please help

[alyaspogi]

I got another test 2 test,anti hbc igg and sgpt.
My sgpt-126 (normal range 12.00-78.00
      anti hbc igg-0.00 positive


       hbsag-410.9 quantitative
       anti hbs-less than 2.00 IU/L quantitative
       hbe ag-768.4
       anti hbe-4.95
please help me to know how worst is this im so worried.this can be cure?

[alyaspogi]

Thank you for your advise.i actualy had an apointment on my hepatologest yesterday he said i need hbv dna test to see my viral load.unfurtunately the hbv dna test is not available here in our city.and it cost to much.but he said i am i chronic,and active,because my sgpt is not in normal range( sgpt-126 (normal range 12.00-78.00) i tell him that i am an alcohol user..this might the cause of my high sgpt.but to make it sure he will going to observe me.1 month with out alcohol and then i will come back to him with sgpt test again.
...In your own opinion doctor,according to my test result.how bad is my hep b?and this can be cure.?..thank you very much.

[Arti Sharma, M.D.]

Hi there,
The test results should be correlated with the reference values of the lab. The reference values of each lab varies. A clinical correlation is also important. In those individuals who have positive HbeAg results there are higher rates of viral transmission. The appearance of anti-HBe in serum is called seroconversion and is associated with a lower level of HBV DNA or a low replicating state of the virus. It also indicates clinical improvement and can help predict long-term clearance of the virus. Detection of HBe antibody can also be used to monitor response to treatment and possible remission of the disease. A positive anti-HBs test result indicates that a person has successfully responded to the hepatitis B vaccine or has recovered from an acute hepatitis B infection.  Kindly consult your attending doctor for your normal reference values. I hope it helped.
Best luck and regards!