I need urget help on HBV--Please help me

[nihi120]

I am male and my age is 29yrs. Last week I come across that HBV virus in my blood. I had some stomach infection too. I Consulate with Dr. Mahesh K Goenka in Kolkata, India. Then I went for some test , test result are
LFT-
Serum Total Protein(Biuret)        7.5g/dl                         (6.4-8.3 g/dl)
Serum Albumin (B C Purple)       4.4g/dl                         (3.5-5.1 g/dl)
Serum Globulin                          3.1g/dl                         (1.8-3.6g/dl)
Ratio                                         1.4:1:0                        (1.0-2.0:1.0)
Serum Total Bilirubin(jendrassik Grof)  0.6mg/dl               (upto 1.0mg/dl)
Serum Direct Bilirubin(Diazo Method)  0.1mg/dl               (0- 0.2mg/dl)
Serum SGOT/AST(UV Kinetic)       57U/L                          (10-42U/L)
Serum SGPT/ALT(UV Kinetic)        58U/L                          (10-40U/L)
Serum GGT(SZASZ)                          12U/L                       (07-64U/L)
Serum Alkaline Phosphatase(PNP-AMP) 99U/L                  (53-128UL)


Hepatitis B Surface Antigen            Reactive
Value                                                          1211                 (0.0-1.0)

Anti HBc IgM, HBeAg

HBE ANTIGEN DETECTION
HBe ANTIGEN                                              Postitive(Index 4.79)        (Positive:Index>01)
Method Used      Enzyme Linked Immunofluorescent Assay

ANTI HBC ANTIBODT(IGM)
Anti HBc-IgM                                            Equivocal(6 IU/ml)                              Negative 10 IU/ml
Method Used      Enzyme Linked Immunofluorescent Assay



HBV DNA Viral Load
4.45x10^9 viral copies/ml (Four billion four hundred and fifty)

USG U/A
Ultrasound Report shows liver and kidney is normal.


P Time(Prothrombin Time)
Test         15.6secs
Control    14.4secs
INR( International Normalised Ratio)  1.09

Serum Triiodothyronine(T3)        1.1ng/ml                             For Adult(0.8-2.0)
Serum Throxine(T4)        12.8ug/dl                                       For Adult(5.1-14.1)
Thyriod Stimulating Hormone(TSH)        2.3ulU/mL                For Adult(0.27-4.2)


Dr. given me Tab RAZO 20mg, Tab Domstal 10mg, Tab Silybon 140mg TDS, Cap VSL#3 for 15 days and After 15 days he will check again. I thought these medicine for my stomach problem.
For HVB he told you have hepatitis B  not chronic. you will be  definitely fine. I asked  whether I need some more test like hbsag quantity and fibroscan. He told me not required now. After 15 days you come and meet me.

So please tell whether my Doctor is in right way or I have to consult some other doctor? Aslo tell me whether these medicine have any side effect which may be increase my HBV. Can my HVB cure as doctor told.
Please help me.

[nihi120]

Please Suggest me some vit d3 tablet.

[stef2011]

sorry read hbcab igm wrong and though negative, i am not familiar with iu/ml scale on hbcab igm and it can be detactable in cronic flares too at low levels but we will wait the 3 months and we will know

an easy way to see wht is happening is to follow hbsag quant in iu/ml with hbvdna too, if you have it available you might recheck this again in 3 months, cronic carriers have it very high while acute have it very low after 3 months from the pick of hbvdna

take vit d3 supplements to keep vitd25oh 50-70ng/ml this can help your immune system in case acute

[StephenCastlecrag]

Hepatitis B is a slow moving disease, so 3 month wait is neither here or there.
If you are acute, then no treatment is recommended and in over 90% of adults, you will clear the virus by yourself. In the unfortunate case that you are unable to clear the virus and become chronic, all treatments are long term. Unless you know how you are infected and when, doctors rely on HBcAb Igm to differentiate between acute or chronic, or they just wait 6 months to see whether you still test positive for HBsAg.

Hope I got it right.

[nihi120]

Today i meet with different Doctor, who is best HBV doctor in city, After seeing all the report which i mention above, He tell me you have to wait 3 month, than do test again. I asked that whether it is actual or chronic HBV he told, at now its is not chronic. I asked for medicine, but he told you should not take any  medicine now. Only you Viral Load he high, others are normal only.
Please give your valuable suggestions, It will really help me lots.

[nihi120]

what stephen said same things doctor tell me too that your HBcAn Igm is not negative, it is Equivocal because value is 6IU/ml..For negative case value should be less than 5IU/ml. So after 15 days we will test again. So please tell me whether my Doctor is right or wrong?

[StephenCastlecrag]

Your doctor thinks you may have acute HBV, that is why he is not treating you, yet.

Stef2011 thinks that you are chronic because your HBcAn Igm is negative. But the test results says: Equivocal. That is "not sure".

So I suggest, you see your doctor and test again?