|Cronic Hep B
Aug 6, 2006
I have had cronic hep b from 1975.What is the cut off for treatment in the viral load.I am now 54/healthy the only testing they do on me is sgot sgpt?I think i need more help than i am getting.What do you suggest?
| Response from Dr. McGovern
It is hard to say if this follow up is sufficient or not. It may well be, but it depends on your disease state.
For example, if you are an "inactive" chronic carrier, then a ALT every 6 to 12 months is sufficient. Treatment would be considered if your ALT (SGPT) became elevated.
If you were an "active" carrier, but treatment was not yet being considered, then an ALT every 3 to 6 months with treatment considered if your ALT changed.
It is also possible that you have not had a liver biopsy because your virus level (HBV DNA) has not been elevated. I would also like to follow up your surface antigen to see if perhaps you cleared this.
Screening for hepatocellular carcinoma depends on multiple risk factors, such as presence of cirrhosis, family history etc.
I would ask your physician more questions like "Do I have hepatitis B e antigen positive infection?" "Has my viral load been checked in the past?" "Do you think I need a biopsy? If not, why not?" "Are my liver function tests always normal?"
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.