, can you please let me know how often i should go for check up?
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Avatar_m_tn
I would think at least once every year. That is something you can discuss with your doctor.

I also wonder whether there is a typo mistake in your reporting of your HBsAg result - could it be > 250 iu/ml, instead of > 25,000 iu/ml?
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Avatar_m_tn
Thanks again Stephen, i checked the report it is >25,000 iu/ml, just to confirm i'll have this test again. since last week i am noticing that my urine is yellow, i read in a website that it's a symptom of chronic HB, is that true? what i have to do in this situation? i am scared that i may spread it to my son, he is just 4 years old. i am avoiding him, i am not playing with him. i checked and confirmed with the regular pediatrics that my son already vaccinated. can you please tell me is there any problem if i take him for vaccination again? please..
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Avatar_m_tn
Yellow urine is not a symptom when your all blood tests are in range, just drink more water.
As for your child, if he is vaccinated you are not a danger to him. Just check if he is immune by hbsab quantity test. If its is >10 iu/ml he is immune, but normal range should be >>100.
Your absag test is indeed strange fpr hbe neg and VL under, 25000iu is too high.
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Avatar_m_tn
Rome70 has given you excellent advice which I agree. Usually when your viral load is undetectable, your infectivity is very low.
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Avatar_m_tn
Do you take any B-Complex or Multi Vitamin?

Yellow urine could be from excess Vitamin B2.

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Avatar_m_tn
Hi

Thank you for your time to look in to my issue, i don't use any B-complex or multi vitamin tablets,
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Avatar_m_tn
Stephen,

Could you tell me what my blood results below seem to mean?

daybright


Hepatitis B Core Antibody Total

Result:POSITIVE (Abnormal)
Normal: NEGATIVE



Hepatitis B Surface Antibody Quant
  
Result:108.69 mIU/mL  


Hepatitis B Surface Antigen
  
Result:NEGATIVE  
Normal: NEGATIVE
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Avatar_m_tn
You would have been told by your doctor that you have previously been infected with HBV (HBcAb positive), but that you have recovered from the infection (HBsAg negative) and that you have developed strong immunity against future infection (HBsAb > 10 iu/l).
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Avatar_m_tn
Wow,

Thank you for your timely response.  Obviously I feel better now.

WHO ARE YOU?  You seem so knowledgable.

Thanks a million,

daybright

P.S.  I would NOT be infectious to any one else......... would I?

Please let me know if this line of thinking is correct.
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Avatar_m_tn
In my opinion, you will not infect others with Hepatitis B.
Because of your previous infection with HBV, you should always inform your doctors should you need to go on any immune suppressive therapies as a precaution. whether you can still donate blood is also a moot point.
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