Got my HepB 2nd Blood Test Final

[bhagwankabanda]

Hi All,
Finally I got all my HepB blood test report the 2nd one after I did the one in Aug 01st.

Following is the Aug 01st Report:

HEPATITIS B VIRUS DNA, PCR
HEPATITIS B VIRUS DNA                          281412 H (REF: <29 IU/ml)
HEPATITIS B VIRUS DNA                       1,637,818 H (REF: 169 copies/ml)

AST                                                  29               (REF: 10-40U/L)
ALT                                                  50                (REF: 9-60U/L)
ALKALINE Phosphate                        34  L            (REF: 40-115 U/L)

And then I did a test on Oct 22nd (3 months later):

HEPATITIS B VIRUS DNA, PCR
HEPATITIS B VIRUS DNA                          66101
HEPATITIS B VIRUS DNA                       384708

AST                                                  19               (REF: 10-40U/L)
ALT                                                  31                (REF: 9-60U/L)
ALKALINE Phosphate                        34  L            (REF: 40-115 U/L)

So the HepB DNA count has gone donw from a million to 300K, what could be this? I haven't taken any medicines during this time and I had done my Liver Biopsy (F2) done.

thanks

[stef2011]

if you know when infection has started you might get an idea, hbsag can stay positive from 6 months to 1 year maximum in acute and the quantity must be decreasing after 6 months, if steady probably evolving to cronic

another way is to check if hbcab igm is positive, on acute it is positive 99% times

your doc cannot know if it is cronic by 3 months blood tests like those you posted unless he has a pay back from a drug maker to put you on a pill

[bhagwankabanda]

thank u Cajim.

[cajim]

how would I know it was Acute and not Chronic ?

--HBeAg- HBeAB+ = chronic

[bhagwankabanda]

thank you Sefano, how would I know it was Acute and not Chronic as the doc said its chronic and my first blood test was done in Aug 2010 and 2nd in Oct 2010 (almost 3 months gap). Is there anything that can tell that it is chronnic (my doc did say it is chronic).

My blood test results.
HB S AG W/Reflex Conf                        REACTIVE
HB S AG

HB CORE AB, TOTAL                            REACTIVE

HEPATITIS B SURFACE AB,QL             NON-REACTIVE

HEPATITIS BE AG                                NON-REACTIVE
HB E AG        

HB E AB                                              REACTIVE

ANA IFA SCR W/REFL TITER               NEGATIVE
ANA Screen, IFA

[stef2011]

you are going towards inactive state, that's normal for cronic hbv, it stays from moderate to low replication state most of our life (otherwise liver would be destroyed pretty fast) and flactuates from inactive to active, just keep monitoring every 6 months that hbvdna gets to und

if you were acute you might be close to clearing, if you were cronic it will flactuatewith persistant hbsag pos