My father( 60 yrs)recently diagnosed with hbsag +ve accidently . Doctors said not to do anything and be on wait and watch .we went to a specialized hospital ,there they said he has this by birth!! And told us to get my mother tested ,even though i said that we all got tested for hbsag after this outbreak and came as -ve . They told us to get anti hbs , anti hbc, anti hbc core(total) ,,,,are these tests necessary ???
His results are as follows _
Hbeag negative 0.23
Hbv dna 34 iu/ml which increased to 242 iu/ml in 3 mnths
Afp serum 2.52 ng/ml
IgG serum 19.8 g/l
HbsAg 302 iu/ml
Anti HBe 0.02 reactive ,,,AHBeAb-T 5.09 NEGATIVE ( found 3 mnths back )
Fibroscan 3,2 KPa
UGIE ENDOSCOPY NORMAL
CT upper abdomen triple phase ,,shows EARLY SIGN OF PARENCHYMAL DISEASE of liver
GEnotype could not be determined.
KFt and LFT are normal ,,,ast 28iu/ml alt 36 iu/ml
In DLC HE IS FOUND EOSINOPHILS 18%
They prescribed ZENVIT( MULTIVITAMIN TAB ) + TENOVIR
ONE doctor prescribed LAMUVDINE .
.PLEASE suggest what should we do .
I am also confused with anti HBE Values ,,,is anti Hbe and AHBE Ab_Total are not same ??
What about paranchymal disease?