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HEP B

hello....
currently i am suffering from ITP. ( low platelete count)
recently I did the test again test the results are below.

HBV DNA QUANTITATIVE - 245 IU/ml
HBEAG - 0.20 ( non reactive )

LFT.
S. bilirubin total - 2.6 mg/dl
S.bilirubin direct - 1.2 mg/dl
S.bilirubin indirect - 1.40 mg/dl
S.G.O.T - 42 U/L
S.G.P.T - 38 U/L
Globulin - 2.10

Fibroscan report awaited.

Dr. advised that Tab. tenvir 300 ( not to stop)

Please advised.


Thanks,
Keddy
3 Responses
Avatar universal
are you on tenofovir ? if yes, than from how long?
yes your doctor is right dont stop it if you are on it
Avatar universal
Your bilirubin is high avoid eating oily and junk food. Take fruits. Do a usg and abdominal CT scan if possible to see any obstruction in ur biliary tract.
1 Comments
I did the fibroscan current result is as below.

Median stiffness - 6.7 KPA
IQR - 0.5 KPA
IOR / MED - 7%
VALID MESURE - 10
SUCCESS RATE - 91%

As is this normal??
Avatar universal
Your Fibroscan results are good. Have you been regularly monitoring. How long have you had Hep B? Please share your history. Below are some suggested tests.


Preliminary Information:
1.       How long you have had HBV? (example, birth, don’t know)
2.       Family history of Liver Cancer HCC
3.       HBV Genotype

Group1: every 6 months (Virus and Immune activity monitoring)
1.       Liver Enzymes (ALT, AST) + .
2.       HBV DNA
3.       HBsAg Quantitative
4.       HBeAG – only if previously positive
5.       Liver Function Tests (Bilirubin, Albumin,  platelette counts)

Group 2: every 6 months (HCC Screening)
1.       AFP
2.       DCP des-gamma carboxy prothrombin
3.       AFP-L3%
4.       Ultrasound (Liver contour, Spleen Size, Portal Vein Diameter) especially over age of 40

Group 3: every year
1.       Fibroscan
2.       Fibrosure / Fibrospect

Group 4: (every few years if HBVDNA detectable)
1.       Precore/Core Mutations
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