I'm not sure who you're arguing with here. This is a simple forum like all the other millions out there where strangers talk to each other.
This is, and should not by all means taken as a MEDICAL ADVICE. It's actually on MedHelp's page:
"The information we provide is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or medical professional with any questions you may have regarding any symptoms you may be having or any medical condition you experience. Never disregard professional medical advice or delay in seeking it because of something you have read on MedHelp!"
Having said that, I'm glad your parents got tested and now can treat it, but it can't be healthy for you to share your life's story with people you don't know and then argue with them for having different views on it.
All the best!
Has anyone ever had family issues after getting diagnosed? My Dr told me I most likely got it at birth. I tell my parents and my siblings (who are all over 30) to get tested. My parents do not speak English and its hard for me to communicate with them the severity of it and getting tested. I told my family and they hardly texted me back. Half of them never even responded. My parents just told me they dont think they have it and that I have it probably from living a crazy life... My little brother told me he was diagnosed when he was trying to give blood when he was 19 or so (that was 10 or so years ago and he never told us) . So 2 of us in the same family have it...Which means my parents most likely have it. My parents won't get tested because they say they have had blood tests before. I told them that doesn't mean they tested for Hep B. They just tell me they are okay. My one sister got tested and she doesn't have it. My other 3 siblings won't even respond. It's just so frustrating and I feel so upset. They never even called after I told them my diagnoses. As if they don't even care AND this could affect them as well. They basically just think I live a wild life or something. I DO NOT. Finally after trying to convince them for days to get the tests through texts, my sister told me they are grown and they could choose to get tested or not. I told them "What about our parents? They don't even understand the situation because of the language barrier!" No one seems to be taking me serious. They never asked if my baby would be okay. They just don't care. I really just want to cut them out of my life because of this. Not only would my parents getting tested would confirm if my little brother and I got it at birth, it would also help diagnose any issues that they could have. My dad is 71 ! My mom is recently going to go through surgery to remove benign cysts from her boobs. I told my brother to tell her doctor she might have hep b and he won't do it! He lives with them. It's just so frustrating how little they care. What if they have it and not know it and infect someone else? I understand they are adults and are able to make their own decisions but it honestly makes me angry. I feel like they don't realize how much it could change their lives. Maybe they are afraid. Maybe they think it is just something me and my youngest brother did. I have no clue but they are being really obtuse and flippant about it. I'm wondering if any of you had these issues when informing your family that you had it chronically and they should get tested. If my parents never get tested, I would never know if I was born with it or got it some other way...that bothers me. It bothers me that they don't care if they have it or not....
My appointment for e antigen test and e antibody got rescheduled for the 11th. I will update with news then.
I also forgot to post these results. I am not sure if they matter but here they are.
MPV 10.70 RANGE 9.7-10.3
NEU% 71.30 RANGE 43.00-77.00
NEU# 9.05 RANGE 2.40-8.20
LYM% 20.60 RANGE 20.50-45.50
LYM# 2.62 RANGE 1.30-5.30
MO% 5.20 RANGE 0.00-12.80
MO# 0.66 RANGE 0.30-0.90
EOS% 1.60 RANGE 0.90-5.00
EOS# 0.20 RANGE 0.00-0.20
BA% 0.40 RANGE 0.00-1.00
BA# 0.050 RANGE 0.000-0.080
IG# 0.12 RANGE 0.00-0.03
IG% 0.90 RAANGE <5.00
NRBC# 0.00 RANGE 0.00-0.01
NRBC% 0.00 RANGE 0.00-0.20
Thank you. I understand those things and I'm trying to get those tests done. It's just frustrating because none of my doctors knows what I'm talking about when I ask for those tests. Do I need to go to a hepatologist and do they offer these tests in USA? My doctor is just an OBGYN and has no experience in this. I also forgot to post my CBC.
CBC w/ Auto Differential
WBC 12.70 RANGE 4.80-11.80
RBC 4.33 RANGE 3.60-5.40
HGB 12.50 RANGE 12.00-16.00
HCT 36.50 RANGE 35.00-48.00
MCV 84.30 RANGE 78.50-99.00
MCH 28.90 RAANGE 26.00-33.00
MCHC 34.20 RANGE 31.00-37.00
RDW 12.40 RANGE 11.50-13.50
PLT 228.0 RANGE 135.0-420.0
Any advice is greatly appreciated on how I proceed and what you guys think it may be. Chronic or acute or Inactive. I am of asian descent. I do not want to get my parents and family into this until I'm sure its chronic or acute. I never tested for Hep B before. These are all the results I have. I am negative for HEP C and HIV.
Like my doctor told me in the beginning, this is a marathon, not a sprint, it might feel like ages in between tests and doctor's appointments but that's because you are not in any immediate danger and this can be kept under control very efficient today.
