too worried abt hep b

[vinokadir]

one of my closest friend s a chronic carrier of hep b.he acquired thru vertical transmission.he s hbs ag +ve and hbe ag -ve.liver enzymes normal.dis s the report as of now.wats dis status? can he marry and lead a normal life?? ll hbe ag again get activated?? we are so worried..

[vinokadir]

thanku .. how to make him feel energetic again? how do i stop worrying ovr dis and concentrate in my lyf?? am a 2nd year mbbs student..he s an intern now..he has to give his pg exams shortly..but he too not reading much ..am also finding it very difficult to concentrate in my studies..

[StephenCastlecrag]

Life is full of risks. Sure, hbvers have higher risk for cirrhosis and HCC, but there are medications that can successfully control hepatitis, slow or stop progression of fibrosis and hence greatly reduce the risk of HCC. Most people die with hepatitis, not from hepatitis. Who knows, a cure may be just around the corner or you may be hit by a bus around the corner.

[vinokadir]

thanku..he doesn wanna tel me anythin abt his status and health.everytym i ask he tells he s all fine.but i can find out he s really depressed after dat.he s not like before.he is not talking much.am also lot worried.cried ovr dis many many times.i too feel distracted not able to study properly:( duno wat to do..he said he has increased risk of developing cirrhosis and HCC.i too read dese pl ve 200 fold increased risk for developin HCC..:( i want him to be happy and read well nd enjoy life like others..am feeling very disturbed.duno how to get ovr dis :( ;(

[StephenCastlecrag]

Normally, HBeAg -ve indicates a non-replicative phase: patients have very low hbvdna, normal ALT , and are less infectious. You friend should have this confirmed by checking his viral load (hbvdna). He can stay in this phase for many years or he may develop HBeAg -ve chronic hepatitis which may then require treatment.

All hbvers can lead a normal life and marry. His partner should be vaccinated, and so should his children.

Your friend should have at least a yearly check of his liver functions (ALT,AST) and viral load; and get treatment when it is necessary. He should also avoid alcohol and lead a healthy life  just like everyone else.