|Chronic hep B
Sep 27, 2009
I am a hep B carrier. My recent HBV viral load count is 5.77 LOG. All other symtoms i.e. liver function and enzymes are normal. Do I need anti viral treatment?
| Response from Dr. McGovern
My advice is to get serial follow-up for now. With normal liver function tests, I would continue to monitor to see if they indeed remain normal. Would also determine if you have HBeAg negative or HBeAg positive infection. This is important since it would dictate how long you would need therapy, if a decision is made to treat. Would follow-up on your HBV DNA as well.
If your ALT stays normal over time, there is no pressing need to treat right now. However, the guidelines continue to change and so it is important to keep informed based on the latest evidence.
Your doctor may eventually decide to get a liver biopsy if you are over 40 to see if you may have any disease despite normal LFTs. The important overall message is to continue to get repeat testing to learn more about your HBV. One "snapshot" in time is never enough.
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.