Is it possible to diagnose when Hepatitis b infection occured?
Sep 25, 2005
Dear Dr. Mcgovern,
Thank you in Advance for answering my questions in regards to Hepatitis b.
I am 28 years old male, and have been recently diagnosed as having Hepatitis b in July 15, 2005. I had all the symptoms, including, loss of apettide, nausia, itchy hives, and pain in the right upper quadrant, and loose pale bowel movement about a year ago. I have always been healthy all my life, and my question is, is it possible that I have had hepatitis b in childhood and the symptoms occurred at this point of in my life because of a Hepatitis b flare? Or was it because of an acute hepatitis b infection that I acquired, which later progressed to chronice hepatitis b?
Is it possible to have had chronic Hepatitis b infection in childhood and later get the majority of symptoms later in life at age 28?
The Dr. I am seeing, diagnosed my status as chronic Hepatitis b and these are the test results. Based on these blood test results, should I seek treatment and what category of Chronic hepatitis b do I belong to?
Active chronic hepatitis b
Inactive chronic hepatitis b
HBS Ag Positive
Anti-HBC, IGM Negative
Hepatitis Be Antigen Negative
Hepatitis Be Antibody Positive
Hepatitis B Qauantative DNA is at 6260 copies/ml
liver profile test results
alkaline Phosphatase 51 40- 120 normal
AST 14 3-45 normal
ALT 13 3-45 normal
My ultrasound test came as abdominal sonography within normal limits and perfect.
My Dr. told me that I do not need treatment at this point and to make an appoint in 6 months.
Response from Dr. McGovern
It is certainly possible for chronic hepatitis B to become active over time after a period of being inactive.
I agree that you are a chronic carrier with a low level of virus in your blood.
I also agree that I would not treat you at this time. However, you will need further follow-up because this decision could change depending on the results of blood tests. Your physician will discuss this with your further.
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