Pls help with this findings Hepatitis B positive

[paulice]

Pls help me to understand the below findings:
I was diagnosed Hepatitis B positive 7 months ago and no medication has been given since i was pregnant that time.

Test: Hepatitis Profile
HBsAg -                            reactive - 3.373
Anti- HBs -                        Non reactive - 0.015
HBe Ag -                            Non reactive - 0.052
Anti- HBe -                         Non reactive -3.166
Anti-HBC IgG-                    Reactive - 0.012
Anti-HBc Igm                   - Non- reactive  - 0.100

Please help me to understand the result.

Thank you.
Pau

[stef2011]

HBsAg -                            reactive - 3.373

this test type is too old and useless on hbv infected or cronic carriers, look for abbott architect and if level is less than 1500iu/ml you are in the very slow process of immune control/clearance

Anti-HBc Igm                   - Non- reactive  - 0.100
you are cronic, probably from birth or very young

you have done the oldest useless test for hbv and they can tell nothing about the state of your infection:
check hbsag quantity by architect in iu/ml
check hbvdna pcr
check liver damage by fibroscan or if no fibroscan biopsy
check by ultrasound for liver cancer or fatty liver (US does not detect liver damage)
alt/ast

after these tests we may know what you have, drugs are useless if there is no liver damage because not needed

[lifelove54]

Get tested again you may have developed immunity by now most importantly make sure your infant has immunity.

[paulice]

thank you for this information. This afternoon i undergone ALT and UTZ of liver as per request of my physician. I will get the results tomorrow. I will posted you for me to understand what's all about.

If it's chronic, is there possibilities to hell this and is't infectious? I just gve birth 2 months ago and my husband was advice to get vaccination because of my condition..

[paulice]

yeah after my baby was delivered he get 2 shots of vaccination for hepatitis b. If im going to test again, do i inform them that it's hepa B profile? what i did before is just an hepatitis profile no specific, maybe that's why the results was like that..

[PinoyHBVDNA]

based on the results above i think you're a chronic HBV carrier in an inactive state.

stef2011 is correct :)

[paulice]

is't curable? can i still pass it with other or not since its already in active stage? is't possible that the result wud b -?

[stef2011]

you are very infectious as long as hbsag is positive

the blood will stay infected forever, even if you clear hbsag.this is for anybody once the virus enters the body, both acute or cronic, so it wont be possible to donate blood

[paulice]

Ultrasound of liver is't same as fibroscan?

[paulice]

can it be possible that those people around me get infected? how hepa b transmitted to others?

[paulice]

pls advice what do i need to do? what food need to take and not?

[stef2011]

Ultrasound of liver is't same as fibroscan?

no ultrasound detects only cancer or fat in the liver

[stef2011]

can it be possible that those people around me get infected? how hepa b transmitted to others?

very likely, all people must be vaccinated, in philippines you will get hbv anyway because it is so widespread, only being vaccinated can avoid infection in the countries with that high quantity of infected

[paulice]

this is the test that my doctor requested me to do. The ALT and Ultrasound of Liver. Could you please enlighten me on Fibroscan? can i do this lab without doctors request?pls let me know the do and don't on my foods intake? i was confused and frustrated because of my situations, i'm too much worried especially now as i'm always lack of sleep because i'm taking care of my newly born baby and i'm also working too. Most of foods that i eaten are meat. That's why im too much worried that my immune system might become low due to this instances.

Please help what particular foods to i need to to boost my immune system and what are dont's. thank you.

[stef2011]

sorry i didn t know you re from philippines, your country has nothing to monitor cronic hbv, no fibroscan, no hbsag quant tests, no hbcab igm quant, sometimes they dont have even hbvdna pcr

if you can afford move to any other country in the area for the tests and doctors, both china, india,japan have all those tests/machines

[paulice]

here's my utz result and alt: please help me to understand the results:

UTZ: the liver is normal in size with a span of 11.7cm. Parenchyma is homogeneous with no evident mass nor abnormal calcification. Intraphetic ducts are dilated.

Impression: Normal sonogram of the liver.

ALT: 34.1 IU/L..

[judas13]

         you are very infectious as long as hbsag is positive
           ( this link is from you to paulice  as seen above)

   i just confused sir steff....you know what...our medical examination will give us clearance to work abroad as seafarer long as we dont have HbeAg cause it falls under highly infectious it means we can pass the virus to others. only those who have HbsAg alone they allowed... so my question is... what is the difference if you have HbsAg alone without HbeAg ? do this HbsAg alone will consider non infectious? do they will not pass this to others because they dont have the e component?  
  
