anti-hbsag = 565.89, am i infected?

[Roberto123]

Sorry if i do not write correctly my question english is not my first languaje but unfortuntly i did not find hepa b forum in spanish. Im waiting for hb adn results, my surface antibody results (anti-hbsag) were  565.89 I got the hvb vaccine 13 years ago and i do not have any simptoms. Having these levels of antibidoes, can be possibly that the surfase antigen (hbsag) will positive and if it is possibly what will be the    diagnosis of this results?

[cajim]

Sounds like you have antibodies, so your HBsAg should be negative.  Have you tested it?

[Roberto123]

no, im wating for the vhb dna test. So if hsbag is negative that means that I'm not infected?

What will be the dignisis if vhb DNA test result a positive hbsag?

My doctor requested a fibromax test since she detected a lot of black and white spots at my liver she think that could be cirrosis

[cajim]

Hard to guess, just wait for all your results and everything will be clearer.

Best.

[Roberto123]

is it possibly to have cirrosis if my ast alt levels are at normal rates and my liver after an Eco shows normal size? I never had any symptom.

What I got when I was a kid was hep "a" with all the symptoMs

Are this blood results related with hep "b" ?

Leucositos 6.2 x 1000
linfositos 17%
Eosinofilos 0%
Monositos 2%
Basofilos 3%
Banda 2%
Segmentados 76%

[cajim]

If you have cirrosis, your lab readings are not likely to be normal.  Do you drink?

[Roberto123]

no I don't drink

I don't know already if I have cirrosis I'm waiting for fibromax tests

What kind of health problem do you suspect with those blood results? Viral or bacterial problem?

[Roberto123]

I would like to clarify something all this results are related to my wife she is 45 and I was talking by her since she does not speak English

She is dentist but left her career 9 years ago when our oldest son born, we have another kid of 5 years old and both are healthy

[cajim]

I am not sure what your blood results mean.  Hopefully others can comment.

[pregpos]

Your segment neutrophils is high. Any infection or acute stress increases your number of white blood cells. High white blood cell counts may be due to inflammation, an immune response, or blood diseases such as leukemia.

It is important to realize that an abnormal increase in one type of white blood cell can cause a decrease in the percentage of other types of white blood cells.

An increased percentage of neutrophils may be due to:

Acute infection
Eclampsia
Gout
Myelocytic leukemia
Rheumatoid arthritis
Rheumatic fever
Acute stress
Thyroiditis
Trauma

Look there are a lot of reasons behind it maybe you are just stressed out lately.Better talk to your doctor all of your health concern.

[NashPred]

Try not to worry too much about HBV.

Like cajim said, “Sounds like you have antibodies, so your HBsAg should be negative”

I would be VERY surprised if your HBsAg or DNA was positive. Anti-HBsAg does not show up until after the clearance of HBsAg so it looks like you (your wife) has immunity.

If they have not tested for it already, you may want to consider being tested for HCV (Hepatitis C) since a slight risk was there from working as a dentist.

Is ALT/AST in the normal range?

[Roberto123]

thank you so much about your comments, we feel terrible since our doctor was so positive on diagnosting hep "b" with out having any antigens result she start talking about medicines and possible cirrosis. but I'm not a doctor and reading what all people is posting here is very anticipated to tell us "you have hep b"

The hcv test was negative and about alt & ast are at nomal rates.

Any clue about what is really happening her?

[NashPred]

None of us are doctors either so I would not want to guess at what the spots on the liver are.

While the Fibromax test is not as reliable as a liver biopsy, it should help shed some light onto what is going on.

I hope you are seeing a specialist like a Hepatologist or a Gastrointerologist or at least get refered to one. I would not put much faith in a regular MD to diagnose liver problems.

[Roberto123]

thanks again

Our current doctor is an internist

Does any bodie know about co-existence of anti-hbs and hbsag and what are the implications on having this?

[cajim]

It could mean you are in the process of developing antibodies and clearing HBV.

[Roberto123]

I would like to thank you for the time that you are dedicating to answer or provide feed back after we had your answers we start feeling better, it is an enormus agony to wait for results 15 days for a dna and fibromax.

I was in the idea that diagnosis of hep b was easier, we already spent 1k  usd and still don't know if that anti-hbs levels are indicating if my wife is infected or not, Jesus, Im not stopying on prying every day.

Does any bodie know if the right test to diagnost hep b is the anti-hbs test? That was the test that our doctor ask for.

By the way, when she saw the level of antibodies (>500) she said you are hep b positive and that is why you have very low leucositous.

[NashPred]

You need to be tested for HBsAg. If HBsAg is positive, then you have Hep B.

Anti-HBs is NOT the right test to diagnose Hep B. Anti-HBs tests for immunity to Hep B and from what you have written and if I understand correctly, it looks like you are immune to Hep B.

I don’t know why your doctor would only look at a anti-HBs test with a result of >500 and tell you that you are Hep B positive. I also don’t know why your doctor would run a more expensive DNA test when all you need at this point is the HBsAg test.


Scroll up on the right side of this page and under Most Viewed Health Pages click on the link called “HepB Introduction & Welcome Page” This will have a chart of Lab Basics that might help you to understand some of the test results Remember that on this chart anti-HBs is written as HBsAb.

[cajim]

Could you mean HBsAg when you say anti-hbs?

[Roberto123]

No.

When I say anti-hbs I'm refering to antibodies for the Surface Antigen.

The laboratory told us that blood test that they perform was antibodies, and the result was 565.89 mIU/ml

[cajim]

If so, you may be developing anti-HBs and clearing HBV, which is very good.

[Roberto123]

I'm more than confuse now.

Today we got the fibromax results and the PCR for hep b.

Apparently the lab did not made the right test because they were asked to perform the PCR DNA test for hep B and they just get the PCR withe the following result:

PCR VIRUS OF HEP B: POSITIVE

I'm confuse because the antibodies indicates 565.89 of anti-hbs, how can interpretate this???

The positive is because she is really infected?? or can be positive because the vacine??

Any help would be appreciatted.

By the way, those anybodie can interpreteate the following fibromax results?

FIBROTEST     (F0) SCORE 0.19
STEATOTEST  (S0) SCORE 0.29
ACTITEST        (A0) SCORE 0.04
ASHTEST        (H0) SCORE 0.02
NASHTEST     NO NASH, SCORE 0.25

[cajim]

I agree, your results are really confusing.  Is it possible to scan your lab report with your name etc covered and post it in your photo section?

[Roberto123]

I just post the lab tests and upload in my photo section.

Let me know if you can see them and if not, let me know how can I share with you.

let me know your comments.

Thanks

[cajim]

From your posted results it seems you are in the process of clearing HBV from your system by developing anti-HBs, particularly if it is the case that you just recently was tested positive for HBsAg within 6 months or less.

[Roberto123]

we do not have the hbsag results, doctor is asking now for this test and for hbcag and hbeag.

What will be the diagnosis if this 3 antigens results a positive value and the surface antibodies is > 500?