What this test results indicate?

[Ferdoush]

What this test results indicate?

I got the following tests for the first time on 9th Sep 2010.
HBs Ag positive.
HBe Ag negative.
Anti HBe positive.
ALT(SGPT) 33U/L.
AST(SGOT) 27U/L.
Bilirubin(Total) 0.63 mg/dl.
HBV-DNA 1332780 Copies/mL.

Now what can I do?

[stef2011]

3) HBcIgM = Negative  this result says you are cronic

the name of the test is alt/ast and fibroscan, fibroscan is an expensive machine so only good hospitals have it.easy to find in europe and rich asian countries, very difficult to find US and UK

[mohdiqbal]

Thanks for the prompt reply. Can you please give me the name of the test that will provide me ALT and Fibroscan results. Definitely I will do the HbeAb test, thanks alot. My main goal is to find out if I am Chronic or Acute Hep B

[stef2011]

check with lab because some lab use a reverse test, in your case hbe should be positive Reference range <1.0, but ask lab to be sure
it is also important to check the antibody hbeab

if alt are <30 and fibroscan<7kpa you can safely monitor, treatment is not needed/helpful

[mohdiqbal]

Hi Stefano, Please help me with my Lab Results:-

1) HBsAg = Positive
2) HBcAb = Positive
3) HBcIgM = Negative
4) HBV DNA = 110 iu/ml or 600 copies/ml
5) HBeAg (ECLIA) , my Result = 0.09 , Reference range <1.0 (Does this mean that I am HBeAg positive or negative)

I have recently discovered that I am Hep B positive (about one month ago), I am not sure how I got it or when I got it. I want to know if I have Acute Hepatitis B or Chronic. What other tests should I do.

[stef2011]

hbv info here
http://www.medhelp.org/health_pages/list?cid=153

[stef2011]

the most important test to see if you have liver damage, fibroscan and choose which therapy because you are full of virus:

interferon, 1 year therapy but possible heavy sides, if fibroscan detects cirrhosis not good

tenofovir, most potent hbv drug, no resistance, <1% sides

entecavir, potent hbv drug 1,2% resistance at 6 years but must make hbv genome test because some hbv mutants lam mutants, present without use of lam, make resistance 50% at 5 years.no sides