hepatitis b

[chiranjeevi104]

Dear Steff.  You are a greatest person because so many patients cleared their doubts through this forum.  
I am 34 years age.  Height: 172 CM. wg. 64 KGs

My blood work result on 8.1.11.  
hbsag-positive
HBeag:  0.09 - non-reactive 1.0  (Reaction)
HBCAB: 0.011 – Reactive > 1.00 ( Non-reactive  < 1.0 ( Reactive)
SGPT - 18 IU/L ( up to 40 )
USS – Normal study.

6 months underwent homoe treatment at MD homeopathy.  

My blood work result on 18.1.11.
HBeag:  0.12 - non-reactive 1.0  (Reaction)
HBCAB: 0.072 – Reactive > 1.00 ( Non-reactive  < 1.0 ( Reactive)
HBsAB: 10 ( Positive)
HBV DNA * 51 IU/ML
HB C virus – non-reactive ( Tridot method)
SGPT - 48 IU/L ( 9 to 34)
SGOT – 42 IU/L  ( 10 -35)

Present symptoms: fatigue, eye were shrunken, heat palms/soles, warm air came from mouth.    constipation and bad breath, joint pains.  

On 29.8.2011 met with a gastroenteroligist at my town.  He purused above medical record and ordered LFT.  SGPT and SGOT stands as above the remaining were normal.  For which he stated me that at this time my liver is working well.  The above symptoms due to IBS.  Prescribed me Pantop- Tab every early moring.  Lactico fiber powder ( two time dialy) and another Tablet before going to bed.

         My question is minimal elevation of AST/ALT is a singh of liver damage?   Appearing of HBSAB <2 IU/ML is what condiction?   Raising of HBCAB (Total) figure from fist time to 2nd time test? what could be done?  My doctor declared as inactive hbv carrier state.  is it correct?   My IBS problem is conneting with  poor functiong of liver?   Please advise my questions as early as possible.  


              

[chiranjeevi104]

Thank you.  

          you gave good analysis on my condition.  One more doubt is hbv dna is 51 IU/ML is treated as undetectable or not?

[stef2011]

My question is minimal elevation of AST/ALT is a singh of liver damage?

yes and no, if you have good antioxidant defence your liver can sty in a balance between damage and regeneration with no liver damage t all.alt is very poor as liver damage indicator but useful with all other parameters for doctor interpretation
for exmple i regressed my fibrosis with alt 40-50, another one my not regress it even if lt 20....too many factors involved

Appearing of HBSAB <2 IU/ML is what condiction?
this is good but hbsag quantification s needed to understand if this antibody is effective.you should go for interferon+alinia+vit d+simvastatin or alinia alone to boost ur immune system especially if hbsag is low

Raising of HBCAB (Total) figure from fist time to 2nd time test?
useless and still very very low insufficent antibody, much more is neede and not only this antibody although very important to clear

what could be done?
first of all find a good liver specialist, yours is applaying 10 years ago strategies and missing all main test to know what is happening.he is not a good liver specialist at all

My doctor declared as inactive hbv carrier state.
your doctor could be sued for misconduct and a lot of money damage in italy, no fibroscan or biopsy done, no hbsag quantification...where the hell are guidelines to say you are inactive, well he gotta wake up we are 2011 and not 2000, in my country you pay for this and all doctors are extremely scared so we get superb monitoring nowadays thanks to the judges always condamning those not useing all thechnologies available today

My IBS problem is conneting with  poor functiong of liver?
you need fibroscan as soon as possibel, who cares about hbv, hbvdna or alt if there is possible severe damage

get to ILBS, New Delhi from other's members post it is as updated as european best hospitals