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Suffering from Hepatitis B Need your help
Mar 8, 2014

Dear Madam, I am 32year old, from Mumbai India. 2 Month before[ Nov 15th ] I was detected positive for hepatitis B Initialy the LFT test shows AST/SGOT 1200 ALT /SGPT 1400 And now the report are [ After 15 days] HBV viral load by TAQ MAN 20300 IU/ML AST/SGOT 115 ALT /SGPT 477 Alkanie phosphatase 110 Hepatitis B core IGM Serum 32.41 Hepatitis B E IGM Serum Negative Hepatitis B e Antibody 0.370 Hepatitis B e Antigen 1.97 Alpha Fetoprotein 6.92 I have consult two Dr. One DR. suggest me to take Tenofovir 300 mg for 1 Month and repeat all test. & Second Dr Suggest me wait for 1 month to take any treatment after one month repeat the test for LFT test Presently I am following second Dr. Please suggest me. Now i have done [Dec. 30th] LFT test results is as follows Total Bilirubin - 0.80 Bilirubin Direct - 0.26 Total protein - 7.6 Albumin - 3.9 Globulin - 3.7 Albumin/Globulin Ratio - 1.0 SGOT - 40 SGPT - 83 Alkaline phosphatase - 83 G-Glutamyl Transferase - 21 Lactate dehydrogenase - 155 Dear madam, I have discuss my LFT report with my 2 Doctor, he suggest me to wait for next 4 month [ up to March 2014] and after that go for the HBs Ag test. Meanwhile do LFT test every month. Kindly suggest me shall I wait up to march 2014. Or go for the virus specific test, again / or take any treatment. Please suggest me. Your reply was It sounds as though you have a new hepatitis B infection. I agree with your second doctor, it sounds as though you are under good care. We can wait to see if a new infection goes away on its onw before starting hepatitits B medications. If the infection does not go away on its own which you doctor can discuss with you, then I suggest discussing whether medication is indicated. I would also discuss with your doctor getting tested for hepatitis A and C, as well as HIV. Other things to review together would be identifying sexual and household contacts for hepatitis B testing and if not infected, ideally vaccination to prevent hepatitis B. Dear madam, Now i have done LFT test results is as follows [24/01/2014] Total Bilirubin - 0.69 Bilirubin Direct - 0.21 Total protein - 7.3 Albumin 4.0 Globulin 3.3 Albumin/Globulin Ratio 1.2 SGOT - 25 SGPT - 47 Alkaline phosphatase - 67 G-Glutamyl Transferase - 23 Lactate dehydrogenase 159. HBs Ag test [06/02/2014] - HBsAg - Nonreactive Hepatitis B surface Antibodies [quantitative] [13/02/2014] Hepatitis B surface Antibodies - 358.7 mIU/ ml. According to my doctor I have completely recover from infection. Madam, kindly suggest me. If any test required further.

Your reply was You are in wonderful hands. I agree with your doctor. You have cleared away the hepatitis B infection. You are now protected against hepatitis B. The only other tests would be for HIV, hepatitis C, syphilis and other infections that may be acquired along with hepatitis B.

Dear madam, Thank you for your valuable reply.

I have already done the following test .

HCV Nonreactive

HIV 1 Antibodies Nonreactive

HIV 2 Antibodies Nonreactive

I just want to know that people who are working with me or living with me have any chance of causing infection from me

Please suggest me.

Response from Dr. Taylor

Unless you have had recent exposures, these results indicate that you do not have hepatitis B,C or HIV. This is good news.

It sounds as though you have remaining questions about sexually transmitted and blood borne infections based on the number of questions you have submitted-- thus it will be helpful to discuss these issues further with your doctor so you can understand fully how you can and cannot catch HIV, hep C and others.

Hepatitis C coinfectiuon

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