|Chronic hepB Case (Please Help)
May 14, 2005
I have chronic HepB. For the last 6 months I have on Adefovir (10 mg). Here are my latest lab results.
5/4/2005 HBV DNA lOAD 6.2 (LOG) or 1584893 AST = 29 (0 TO 35) ALT = 37 (0 TO 55) Total Protein = 7.1 Albumin = 4.4 WBC = 3.9 RBC = 4.7 Hemoglobin = 15 Platelets = 135000 AFP = 3.0 HBeAntigen = Positive HBeAntibody = Negative
2/2/2005 HBV DNA lOAD 6.5 (LOG) or 3162277 copies (?) AST = 35 (0 TO 35) ALT = 44 (0 TO 55) Albumin = 4.4 HBeAntigen = Positive HBeAntibody = Negative
AFP = 5.2 WBC = 4.0 RBC = 4.91 Hemoglobin = 15.9
HBV DNA lOAD 8.1 (LOG) or 125892541 copies (?) AST = 37 (0 TO 35) ALT = 52 (0 TO 55) Albumin = 4.4 HBeAntigen = Positive HBeAntibody = Negative Fibrosis Stage 2 Inflammation Grade 1
9/28/2004 ALT = 52 AST = 37 Ultrasound = Normal I had acute Hepatitis in June 2002 but did not start the treatment until 10/20/2004.
I would like to know your opinon if the Adefovir is going to work for me. I still have some pain in my back rib. I do not know when it will subside. Is there any thing in the diet that I should consider to help subside the pain? The pain is on and off it is sometimes there and sometimes it is not. I also get tired very easily. Is there anything that I can do to improve on that? The Adefovir treament has brought down the viral load but I still have some pain in my back ribs every now and then.
Please help us the progress.
Thanks for your very valuable help.
| Response from Dr. McGovern
There are other drugs which can also be considered such as entecavir, which has a potent effect on viral load suppression.
As for your rib pain, I am not sure of the cause of that, and you should discuss this with your doctor. The fatigue may be from hepatitis itself; again discuss this with your doctor who may may to run other blood tests, ie thyroid testing.
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