no doctors seems to be well updated. Very updated hepatologist or medical gastroenterologist. try to find a doctor who attends all liver meetings or having friends attending lives congresses. And it is better the hospital which conduct clinical trials. Above all, keep follow the forum keenly and try to discuss with your doctor. Most prbably they wont hear you. You better discuss your tests here. If you are in delhi area go to the ILBS hospital. Fibro scan is available there.
Thanks. Indeed, doctors do not hear. I have a feeling that there are no experts available in India for Hep B treatment. They have some idea but it seems there is no treatment protocol available with them.
I am 45 years old and Hep B +ve since last 10 years (at least). I visited CMC vellore 3 times and recently visiting Asian Institute of Gastroenterology, Hyderabad from last 1.5 years. But so far no medication has been started.
My test results are as follows:
HBVDNA Quantitative: 6603(IU/mL), 38429 copies/ml,
Total Biluribin 1.3 mg/dL (Normal 0.3-1.2)
SGPT (ALT) 47 U/L (Normal 0-40)
SGOST (AST) 35 U/L (Normal UPTO 40)
Can you suggest something based on my report.
you should check the hbsag quantification to know about the chances of eradicate the virus. The test is available in hitech labs chennai. And in ramakrishna hospital coimbatore. If it's low around 1500 iu/ml, you can try alinia (nitazoxanide). Also check vitamin d and cholesterol levels. See other posts here to understand how vitamin d and cholesterol interfere hbsag. Take care.
And considering your age, stefano would suggest you to go for antivirals. The reason for suggesting antivirals is it's better being undetectable to avoid HCC and other consequences. Anyway before start them take hbsag first and post it here, stefano ll guide you. Asian Institute of
Do they have fibroscan there?
in your case if fibroscan shows no relevat damage just monitor and see if our tries with alinia, gcmaf, interferon combos work.
as suggested hbsag quantity in iu/ml and fibroscan are necessary to know chances and if therapy is needed
nucs are suggested if:
liver fibrosis >7.1kpa or >f3
hbv mutations and genotypes with high risk hcc or family history hcc (see old posts for all mutations and genotypes)
interferon, alinia and possibly a nuc combo if:
hbsg less than 1500iu/ml
low or undetactable hbvdna
normal or high alt
nucs: only tenofovir and entecavir are safe after resistance test is done to be 100% safe even on these drugs.these drugs are useless on virus and can only stop liver damage or decrease hcc risk so a perfectly heathy liver has no need of these drugs
Thanks. I am not sure whether Asian Institute of Gastroenterology, Hyderabad has fibroscan, but they have Elastography test for liver (I do not know if it is the same test).
However, I will get the hbsag and fibroscan done and post you the results for your further views.
I will get the tests done and post the reports for your further views.
Dr.Nageshwar Reddy of Asian Institute of gastroentology is an expert in liver ailments...he should surely help you regarding the disease
But he is heading Medical Gastroenterology department
Can you suggest me some place in eastern region where fibroscan can be done.
You are suggesting to start interferon, alinia and possibly a nuc combo if:
hbsg less than 1500iu/ml. (is it hbsg or hbsag?)
What if it is more than 1500iu/ml
sorry. I dont know about eastern region. If i come to know, ll inform you in the forum.