Jan 21, 2006
Dear Dr., Many thanks in advance for conidering my question. I am 38 years old now. I have the feeling that I was first exposed to the virus some 23 years back (I recall having yellowish eyes, yellow nails, loss of appetite for a short period of time by then - not sure). And let me put my test results for ur info. Albumin - 5.8 (remarked High), ALT - 23, AST - 20, Alk. Phosph - 64, Bilirubin,Direct - 0.26, Bilirubin, Total - 1.35 (remarked high), HBeAg - Negative, HBsAg - Positive, GGT - 27, PCR DNA, 14,000 copies/ml, I have the habit of taking some two bottles of beer (300 ml each and 4.25% alcohol content) almost daily. I also prefer eating meat than vegetables. With this background information what do u advise me to do? What risk do I bear? Do I need to do other types of tests like HBcAg, IgM, IgG, presence of anti bodies, etc?
| Response from Dr. McGovern
Since you have evidence of virus in your blood (PCR DNA) you have hepatitis B e antigen negative infection. However, your liver function tests in this panel (ALT and AST) are normal which is good news.
At this point, I would monitor your liver function tests every three to six months to see if they remain normal. If they do remain normal, I would not do anything else but monitor your bloods.
If they fluctuate, then I would obtain a liver biopsy to see if you have disease.
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