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HEPATITIS B

My boy friend has chronic hep b.What are the implications? What treatment actually helps? We have been given many options (anti retroviral drugs, interferon inj etc) but we are worried about the side effects and also can we have children later in the future? How do I get protected from contacting it if we are planning to have children?  Is he going to be okay?Pls. kindly help us.  
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351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi!
Many thanks for your kind words. It feels good to be appreciated. I wish you all the best in life!
I am not sure about what you mean by Misletoe. Products containing this should not be used orally or in injectable forms as controlled clinical trials on humans has shown this to cause serious effect on liver.
The mechanism is not very clear. Increased viral load is often seen even in the presence of normal liver function. Hence liver function cannot be taken as a guide to viral load. The probable explanation could be that until there is active disease in the liver, the functions remain normal.  If you are planning to stay off anti viral therapy, then keep a check on the viral load and keep in touch with his doctors on a regular basis.
Hope this helps. Take care!
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Avatar universal
You are such a wonderful person.I hope you know how helpful your professional responses have been in alleviating peoples fears.You have just reduced my constant worries about my boy friend (who I love very dearly) and our possibilities of having our own kids. He is very conscious of living a healthy life and does his best at staying healthy.He does not drink nor smoke and he eats lots of fruits and healthy diets. We have decided not to use any medication for now because his LFT are within normal range.  
We are hoping that his viral load will not go hay wire in the future.
What do you think about Mistletoe? Why does the VL go up with time, even when the LFTs are ok?
Once again, thanks for sharing you professional knowledge.
Helpful - 0
351246 tn?1379682132
MEDICAL PROFESSIONAL
Hi
Welcome to the MedHelp forum!
Chronic hepatitis B if not treated properly can result in a number of complications, predominant being, fibrosis, liver failure, cirrhosis, acites (fluid in abdomen), liver cancer, portal hypertension, kidney involvement, porphyria, hepatic encephalopathy (brain involvement), and an increase in viral co-infection with HIV, Hepatitis C, D, E. The list of complications is daunting and scary. However it takes decades for these symptoms to develop. What is required is a close watch on the liver function and a balanced life. So a normal life span is possible after chronic Hepatitis B infection. Generally an antiviral drug may be needed life long. Interferon can be started along with antivirals for a short therapy. Family members and close contacts should be vaccinated against Hepatitis B. Transmission of the disease from father to growing fetus is not possible unless the mother is also infected. Hence if you plan a pregnancy, all precautions should be taken to keep you disease free.
I would strongly recommend you to consult a hepatologist (a specialist in liver diseases) and continue treatment under his guidance.
Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!

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