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Chronic hepatitis b - need advise on treatment

Dear forum members, i was detected with chronic hepatitis b in april 2012 during a minor surgery. At that time my Hbsag quant was 237iU/ml. Alt was 60. Liver ultrasound normal. No pain in stomach and no yellowish urine. In december 2012, i had the test again, hbsag quant was 1572iU/ml. Alt was 42. Fibroscan was normal. liver ultrasound showed fat liver and coarse echotexture. Doctor has not advised any medication to me as of now. But i constantly feel a pain on right side of my stomach, it feels like a swelling. Urine is slightly yellowish all the time. Doctor is saying that it is due to gas and fat liver but i am feeling this symptoms for first time in my life and really worried if my treatment is on right path. During this period i had alcohol only 4-5 times, but recently when i had a small amount of alcohol, i had a severe irritation on right side of stomach next day. I am really worried, please advise.
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Avatar universal
You should do ultrasound to check the pain reason, normally HBV is not associated with pain until the last stage when your liver does not function.
I do not think that it is the case because even if your doctor is not the biggest expert in HBV he would have noticed that you have serious liver problem.
The pain or discomfort is most likely comming form gal bladder and you will see it on ultrasound. also you need to do fibroscan to check if you have fibrosis.
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Avatar universal
my ultrasound report showed fat liver, gas, coarse echotexture. Fibroscan report came out to be normal. Bu tthis pain is feels more like a bruise inside my stomach on right side...is it possible that hep b might have damaged my liver to end stage in one year and tests might hav missed it? would you suggest any other test after ultrasound and fibroscan?
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Avatar universal
Thanks rome70. I still can not understand y i have so much discomfrt on right side of my stomach. Its becomng more irritating with each passing day. Is there a way to get relief from it even if i am not startng treatment.
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Avatar universal
First read this hbvadvocate.org.
And do not panic hbv now is pretty managable while not fully currable desease.
I think you should go to another doctor to ask for a second opinion.
You should also do ultrasound and fibroscan and liver function test.
Then you can decide on treatment.
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Avatar universal
Hi Rome70, Doctor advised me to get periodic hbsag quant test done only. I have no idea about the viral load, i will get it done. at my stage what sort of treatment I will get? Will it effect my worklife? how long I will be able to survive? sorry for bombarding you with question but I am really tensed...I feel like my life has changed...not able to concentrate on anything
Helpful - 0
Avatar universal
Do you have dna test for viral load?

Since your hbsag increased  you probably have high viral load and may need teatment.

Helpful - 0
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