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Avatar universal

i need help with my result

My doctor is not being very helpful at all, and she is taking forever to refer me to a specialist. I don't want to wait further and i am sooo happy i came across this forum while researching on hep B.
I was told three weeks ago that i have hep B after my first ever blood test.
last week i did another blood test and it said that my liver function is normal and the hep B DNA is 83ml. I don't have all the other results, but could anyone please tell me what this means please. My doctor says she doesn't understand the result and therefore, can possibly interpret it for me.

Also because i have only done my first blood test at the age of 22yrs, i don't know if i have had it since a child or  i have only just contracted it. I have no symptoms, i don't even get cold. the only thing is that i've been farting a lot recently, but i don't think this relate, does it?

ANY HELP AT ALL WITH THE INTERPRETATION OF MY RESULTS WILL BE HELPFUL.
Thank you in advance.
13 Responses
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181575 tn?1250198786
Good luck with the support group.

If your support group is like here, it will be successful.  It's about learning and sharing to promote acceptance and combat ignorance.

Ignorance and fear of discrimination will be a great challenge for a real physical group.  Will people be honest and open given the current climate.  Here at this forum, we could choose to be anonymous.  How many post a picture of themselves on the HepB forum?  Not many.

Let us know how it goes.
Helpful - 0
Avatar universal
Hello Everybody,

I'm back!! How are you all and a very HAPPY NEW YEAR to everyone. xxx

So after being shock, scared, mad, sad and crying a lot than I have ever done in my life and then finally accepting my status, I've decided to do something to help people like myself who have just discovered that they have hep B and are feeling the same sort of emotions I went through.

I'm starting a support group with Macmillan in London, UK (where I'm base). This is so that people can meet up and share their experiences and support each other. As we all know that until you find a place like this, it can be very lonely dealing with Hep B alone.

Well I am open to any suggestings, ideas, support that you can give me. Anything will be appreciated.

Thank you
Monica

Do you have any comments, suggesting and advice to help my idea blossom to be truly something amazing that in the future this little idea could end up impact on government policies that can benefit all of us.
Helpful - 0
181575 tn?1250198786
"What you said...is exactly what my specialist doctor said to me"

I don't know about you Zelly but all of a sudden, I have an urge to go to medical school...LOL

Seriously, I am happy for you Monica.  I suggest that you continue to learn about the disease and MONITOR for disease reactivation.  And if you feel helped at this forum, I hope you stick around to help and support the next Monica.

Hope to see you around :)
Helpful - 0
Avatar universal
Thank you.....for the help.
What you said Steven is exactly what my specialist doctor said to me.
My liver screening was normal, its just i now have 140 iu/ml DNA, but he said this was normal. at times it will go high or low but still not much to worry about. I just need to monitor and be careful. My next appointment is in a year.

Its a good news but i can't help but still feel helpless and sad all the time. I guess with time i will get my head around this.

I REALLY WANT TO THANK EVERYONE HERE. I am so glad i found this site, you have helped me more than you will ever know. Thank you Steven and Zelly for your quick responses. Monica
Helpful - 0
181575 tn?1250198786
If you are eAntigen -  ,   eAntibody +  , and only have a 83 iu/ml DNA....you are looking good.  You are probably an inactive carrier.  You just need to monitor.  Good luck.
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Avatar universal
It means you should be happy. That is a low, low viral load.  That's good.

What was the liver screening?
Helpful - 0
Avatar universal
it is 83 iu/ml what does that mean please
Helpful - 0
Avatar universal
By liver screening do you mean you had an ultrasound?

You should ask:

-For a hard copy of all of your labs
-Viral load (HBV DNA) - you indicated before that it was 83 ml but we don't know what that means...do you mean 83 IU/ml or 83 copies/ml or 83 million...what does it say on the lab work?


Your answer to the viral load question would determine the next set of questions.

Best.
Helpful - 0
Avatar universal
Hi again. How is everyone doing?

I have my first liver screening today and i don't know what questions to ask the doctors. Steven has indicated above the kind of questions i should ask, but being very new still with hep B i still have yet to know a lot about it.

With my final year examination at university coming up, i have put in less effort into research about hep b recently and i have been focusing more on my exams.

I want to go in there with a lot of questions to give my clear understanding with my chances of the infection, so any idea of the type of question you can may proposed i should ask will be very useful to me. Thank you
Helpful - 0
Avatar universal
thank you
Helpful - 0
181575 tn?1250198786
HBsAg: Positive (this means you have HepB)

Hep B Anti HBc IgM: Negative (this is indicative of a chronic infection)

HBeAg: Negative
anti HBe: Positive  
(these 2 indicates the e-seroconversion already took place, usually this is good)

I was under the impression that you are 22, which is a little early for the seroconversion process.  If infected at birth, the seroconversion process usually take place within the 3rd decade of the infection (30-40 years old).

But if your DNA is at 83 Million, this could mean that the virus escape the e-seroconversion process by mutating (this is not so good).  If your markers are correct, ask your doctor to do genotyping, specifically to detect the pre-core mutant and core-promoter mutant.  If you have one of these mutant strains, it's an active disease and treatment should be considered.  

You need to find a knowledgeable doctor to follow up on this.  Good luck.






Helpful - 0
Avatar universal
Thank you for your reply.
i was born in Ghana, Africa

my results are:
Hepatitis B HBsAg: Positive by EIA
                 HBsAg: Neutralised by specific antiserum
                 HBsAg: Positive by Vidas

                 anti HBc: Positive by EIA
Hep B Anti HBc IgM: Negative by EIA
Hepatitis B HBeAg: Negative by EIA
Hepatitis B anti HBe: Positive by EIA

If you understand and can explain them to me i would really appreciate it. Thank you
                
Helpful - 0
181575 tn?1250198786
At least your doctor was honest with you, saying that she doesn't understand the result.  Because you do have time to learn about your diagnosis and decide if treatment is needed.

From your breif desciption, I am GUESSING you were probably infected very early on in life and now have a chronic infection.  With your 83 million HBV DNA with normal "liver function" results and at age 22, you are probably in the immuno-tolerant phase of the disease.  This is where your immune systems ignores the virus and it just replicates like crazy.  HBV DVA in this phase could be in the billions.  There is little to no liver cell damage in this phase, thus your "normal liver function".  Most don't treat in this phase.  But you need to monitor to detect for the next phase, where it is recommended to treat.

Where were you born.  Post your labs, especially all the HepB markers.  
Helpful - 0
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