Age : 25 years
Home Town: Gulbarga, Karnataka, INDIA
Case History: (HBSAG POSITIVE)
I did my routine blood test during 2006 and everything was normal.
In 2008 during routine blood test, HBSAG positive was detected. Did not took any treatment.
Now December 2012, HBSAG positive detected.
Consulting at Institute of Liver and Biliary Science (ILBS) hospital Delhi.
Doctors at ILBS says that it’s a chronic HBSAG, and they can just lower my HBSAG level but can’t make it negative or zero and this HBSAG virus will always be there in my body till my death.
So I request you to please suggest any treatment for this HBSAG.
And also I request you to please answer my questions,
1. HBSAG can be made negative or zero..?
2. In future if I did blood test then this HBSAG will always be present in my blood test..?
I request you to please suggest any treatment for this HBSAG.
I have attached all my reports with this mail.
I am a HBSAG positive below are my reports ...
My reports
* [ those ones which I have written in flower brackets are bold and dark colored in my report. ]
1. Liver Function Test / Profile - serum
Test Result
Serum Bilirubin Total (Jendrassik - Grof) { 1.77 mg/dl } *
Serum Bilirubin Direct (Jendrassik - Grof) 0.14mg/dl
Serum Bilirubin Indirect { 1.63 mg/dl } *
AST/SGOT (Kinetic Henry) 19 IU/L
ALT/SGPT (Kinetic Henry) 20 IU/L
Serum Alkaline Phosphatase (Kinetic) 53 IU/L
GGT 15 IU/L
S. Total Protein (Biuret) { 8.9 g/dL } *
S. Albumin 5.1 g/dL
S. Globulin { 3.80 g/dL } *
A/G Ratio { 1.34 } *
2.Complete Haemogram (VCS Technolog)
HAEMOGRAM :
Result Unit
Haemoglobin 15.8 gm/dl
PCV/Haematocrit 50 %
Total Leucocyte Count (TLC) 8 10~9/L
Platelet Count 319 10~9/L
RBC Count { 5.69 } * 10~12/L
MCV 87.9 fL
MCH 27.7 pg
MCHC 31.6 gm/dl
RDW 12 %
ESR(Westergren method) 08 mm/1st hr
DIFFERENTIAL LEUKOCYTE COUNT:
Neutrophils 60 %
Lymphocytes 31 %
Monocytes 06 %
Eosinophils 02 %
Myelocyte 01 %
BLOOD PICTURE:
RBC:Normocytic normochromic
WBC:No abnormal cells seen.
Platelet:Adequate
3.FIBROSCAN
CAP(dB/m) E(kPa)
Median 189 Median 6.6
IQR* 24 IQR* 0.8
IQR*/med 13% IQR*/med 12%
4.HBV DNA (Quantitative)
Test Result
Method Real TIme PCR
Instrument Cobas TaqMan 48
Sample Plasma
Result : 16000 IU/ml.
5. HBsAg Quantification
Test Result
Method By Chemilumiscence
HBsAg Quantification 20818 IU/ml
6. Anti HBe
Test Result
Method By Chemilumiscence
Result Reactive
Sample/Cut-off ratio (S/Co) 0.02
7.HBeAg
Test Result
Method By Chemilumiscence
HBeAg Non - Reactive
Sample/Cut-off ratio (S/Co) 0.22
8. Anti HCV
Test Result
Method By Chemilumiscence
Result Non - Reactive
Sample/Cut-off ratio (S/Co) 0.08
9. TSH
Test Result
TSH 1.58 microIU/ml
10. AFP (Alfa Feto Protein) - Serum
Test Result
Serum Alfa Feto Protein 2.32ng/ml
11. Kidney Function Test (KFT)
Test Result
Blood Urea (Enzymatic) 15mg/dl
Serum Cretinine (Rate Jaffe) 0.75mg/dl
Serum Uric Acid (Enzymatic) 5.8mg/dl
S.Sodium (Na)-ISE 137.9 mmol/L
S.Potassium (K)-ISE 4.79 mmol/L
Serum Chloride (ISE) 98.1 mmol/L
12. PT / PT-INR (Clotting Assay)
Test Result
Prothrombin Time 10.9 secounds
Mean Normal Prothrombin Time(MNPT) 11.3 secounds
INR 0.9
Endoscopy done normal studies..
My Doctor suggested Tab. Entaliv(ENTACAVIR) 0.5mg (by Reddy's lab) .
Please help me..