pls help to understand this result..

[sweaeya]

hbsAg 5458.000 COI ..reactive SGPT-ALT 56.3

[sweaeya]

thank you so much!! yes i talked to my doctor already he said that the reason of my high ALT is from my BS(bloodsugar) he gave me glucophage tablet 2x a day and silymarin capsule, vitamins and i have to lose weight!!! regarding HBV im afraid to have another test again,. i just research what kind of food can decrease the virus or what vegetables are good for the liver,. i want a natural medication because i was afraid to take a lot of medicine,. maybe it will affect more on my health., im not a drinker i don't smoke also., thats why im thinking if i got this virus from having a TATTOO! anyway PRAYER is my best medicine i know with GOD nothing is impossible! i dont want to be upset or depressed i was thinking that i have to move on for my children.

[4est]

"but i was just worrying if having hepa b is close to death? i mean how many years will it stay in my body? it will kill me soon or what?" - don't worry about that.  Whit hep b you can live along and good life if you monitory it closely. Even is hep B is a serious disease we can manage it. You have to  see your condition and after that to determine if treatment is needed or not.

as I mention, increase ATL  can be from other factors as well (over weight, or bloodsugar, or alcohol, or not enough sport, or medication, or ... ), so you have to discuss this with a good doctor to determine if the increase ALT is because of viral activity or because of something else and also to act responsibly regarding your infection and determine if treatment is needed or not.  

[sweaeya]

they all have vaccines:) thank GOD and they are all healthy

[PinoyHBVDNA]

have your kids checked for HEPB... PLEASE

[sweaeya]

thanks for your reply and information it really helps me a lot,. sometimes im going crazy thinking about it., im so depressed the day i know that i had this kind of infection (5'6 in height and overweight person) had 3 kids., when i knew that i had this kind of infection i went to the doctor but i went to the wrong doctor unfortunately (ob-gyne) because i dont know what kind of specialist i will go, but sadly my obgyne told me that i had a polysistic ovary (ultrasound because not having a monthly period for a year!!) and then she gave me glucophage.. i think for the bloodsugar?., as far as i know.? and a HBSAG , ALT thats the only first test and hbsag as i said is reactive while the alt is 56!!:( which is high..not in the normal range., next week i will do all the tests you said to me and i hope (that is not all expensive as i dont have work for now :() but i was just worrying if having hepa b is close to death? i mean how many years will it stay in my body? it will kill me soon or what? im worrying now for my kids :( now im doing a healthy diet food and a lot of exercise from 255 down to 235 :) and i didnt do any medication regarding of hepa b i just took silymarin capsule once a day and kirkland vitamin e., and a lot of prayers :) i know only GOD can cured us and a healthy living :)

[sweaeya]

thank you for the information, its very difficult for me to have this kind of sickness, but i know GOD has a reason why all of this things happens to us... i found out also that i had a polysistic ovary (due to obesity) and my monthly period was stop for almost a year., and my doctor gave me glucophage which i think for the blood sugar., anyway i just have to finish first my general check up regarding my ovary then next is this HEPA b tests..,:( thank you for the reply i really appreciate your goodness so now i have a little knowledge about this things .,, im only 25 and had 3 kids .,

[4est]

Unfortunately this test result don't say to much. They say that you have a infection but not more, not even if the infection is chronic or acute. Increase ALT or AST can be from infection or from other causes (e.g. fatty liver, alcohol, ..)

Test "anti HBc IGm" and see the result, base on this result you will see if is chronic (non reactive) or acute (reactive)

If the infection is chronic, try to found a good doctor (specialized in HBV) for evaluation and future monitoring, as for other test I recomand you (like @PinoyHBVDNA already mentioned ) to discuss with the doctor the following ones:

- Fibroscan or biopsy (if Fibroscan is not available in you area) - to found out the actual liver status
- US to liver to found out if you have or not a fatty liver
- HBsAg quantitative if is possible
- viral load (HVB DNA PCR)
- other liver related tests could help (ALT and AST and if is posible also ALKP  and Bilirubin and ... )

Base on test result, a doctor should be able to advise you if treatment is recomanded or not and what are the next steps

[PinoyHBVDNA]

also include ultrasound of your liver :)

and if available, try fibroscan/ liver biopsy

[PinoyHBVDNA]

you have HEPB and your liver is getting damaged because normal max of SGPT is only 40 :)

but this data is incomplete, you should also get...

HBVDNA
HBSAG2 QUANT
HBEAB, HBEAG, HBSAB
SGPT, SGOT
AFP