condition of liver

[phurba]

recently i have got hepatitis b(6 month ago).now aslo i am hepatitis b
+ve.my clinical result are as following
  HB s AG +VE
  TEST                                    METHORD                                    
VALUE      UNIT
  IMMUNOGLOBULIN G(IgG)   NEPHELOMETRY                            
15.00        g/L
  Anti-ds(DNA)                        ELISA                                              
5.37          IU/mL
                                              
  
  USG OFLIVER   13.3cm.enlarged.shaws hypenechoic echotective.
    gall badder normally distended.lumen free .wall thickness normal.
  please tell my condition  of liver?am i good candidate f\or
treatmaent? plese give ur valueable suggestion,
  dawa sherpa , age 18,student class 12,darjeeling.W.B.INDIA.

[cuteus]

this here forum is the hepatitis forum, all hepatitis, but most folks here are dealing with hep c.  And there are no drs, as stated in the disclaimer. You might get a few members dropping by that might lknow something about hep b and can suggest things for you to do. The gastroenterologist section here has an MD that answers questions for a small fee, if you want to try that.

[jmjm530]

Hep B questions are answered here: http://www.thebody.com/Forums/AIDS/Hepatitis/

[sfbaygirl]

Hi Jim, I just went to that site you mentioned above. I read some of the q's and a's and thought the docs were pretty good. I found this interesting from Dr. McGovern;

>>If the patient has mild, moderate or severe hepatitis I recommend treatment. If the patient has significant side effects on treatment, I will still push on treatment in the patient with more advanced disease more than in the patient who has only mild disease.>>

Sounds like an 'obsessively gung-ho' treatment dr. huh?

[jmjm530]

You left out part of her answer which I think is more rounded, but perhaps more important keep in mind I believe she was talking about those co-infected with HIV which may warrant a more agressive treatment approach since I believe co-infected individuals have a faster progression of fibrosis than those with HCV alone. If these patients had HCV only, perhaps her approach would be less agressive, really don't know.

The relevant exerpt reads in a more completed form below. I also agree with the part about pushing  on with tx depending on side effects.

"...

1. If the patient has minimal disease, I offer the options of treatment versus no treatment.

2. If the patient has mild, moderate or severe hepatitis I recommend treatment. If the patient has significant side effects on treatment, I will still push on treatment in the patient with more advanced disease more than in the patient who has only mild disease...."

Complete answer here:
http://www.thebody.com/Forums/AIDS/Hepatitis/Current/Q175509.html

[sfbaygirl]

Yep, you are right, I forgot the HIV dx when I read the answer! Thanks for clarifying that. She still sounds very pro tx.


I quess we should feel relieved we are not co-infected with HIV. ..
although someone posted the other day about health workers saying they would rather be infected with HIV than HCV. I have heard this said before, as well.

Probably when these protease inhibitors come out, this won't be the case any longer. We can only hope.