It comes as a shock at first, but even if you're chronic, with today's medication and the ones that are on trial, there's a very bright outcome in the future years.
There are other sets of tests that you're doctor most definitely will ask you to do that will answer all these questions. As of right now, you seem to be ok with very good results on Liver Enzymes and low hbvdna.
Interpretation of Hepatitis B Serologic Test Results (.gov website)
Susceptible:
HBsAg negative
anti-HBc negative
anti-HBs negative
Immune due to natural infection:
HBsAg negative
anti-HBc positive
anti-HBs positive
Immune due to hepatitis B vaccination:
HBsAg negative
anti-HBc negative
anti-HBs positive
Acutely infected:
HBsAg positive
anti-HBc positive
IgM anti-HBc positive
anti-HBs negative
Chronically infected:
HBsAg positive
anti-HBc positive
IgM anti-HBc negative
anti-HBs negative
Interpretation unclear; four possibilities:
1. Resolved infection (most common)
2. False-positive anti-HBc, thus susceptible
3. “Low level” chronic infection
4. Resolving acute infection
HBsAg negative
anti-HBc positive
anti-HBs negative
P.S.:
I am not a doctor!
Don't take any decisions based on what people online are saying, this should be purely informative. Follow your doctor's advice at all times.
Can someone help me? Perhaps stef2011?? I found out my obgyn only tested me for hbvsag and i came out positive. She wouldnt tell me if i was acute or chronic and had no idea what the IGM test was.
My viral dna is 12803 or 4.11 log. My hepb surface antibody is only 0.42.
My LFT panels showed
T pro 7.50 RANGE 6.40-8.30
ALB 3.89 RANGE 3.50-5.20
A/G RATIO 1.08 RANGE 1.20-2.20
GLOBULIN 3.61 RANGE 2.30-3.50
D BILI 0.2 RANGE 0.0-0.5
T BILI 0.3 RANGE 0.2-1.2
AST 16.8 RANGE 5.0-34.0
ALT 25 RANGE 0-55
ALKP 39.2 RANGE 40.0-150.0
She told me my lft was normal and she couldnt give me anymore answers and referred me to a fetal maternal dr as i am pregnant. The maternal fetal dr which is who im scheduled to go to on the 11th only shows that i have a scheduled ultrasound. It doesnt show any bloodwork is scheduled. Should i talk to a hepatologist? No one seems to know what tests im asking for. I want to know if i am chronic or acute or what stage i am in. Its very stressful. I live in USA midwest and i know there arent a lot of cases here. The drs here are not experienced and seem to brush me off. I am also on medicare. Does going to a hepatologist have it covered by medicare? All the offices are closed on the weekend and no one seems to have answers for me. I want to know if this is acute or chronic or what should i do to take the best step for me and baby. Please help me make the best decisions for me and my baby.
Also, does Positive IGM automatically mean its acute or could it be acute exasperation of CHB? I have read that acute of CHB could mimic acute symptoms. How do you know for sure between the two?
Can anyone tell me is hbv dna viral load the same as hep b viral load? I see posts and im confused.
So does this mean i am chronic or acute? Or an inactive carrier? Thank you so much for helping me. I am very stressed and depressed.
I am not a doctor. Your situation is not uncommon. After the initial shock, you will find things are not as bad as you fear. In adults, over 90% recovered from an HBV infection, that is, they will test HBsAg negative after 6 months, and only HBsAb will test positive. However, when infants or very young children were infected, over 90% will develop chronic Hepatitis B, that is, their HBsAg test will be positive, together with HBeAg and HBcAb. With Chronic Hepatitis B, the patients should be monitored regularly, there are many phases in the natural life cycle and treatment is only required when needed. There is no cure for chronic Hepatitis B, at the moment, but there are excellent treatments, like taking a single pill daily, if and when treatment is needed. If your HBcAb IgM is positive, you may be in the acute phase. In general, HBsAg still positive after 6 months, indicates chronic Hepatitis B. It is often difficult to discover how one is infected. If you are chronic, getting it from your mother should be considered, as vertical transmission is the most likely cause of chronic Hepatitis B. If you are chronic, you should be monitored closely during your pregnancy, as you may need antiviral treatment if your hbvdna (viral load) is too high. In any case, it is now standard procedure for a baby born to an HBsAg positive mother to receive HBIG and the first dose of HBV vaccine within 24 hours after birth to prevent vertical transmission. Your obgyn should know this! I am not very impressed with your obgyn's knowledge of HBV, it cannot be "dormant" and be activated by stress. Chronic Hepatitis B can be inactive and not infectious. Your blood test results should inform you.
Congratulation on your pregnancy. All the best.