Should I treat my hbv?

[Liverpatient]

I'm a man
-age: 44, soon 45
-been diagnosed with chronic hbv in 2015, might have had it all my life
-hbeag-, anti-hbe+
-hbv dna max so far: 3000IU/ml
-hbsag quantity: 17000IU/ml
-LFT largely normal, ALT max. so far 44IU/ml
-Ultrasound: normal
-FibroScan: max. 5,7KPa
-Have chronic kidney disease/glomerulonephritis that could be due to hbv/doctor said so
-Have nerve issues that could be due to hbv/ doctor said so
-Have muscle and joint problems which I think could be due to hbv/doctor doesn't thnik hbv is cause

Do you think I should treat this disease now?

[tun2017]

@Liverpatient, I am almost similar to your case but I have higher Hbsag (50,000 Iu/ml), my alt is high and 29 years. I feel mild fever and headache with low energy. I will go for my ph and vitamin test tomorrow thereafter I will know what to take. I will not like to start an antiviral yet. I suggest you do your mineral and PH test. Taking vit, simvastatin and alkaline water may help you

[Liverpatient]

Thanks for the reply. Also remember to have a routine for monitoring your hbv case. Keep monitoring your hbv dna, liver function tests (lft), Ultrasound of liver, FibroScan if available or liver biopsy, hbsag quantity, etc. I have had various mineral and vitamin tests, almost all returned normal, except for vitd3 which was somewhat low in my first tests. I've supplemented with vitd3 ever since, and my levels have come up to normal.
I searched what simvastatin is on internet and it says it is used for those with high cholesterol and/or diabetes, which I don't have luckily. So this drug is not for me, I think.
What PH test, is it an acidity/alkalinity test?

[Matt_sg]

Definitely you should consult liver specialist & get it treated.

[Liverpatient]

Hi, thanks for reply. So you are of the opinion i've to begin treatment; is your conclusion based on the specific test results I posted? If so, which tests did you base your conclusion on: the hbv dna, hbsag quantity, the extrahepatic issues I mentioned, etc? Also, could you please post any guidelines you might have seen that recommend treatmnet of hbv for patients in similar situation as me? Thanks a lot.

[viviva]

visit a professional hbv doctor for regular monitoring and advice.

Also, do you consider yourself to be infectious to others during sex? would you have unprotected sex with others??(assuming if you had more then one partner).

[Liverpatient]

Thanks for the reply; yes, I'm considering to talk to a liver specialist about my need of treatment. The specialist has so far been reluctant to put me on treatment, saying that my liver is healthy, judging from the FibroScan, ultrasound, and the lft tests. But when I have various extrahepatic issues that I mentioned, and when I'm quite old, with hbv dna reaching upto 3000IU/ml and hbsag quantity of 17000IU/ml, I personally feel I've to start treatment. So I'm going to stress on this to my doctors.
The reason why I asked this question here is to hear from some other people who might have similar experiences and how they managed the issue.
Do I consider myself to be infectious to others during sex? Of course, yes, as long as I'm hbsag+, and do not have enough antibodies to hbsag, I'm infectious and would not engage in unprotected sex with others, not only to protect them, but also myself from other sexually transmitted diseases as there are a bunch of them out there.

[viviva]

To be honest everyones condition varies from person to person and your own condition could be varying every month too. Only regular follow up and a good hepatologist can confirm if you dont/do need treatment. Take opinion of more then one doc if you arent convinced.

[viviva]

My gf had unprotected sex with me and she has hbv. i trusted her a lot but she hid it from me for 6 months of dating (she had it since birth). when she told me she said its not important to tell me before sex as she knows she is NOT infectious. Her HBSAG+ HBEAG- HBEAB+ and hbv DNA is undetected. Do you think she is truly not infectious at all? Do you think she should have at least told me?

[viviva]

?

[Liverpatient]

No, I don't think she is not infectious at all. As I said before, anyone with hbsag+ is infectious though the degree of infectivity  varies depending on viral load, hbeag positivity, etc.
On whether she should have told you before, well, I reply affirmatively to that question. But as you told us before, her doctor told her that she was not infectious, and I've some reason to believe she could have trusted her doctor about the issue. Surprisingly enough many doctors/general practitioners are not well familiar with the hbv disease, and there is the possiblity that her doctor really misinformed her.
Anyway, I encourage you to openly discuss the matter with your gf directly; and it is good that you were vaccinated before. If you really love her and she also does so and shows you in many other aspects of your relationship, then don't let this issue damage your relationship as you could continue a completely normal life with she being hbv positive.
Good luck!