Hepatitis B with me ...
May 22, 2005
I have hepatitis be and i did tow tests,these are the results: 1st test: HbsAg positive. 2nd test: -Bilirubin Total: 4.79 umol/L 0.28 mg/dL -Direct Bilirubin: 2.05 umol/L 0.12 mg/dL -SGOT : 20 U/L -SGPT : 14 U/L -Albumin : 46 g/L -Hepatitis Be Antigen (HbsAg): 0.37 S/CO -Hepatitis Be Antibodies (HbsAb): 0.135 S/CO -HbeAg : negative -Hepatitis B Virus-DNA BY PCR (Qualitative): Positive
1.What do these results mean? 2.How sick am i? 3.What about my wife if i don`t use condoms? Thats all and thank you Dr.
Response from Dr. McGovern
The HBeAg is negative but your qualitative HBV DNA is positive.
What we really need is a "quantitative" PCR because we still don't know how much virus is in your blood. The normal ALT and AST are reassuring. A liver biopsy may be needed if your level of viremia is high.
HOwever, another concern is your bilirubin which is elevated. This needs further evaluation by your doctor. Since most of this bilirubin is "indirect" there may be another cause for this test to be elevated that may not be related to your liver.
Your wife should have hepatitis B vaccine to prevent transmission. She should have testing first for hepatitis B serologies.
Get Email Notifications When This Forum Updates or Subscribe With RSS
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.