  

[stef2011]

normal ultrasound but this happens also in early cirrhosis so ultrasound is uselful only to detect liver cancer or fatty liver, abslutley useless for liver damage since when it detects damage is so advanced that it cant be regressed

[stef2011]

what is the difference if you have HbsAg alone without HbeAg ?

almost none, hbeag cant be used to define active or inactive hbv, they are very old studies and wrong

inactive hbv is defined by:
hbsag<500iu/ml geno D
hbsag<....something between 100-300iu/ml i dont remember because we dont have these genotypes in europe
hbvdna pcr<2000iu/ml
alt/ast<30men nd 19 women

phillipines has no doctors, no tests...no nothing.i think they are just in a mess as regards hbv until somebody wakes goverment up on the mess they are doing

i read there is a movment making tests like vaccines at birth, hbsag quant and fibroscan available to the population but i dont know which hospital will ahve these available.

hbeag has no meanining here in europe, we check hbvdna pcr and hbsag quant for infectvity

[4est]

from when the hbsag is important as in quantity?

doctors that I spoke (all form Europe) said nothing about the hbsag, they only specify that the other criteria hbvdna pcr<2000iu/ml, ast and alt normal value.
Also specify that the results from fibroscan and fibromax should count for liver damage.  

[4est]

I've just read some news regarding the hbsag in quantity and I've see that is use for monitoring the tratament and I've see that no relation between hbsag and hbsdna was found, so what exactly is hbsdna (virus numbers) and hbsag ?  

[judas13]

WHEN IT COMES THAT YOU ARE RIGHT.....!!!!  I REALLY REALLY REALLY HATE MY GOVERMENT.....many of us lost our jobs that needs for our family income because of misunderstanding about the result. many of us lost thier dreams and future. Even in our own country they prohibit us to work.
                        i regret i was born in my country ,why not in europe...!!!!????????

[stef2011]

you just met ignorants, not doctors, see also this, a liver specialist prepared this book for his collegues and presented at a conference years ago since there are too many ignorants that understand nothing about hbv and make more damage than good:

"The general book of ingnorance about hbv"
http://www.medhelp.org/health_pages/Hepatitis/the-general-book-of-ignorance-about-hepatitis-B/show/1152?cid=153

hbsag is available since hbsag itself is known, from 2000-2005 abbott made a good commercial assay.
since hbvdna pcr is very expensive and hbsag is extremely cheap (7euro in italy), there is a tendency to hide hbsag quant (US, canada dont use it yet whie even third world countries have it), hbsag can be used instead of hbvdna pcr or in combo

hbsag quant shows also that antivirals like tenofovir and entecavir, quite expensive, increase its quantity making hbvdna undetactabel.....and many might think they are useless on hbv, which is not quite wrong

hbsag reflects cccdna which are the infected cells in the liver, i have yet to understand what exactly is the use of hbvdna really apart the use for monitoring nucs response and resistance development.
to me hbvdna is totally useless to monitor infection, infected cells increase when hbvnda pcr is und by antivirals, infact if you stop antivirals you get an acute hbv that might be even dangerous for life

[stef2011]

hbsag quant and fibroscan are used since 2005 in advanced countries with good healthcare and good doctors...that is germany, italy, france, belgium, holland, norway

[paulice]

what do i need to do now if the ultrasound that was requested by my doctor is not that much effective to detect liver damage? Also, what can u say about my alt result? THis is the latest findings.. pls explain.


Test: Hepatitis Profile
HBsAg -                            reactive - 3.373
Anti- HBs -                        Non reactive - 0.015
HBe Ag -                            Non reactive - 0.052
Anti- HBe -                         Non reactive -3.166
Anti-HBC IgG-                    Reactive - 0.012
Anti-HBc Igm                   - Non- reactive  - 0.100

UTZ: the liver is normal in size with a span of 11.7cm. Parenchyma is homogeneous with no evident mass nor abnormal calcification. Intraphetic ducts are dilated.

Impression: Normal sonogram of the liver.

ALT: 34.1 IU/L..

What's all about now? any other test do i need to do?
What do u mean about early cirrhosis ?
What test to i need to do to detect the liver damage?

I badly need ur comment pls..

To my fellow filipino: any good/specialist doctor that u could recommend?

thanks..