|afraid and confused HBV
Sep 25, 2005
Hi Dr. McGovern, Im a 23-year old guy from the Philippines. I have a very promising job and a happy life when suddenly i learned that im infected with HBV. (now i feel sick and im so depressed).I think i got it from a one-night stand with a woman 1 or 2 years ago. Actually this is my 2nd email (the first one was not answered). my question is to know whether im an active or inactive carrier. And also i want to ask your 2nd opinion (interpretation) of my test results. here it is (cut-off=co,patient=p): HIV I & II=NON REACTIVE, HBsAg co=0.072 p=.377 positive,HBsAb co=0.020 p=0.012 negative,HBc Ab IgG co=1.063 p=1.330 negative, HBc Ab IgM co=0.070 p=0.001 negative, HBe Ab co=1.150 p=1.361 negative, HbeAg co=0.649 p=0.350 negative, SGOT/AST 25 (in range) ref. value 0-40 IU/L, SGPT/ALT 32 (in range) ref. value 0-38 IU/L. What should i do with these results? My Doctor advised me that well do nothing but wait for my body to produce anti-bodies. is that a right decision? do i still need medication considering that my AST and ALT test were normal? Please i beg for your suggestions. Please please answer me this time. Thanks. Mabuhay ka! (Long Live).
| Response from Dr. McGovern
It appears that you are chronic carrier due to your positive surface antigen. You are also e antigen negative. What is needed now is a hepatitis B DNA to see if you have virus in your blood. However, I suspect this will be negative since your liver function tests are unremarkable. If the DNA is negative then you are a chronic carrier. You will still need follow-up to see if you may lose surface antigen (clearance) or if your infection becomes active again.
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